Fig. 4: Patient-actor ratings.

Conversation qualities, as assessed by the patient-actors upon conclusion of the consultation. For illustration purposes, all responses from the five-point rating scales were mapped to a generic five-point scale ranging from ‘Very favourable’ to ‘Very unfavourable’. For Yes/No (Y/N) questions, a (positive) ‘Yes’ response was mapped to the same colour as ‘Favourable’ and a (negative) ‘No’ response to the same colour as ‘Unfavourable’. The rating scales were adapted from the GMCPQ, PACES and a narrative review about PCCBP. Details on question-wording and response options are provided in Extended Data Tables 1 and 2. The evaluation involved 159 simulated patients. The P values were determined using two-sided Wilcoxon signed-rank tests with FDR correction. Cases where either AMIE or the PCP received ‘Cannot rate/Does not apply’ were excluded from the test.