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- Page navigation anchor for One in a million? At least two!One in a million? At least two!In their ‘One in a million’ paper Jepson et al describe their initiative to create a ‘unique’ archive of videotaped consultations. They thereby justly refer to Byrne and Long’s study from 1976 as the ground breakers in collecting video-recordings of real-life patient encounters. However, they do not seem to be aware that since 1975, a steadily growing archive of, at present, 18,000 video-recorded consultations linked with medical and patient information is being built at Nivel (Netherlands institute for health services research). This archive has so far resulted in hundreds of papers, also published in this journal.1In 2006, Jozien Bensing received the prestigious Dutch scientific Spinoza award for her work in this area and in 2016 the archive was selected by The Royal Netherlands Academy of Arts and Sciences as a promising research facility. Our archive originally included only GP visits, but since 1995 also captures visits with practice nurses, medical specialists (e.g. gynecologists and, clinical geneticists), home care nurses, pharmacists, midwives, etc. We have also collected video-recordings outside the Netherlands (Germany, Switzerland, Belgium, Spain, Sweden, Estonia, Romania, Poland and … the UK).2,3 Our database allows us to make historical comparisons of interactions,4 to study the impact of policy measures (patient participation, shared decision-making), to l...Show MoreCompeting Interests: None declared.