How does narrative medicine training influence perception of clinical skill development? The following study examines this relationship in fourth year medical students with a focus on ACHME and RCPSC mandated competencies in communication, collaboration, and professionalism. Five themes emerged: (1) developed and improved communication skills; (2-4) enhanced capacity to collaborate, empathize, and be patient-centered; (5) developed personally and professionally through reflection. The students report that narrative training reaps benefits, but is often misunderstood and perceived as counter-culture. The authors further contend that these skills are integral to medical practice, consistent with core competencies mandated by the ACGME/RCPSC, and difficult to teach.