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Table 2 Medication prescribing-related competencies (grouped by domains) and ranks*

From: Identifying competencies required for medication prescribing for general practice residents: a nominal group technique study

Domains - items Meeting 1 Meeting 2 Meeting 3 Meeting 4 Final rank*
10 participants 7 participants 7 participants 7 participants
Pharmacology      
  Prescribe the doses and durations following the indication - 5 8 2 3
  Know where to find validated information for medication prescription 12 13 10 5 6
  Identify adverse drug reactions - 8 11 10 10
  Be critical with new medications 3 4 - 17 12
  Identify potential drug interactions 5 3 8 12 12
  Prescribe in international nonproprietary names 6 22 - 6 24
  Prescribe in compliance to marketing authorizations 19 19 - 6 25
Regulatory standards      
  Write a legible and understandable prescription for the patient and the one who administers the medication - 1 1 2 1
  Use two-part prescription forms for patients with chronic condition falling under Affections de Longue Durée 18 5 8 3 10
  Abide by the terms of use for specific prescriptions: secured forms, special-status medication‡ , restricted prescription, unreimbursed prescription 21 5 6 3 23
  Include mandatory information of the prescription: identification of prescriber, date, patient’s name, age, weight (for children) 3 17 1 - 26
  Know the costs associated with medication prescription: reimbursement rate and patient’s contribution 23 20 21 - 29
Therapeutics      
  Identify specific populations (paediatric, pregnant, breastfeeding, elderly, renal impaired) 8 - 1 1 2
  Regularly re-evaluate chronic medication prescriptions 6 4 19 13 9
  Prescribe non-pharmacological treatment (lifestyle habits, dietary changes, physical activity, reassuring advices) over medication 1 - 18 19 15
  Deprescribe 11 10 19 - 18
  Abstain from systematic medication prescription 1 2 17 - 19
  Unifies prescription from different sources 7 10 7 - 20
  Use medication prescription software 22 21 13 20 28
Communication      
  With patient      
  Explain a lack of medication prescription to the patient 8 13 - 18 3
  Decline inappropriate medication request for prescription medication 16 - 20 16 5
  Explain to the patient his/her medication prescription 8 12 5 8 7
  Assess patient’s adherence 13 13 16 - 12
  Identify barriers to medication use - 13 4 - 16
  Assess self-medication 16 8 14 15 21
  Explain potential adverse drug reactions to the patient - 18 14 9 22
  With health professionals      
  Being critical about the information supplied by the pharmaceutical industry 15 - 22 11 8
  Prescribe in collaboration with other health professionals: physicians, pharmacists, pharmacovigilance centres, Health Insurance System representatives, nurses, midwives 13 23 23 13 16
  Report adverse drug events to Pharmacovigilance Centre 20 - 12 20 27
  1. *Items with the lowest ranks were the most highly valued.
  2. † Affection de Longue Durée: in France, a list of 30 serious chronic conditions (=Affection de Longue Durée) allows 100% reimbursement for health care related to these conditions. Specific two-part prescription forms are needed to identify which medications are related to the ALD (upper part of the form) and should be 100% reimbursed to the patient.
  3. ‡ Special-status medications include highly expensive medications, reimbursed only in very restrictive indications, in accordance with a fixed ‘special status medication list’. A specific form is needed for their prescription.
  4. - Item not mentioned within that specific group.