title: Identifying competencies required for medication prescribing for general practice residents: a nominal group technique study.
abstract: BACKGROUND
  Teaching of medication prescribing is a specific challenge in general practice curriculum. The aim of this study was to identify and rank the competencies required for prescribing medication for general practice residents in France.
  
  
  METHODS
  Qualitative consensus study using the nominal group technique. We invited different stakeholders of the general practice curriculum and medication use in primary care to a series of meetings. The nominal group technique allowed for the quick development of a list of consensual and ranked answers to the following question: "At the end of their general practice curriculum, in terms of medication prescribing, what should residents be able to do?".
  
  
  RESULTS
  Four meetings were held that involved a total of 31 participants, enabling the creation of a final list of 29 ranked items, grouped in 4 domains. The four domains identified were 'pharmacology', 'regulatory standards', 'therapeutics', and 'communication (both with patients and healthcare professionals)'. Overall, the five items the most highly valued across the four meetings were: 'write a legible and understandable prescription', 'identify specific populations', 'prescribe the doses and durations following the indication', 'explain a lack of medication prescription to the patient', 'decline inappropriate medication request'. The 'communication skills' domain was the domain with the highest number of items (10 items), and with the most highly-valued items.
  
  
  CONCLUSIONS
  The study results suggest a need for developing general practice residents' communication skills regarding medication prescribing.
authors.affiliation: Département Universitaire de Médecine Générale, Faculté de Médecine, Université Paul Sabatier, Toulouse, France. jean-pascal.fournier@univ-tlse3.fr.
authors.forename: Jean-Pascal
authors.initials: JP
authors.lastname: Fournier
authors.forename: Brigitte
authors.initials: B
authors.lastname: Escourrou
authors.forename: Julie
authors.initials: J
authors.lastname: Dupouy
authors.forename: Michel
authors.initials: M
authors.lastname: Bismuth
authors.forename: Jordan
authors.initials: J
authors.lastname: Birebent
authors.forename: Rachel
authors.initials: R
authors.lastname: Simmons
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Poutrain
authors.forename: Stéphane
authors.initials: S
authors.lastname: Oustric
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D003142:Communication; D003479:Curriculum; D011307:Drug Prescriptions / Q000592:standards*; D004358:Drug Therapy / Q000592:standards*; D005260:Female; D005602:France; D058006:General Practice / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000592:standards*; D010817:Physician-Patient Relations; D036301:Qualitative Research
references.citation: Acad Med. 1990 Sep;65(9 Suppl):S63-7
references.pmid: 2400509
references.citation: Med Educ. 2008 Apr;42(4):427-31
references.pmid: 18338996
references.citation: Qual Saf Health Care. 2002 Dec;11(4):340-4
references.pmid: 12468694
references.citation: Commun Med. 2008;5(2):195-208
references.pmid: 19644569
references.citation: BMC Med Educ. 2013 Feb 28;13:34
references.pmid: 23446055
references.citation: BMC Fam Pract. 2012 Jun 21;13:62
references.pmid: 22721273
references.citation: BMJ. 1997 Nov 8;315(7117):1211-4
references.pmid: 9393228
references.citation: Fam Pract. 1993 Mar;10(1):76-81
references.pmid: 8477899
references.citation: Eur J Gen Pract. 2010 Jun;16(2):75-9
references.pmid: 20192888
references.citation: Br J Gen Pract. 2013 Oct;63(615):e713-20
references.pmid: 24152487
references.citation: BMJ Open. 2013 Aug 30;3(8):e003291
references.pmid: 23996821
references.citation: Br J Clin Pharmacol. 2009 Jun;67(6):629-40
references.pmid: 19094162
references.citation: Arch Intern Med. 2010 Feb 22;170(4):381-8
references.pmid: 20177043
references.citation: Fam Pract. 2013 Oct;30(5):483-4
references.pmid: 24065714
references.citation: Fam Pract. 2006 Apr;23(2):226-32
references.pmid: 16339771
references.citation: PLoS One. 2014 Apr 11;9(4):e94301
references.pmid: 24728399
references.citation: Med Educ. 1986 Sep;20(5):458-66
references.pmid: 3531778
references.citation: BMJ. 1995 Aug 5;311(7001):376-80
references.pmid: 7640549
references.citation: Can Fam Physician. 2012 Apr;58(4):e217-24
references.pmid: 22499824
references.citation: BMJ. 2005 Mar 19;330(7492):633-6
references.pmid: 15774993
references.citation: BMJ. 2008 Oct 01;337:a1720
references.pmid: 18829640
references.citation: Br J Gen Pract. 2013 Aug;63(613):e543-53
references.pmid: 23972195
references.citation: Health Commun. 2011 Apr;26(3):286-96
references.pmid: 21400326
references.citation: BMC Med. 2009 Sep 21;7:50
references.pmid: 19772551
references.citation: BMJ. 2013 Feb 01;346:f690
references.pmid: 23377613
references.citation: Aust Health Rev. 2013 May;37(2):172-7
references.pmid: 23575505
references.citation: Intern Med J. 2009 Jul;39(7):428-34
references.pmid: 19383059
references.citation: BMC Fam Pract. 2010 Feb 22;11:15
references.pmid: 20175911
references.citation: BMJ. 2012 Apr 02;344:e2450
references.pmid: 22474275
references.citation: Patient Educ Couns. 2006 Dec;64(1-3):207-16
references.pmid: 16781108
references.citation: BMJ. 1997 Dec 6;315(7121):1482-3
references.pmid: 9420483
references.citation: Br J Clin Pharmacol. 2009 Jun;67(6):656-61
references.pmid: 19594534
references.citation: JAMA. 2004 Mar 10;291(10):1246-51
references.pmid: 15010447