Evidence map›Paper›PMID 25084813›Full record

ArticleBMC family practice2014

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

Jean-Pascal Fournier, Brigitte Escourrou, Julie Dupouy, Michel Bismuth, Jordan Birebent, Rachel Simmons, Jean-Christophe Poutrain, Stéphane Oustric

Abstract readConsensus Statement
In one paragraph

Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jean-Pascal FournierDépartement Universitaire de Médecine Générale, Faculté de Médecine, Université Paul Sabatier, Toulouse, France. jean-pascal.fournier@univ-tlse3.fr.
Brigitte Escourrou
Julie Dupouy
Michel Bismuth
Jordan Birebent
Rachel Simmons
Jean-Christophe Poutrain
Stéphane Oustric

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeaching 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.

methodsQualitative 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?".

resultsFour 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.

conclusionThe study results suggest a need for developing general practice residents' communication skills regarding medication prescribing.

Indexed as

AdultClinical CompetenceCommunicationCurriculumDrug PrescriptionsDrug TherapyFemaleFranceGeneral PracticeHumansInternship and ResidencyMaleMiddle AgedPatient Education as TopicPhysician-Patient RelationsQualitative Research

Identifiers

PMID25084813
PMCPMC4129426

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