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Also, the heterogeneity of contexts, interventions and outcomes (medication prescribing competences or performances) makes it uncertain what the effects of integration of such interventions in the general practice curriculum would be, and if supplementary evaluation to properly ascertain their merit would be required.
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Some interviewed medical doctors considered the TCs' pharmacological knowledge and prescribing competence insufficient.
Future research could seek to measure prescribing competence in the GP setting as part of a comprehensive needs analysis.
Mucklow et al 15 provides further examples of assessing prescribing competence based on Miller's model and its importance for the healthcare profession.
Alongside this, a new national assessment of prescribing competence has also been introduced for all medical students in the UK before they graduate from medical school [ 29].
Studies from different countries have assessed medical graduates' readiness for workplace/clinical practice, particularly their prescribing competence and the factors or problems associated with their preparedness.
Interventions were summarised into two categories using Miller's competency model: Prescribing competence ('knows how')—assessing prescriptions written for theoretical cases; Prescribing performance ('shows how')—assessing prescriptions written for real patients.
Continuing professional development (CPD) for non-medical prescribers is recognised as being pivotal in maintaining up -to -date knowledge and skills influencing prescribing competence.
Studies were categorised by their method of assessment, with 20 studies assessing prescribing competence and 27 assessing prescribing performance.
Prescribing competence ('knows how')—assessing prescriptions written for theoretical cases; Prescribing performance ('shows how')—assessing prescriptions written for real patients.
There is evidence that junior doctors are well prepared for communication skills and working in teams[ 21- 26], but studies have reported junior doctors experienced a lack of confidence in clinical and practical skills (although this improved after one month in post) [ 27] and a lack of competence in prescribing [ 3, 21, 26- 28].
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