Medical writing competencies

What practitioners rank first in a writer’s competence

7 min read

Practitioners assess medical-writing competence through the quality of the communication and the judgement, collaboration and integrity behind it. Their priorities include clear scientific prose, accurate interpretation and appropriate presentation, alongside the ability to deliver work with other people.

The job-analysis ranking

A 2012 medical-writing job analysis used five domains: gathering, organising, interpreting, presenting and evaluating information, with ethics embedded in all five. The associated survey received 1,177 completed responses between 28 April and 8 July 2012. Respondents rated 68 tasks or knowledge, skills and abilities from 1 (no importance), through 2 (little importance), 3 (moderately important) and 4 (very important), to 5 (extremely important).

All mean scores exceeded the midpoint, with the lowest at 3.60; more than 93% of respondents considered the analysis a complete or adequate account of critical medical-writing tasks. The ranked tasks and mean scores are shown with their standard errors (SE).

DomainTask or knowledge, skill or abilityMeanSE
PresentingCommunicate scientific content appropriately4.650.02
PresentingPresent the message logically and coherently4.630.02
PresentingMaintain confidentiality of information4.620.02
PresentingApply proper mechanics: Apply proper word usage (general and medical), correct nomenclature, and nondiscriminatory language4.560.02
PresentingApply proper mechanics: Construct effective sentences4.560.02
PresentingDevelop clear, concise prose4.550.02
PresentingRetain the intended meaning of source materials or original documents4.520.02
EvaluatingConduct critical review of a draft: Assess quality of writing4.500.02
PresentingApply proper mechanics: Construct effective paragraphs4.490.02
PresentingCommunicate statistical content appropriately4.490.02
PresentingApply proper mechanics: Apply rules of grammar, spelling, and punctuation4.480.02
EvaluatingIdentify inconsistencies in data or other content presented4.470.02
PresentingWrite document to adhere to standardized formats, guidelines, instructions, and ethical standards4.400.02
InterpretingComprehend relevant medical and scientific content: Understand terminology4.400.02
EvaluatingEvaluate collected information with regard to: Content4.400.02
PresentingApply proper mechanics: Apply techniques for cohesion between paragraphs and sections4.390.02
GatheringDetermine purpose of document4.360.03
InterpretingRespond to reviewers’ comments: Interpret feedback from reviewers4.360.02
InterpretingRespond to reviewers’ comments: Determine appropriate responses4.340.02
OrganizingStructure content to communicate message4.330.02
InterpretingSynthesize and integrate information4.320.02
InterpretingDerive key message(s)4.310.02
PresentingBuild logical and science-based arguments4.310.03
EvaluatingPerform fact or data check4.310.03
GatheringIdentify appropriate outlet. Identify relevant writing guidelines, instructions, and ethical standards4.280.03
EvaluatingConduct critical review of a draft: Provide options for solutions4.270.02
InterpretingComprehend relevant medical and scientific content: Understand study design4.270.03
GatheringIdentify context for document4.250.03
EvaluatingEvaluate collected information with regard to: Appropriateness4.240.03
EvaluatingConduct critical review of a draft: Evaluate the representation and description of data4.240.02
PresentingTailor prose to the audience4.230.03
OrganizingIdentify and prioritize key elements of content4.230.02
EvaluatingConduct critical review of a draft: Craft appropriate queries4.220.03
PresentingStructure an abstract4.200.03
PresentingApply principles of proofreading4.180.03
InterpretingComprehend relevant medical and scientific content: Understand concepts4.170.03
InterpretingInterpret clinical and numerical data4.170.03
OrganizingDetermine structure of tables and figures to best communicate data4.150.03
PresentingApply principles of visual presentation of data4.100.03
EvaluatingEvaluate for completeness, fair balance, and absence of bias4.090.03
GatheringIdentify target audience: Assess needs4.080.03
EvaluatingEvaluate collected information with regard to: Audience4.080.03
InterpretingRevise or repurpose existing content4.060.03
EvaluatingConduct critical review of a draft: Recognize ethical considerations with respect to self and others4.050.03
InterpretingComprehend review processes4.040.03
OrganizingDesign project work plan: Recognize roles, responsibilities, and processes4.040.03
InterpretingDetermine inferences, implications, or clinical relevance4.040.03
OrganizingDesign project work plan: Develop timeline4.030.03
OrganizingDetermine organization of document4.030.03
OrganizingApply templates and guidelines to documents4.020.03
OrganizingDesign project work plan: Determine deliverables4.010.03
GatheringIdentify appropriate outlet: Conduct a literature search4.000.03
OrganizingDetermine process for tracking changes and version control3.990.03
OrganizingTrack progress and status of project3.980.03
InterpretingComprehend relevant medical and scientific content: Understand statistical concepts3.980.03
GatheringIdentify appropriate outlet: Identify relevant document models and templates3.960.03
EvaluatingImplement best approach to resolve issues3.940.03
OrganizingDetermine which reference to cite in document3.930.03
GatheringIdentify appropriate outlet: Elicit information from collaborators and stakeholders3.930.03
EvaluatingDetermine appropriate level(s) of editing3.920.03
PresentingApply basic principles of design and layout3.910.03
GatheringIdentify target audience: Identify knowledge gaps3.870.03
GatheringIdentify appropriate outlet: Identify relevant sources3.850.03
GatheringSelect appropriate output type3.830.04
OrganizingDevelop an outline3.780.03
GatheringIdentify appropriate outlet: Identify necessary forms and supporting materials3.740.03
OrganizingRecognize and apply appropriate software and technology to use in developing the document3.670.03
OrganizingComprehend processes of developing and disseminating documents3.600.04

Scientific communication and delivery

Good scientific communication is accurate, clear, concise and readable, suits its objectives and audience, flows logically and engages readers. Interpreting, evaluating and contextualising data, together with competent grammar and spelling, form the writing core. Additional attributes include the following.

  1. Manage time well, work accurately at speed, handle multiple projects, manage workload and reprioritise as circumstances change.
  2. Pay close attention to detail.
  3. Show commercial awareness.
  4. Work as part of a team.
  5. Communicate and present effectively by email, telephone and face to face.
  6. Show enthusiasm for learning, effort and high standards.

Problem-solving is another valued attribute.

For publication writers, the core combines command of research principles and methods, understanding of authors’ intentions and readers’ needs, knowledge of journal requirements, precise and concise prose, logical information flow and effective visual representation of data. Driving projects, collaborating with authors and other contributors, and lifelong learning through continuing education and professional development also belong to that competence, across research topics and publication types.

A pharmaceutical-industry perspective gives two central requirements for success.

  1. Understand and use the language of science, and write documents knowing what to include, how to include it and where it belongs to meet audience needs.
  2. Manage a challenging project team whose members do not report to the writer, using effective interpersonal skills.

By 2019, that perspective also emphasised communication-plan strategy, the breadth of medical communication, structured-authoring concepts and data-visualisation principles, while holding that the core competencies remained unchanged as new delivery channels created additional skill needs. Writers need not be experts in every subject, technology or tool.

Integrity and curiosity

Integrity can be ranked above other attributes: intellectual honesty includes doing the necessary research rather than pretending to know a subject. One experienced medical editor declined assignments when subject knowledge was insufficient for good work. Adaptability also matters, while allowing resistance when the proposed direction seems wrong.

Curiosity can sustain engagement through adversity: an editor recovering from a stroke continued to learn and remain interested even when limited to watching television. A love of language also helped the editor through difficult assignments and late deadlines.

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