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Table 5 Required competencies for the general level

From: The required competencies of physicians within palliative care from the perspectives of multi-professional expert groups: a qualitative study

Main categories

Subcategories

(1.) Competence in advanced care planning and decision-making (f = 125)

(1.) Withholding therapies and setting goals of care (f = 62)

(2.) Timely decision-making (f = 38)

(3.) Advanced care planning (f = 19)

(4.) Coordination of care (f = 6)

(2.) Competence in social interactions (f = 107)

(5.) Encountering patients and significant others (f = 37)

(6.) Verbal communication (f = 16)

(7.) Social interactions as part of a physician’s work in palliative care (f = 15) **

(8.) Sensitivity and empathy (f = 15)

(9.) Breaking the bad news (f = 11)

(10.) Professional behaviour (f = 6)

(11.) Social interactions with special groups (f = 5)

(12.) Active role in social interactions (f = 2)

(3.) Competence in basics of palliative care (f = 79)

(13.) Holistic attention of patient’s physical, psychosocial and existential needs (f = 22)

(14.) Involvement of the significant others with care (f = 12)

(15.) Recognition of the need for palliative care and practicing palliative care based on the guidelines (f = 10)

(16.) Knowledge on basic principles of palliative care (f = 9)

(17.) Recognition of the dying patient (f = 9)

(18.) Definitions of palliative and end-of-life care (f = 8)

(19.) Palliative care in different diseases (f = 5)

(20.) Practices related to patient’s death (f = 4)

(4.) Competence in the management of other symptoms than pain (f = 74)

(21.) Methods of management of different symptoms (f = 45)

(22.) Recognition of symptoms (f = 13)

(23.) Symptom management as part of a physician’s work within palliative care (f = 11) **

(24.) Evaluation of the patient’s drug therapy within palliative care (f = 5)

(5.) Competence in consultations and networking (f = 34)

(25.) Recognition of the need for a consultation (f = 17)

(26.) Skills in networking (f = 11)

(27.) Consultations in a physician’s work within palliative care (f = 6)

(6.) Competence in pain management (f = 31)

(28.) Management of pain as part of a physician’s work within palliative care (f = 14) **

(29.) Methods of pain management (f = 11)

(30.) Assessment of pain (f = 6)

(7.) Juridical and ethical competence (f = 30)

(31.) Respect of patient’s rights (f = 13)

(32.) Patient’s autonomy (f = 6)

(33.) Respect of a human being (f = 4)

(34.) Honesty (f = 3)

(35.) Doing good (f = 2)

(36.) Patient’s freedom of choice (f = 1)

(37.) Accountability (f = 1)

(8.) Patient education competence (f = 26)

(38.) Guidance of a patient and significant others as part of a physician’s work in palliative care (f = 19) **

(39.) Conduct of guidance (f = 7)

(9.) Competence in multidisciplinary teamwork (f = 21)

- (No subcategories)

(10.) Competence in documentation (f = 18)

(40.) Documentation of goals and limits of care (f = 9)

(41.) Documentation as part of a physician’s work within palliative care (f = 3) **

(42.) Making medical certifications and verdicts (f = 3)

(43.) Detailed and real time documentation (f = 2)

(44.) Responding to notes (f = 1)

(11.) Competence at existential dimension (f = 12)

(45.) Relieving existential suffering (f = 7)

(46.) Encountering death (f = 5)

(12.) Cultural competence (f = 10)

(47.) Significance of a cultural perspective within palliative care (f = 8)

(48.) A member from another culture in a team (f = 2)

(13.) Competence in taking care of one’s own professional competence and well-being at work (f = 6)

(49.) Taking care of one’s own professional competence (f = 3)

(50.) Taking care of one’s own well-being at work (f = 3)

  1. **) Subcategories number 7, 23, 28, 38 and 41 constituted from very short and simple expressions about the thing named in the beginning of the subcategory’s name. Thus, the analysers concluded that the experts just expressed the importance of the issue within palliative care