Table 4.

Proposal of competencies for domain 4: participatory health.

Subdomains		Areas of competence
Participatory health
	D4.1	Information needed to promote the informed participation of patients in shared clinical decision-making (autonomy over their health decisions), taking into account the complexity of the information associated with personalized precision medicine
	D4.2	Contemplate patients’ preferences, taking into consideration the depth with which they want to know the results derived from their health data, diagnostic tests, and treatments
	D4.3	Appropriate communication skills to ensure individualized and quality face-to-face and/or telematic care, secure patient understanding of information, and consider their needs, circumstances (eg, language, culture, socioeconomic status), and expectations
	D4.4	Necessary skills for self-awareness (limits, biases, and external influences) and emotional self-regulation of the professional as a key aspect of humanized care
	D4.5	Needs and demands of patients’ associations to foster their participation as key agents in decision-making at the institutional level