What a role map is not
A role map is orientation — not a job description, a competency framework, or a statement of what any employer expects of you.
You write the protocols and study reports that describe what a trial will do and what it found, accurately enough that someone else could check every statement.
You author protocols, clinical study reports to ICH E3, investigator brochures and summary documents in the CTD structure, working from statistical outputs rather than from narrative. ICH E6(R3) makes the protocol a controlled document whose changes are governed, and publication work follows Good Publication Practice and ICMJE authorship criteria.
A medical writer is the last person who reads the whole story before a regulator does, which makes the role a genuine control point on selective reporting rather than a production step.
YOUR NEIGHBOURHOOD, IN ONE CONNECTED SYSTEM
Between the statistical output and every audience that will read the study — regulators, investigators, ethics committees and clinicians.
- Database lock and statistical analysis
- The protocol and its analysis plan
- Submission assembly
- Publication and disclosure
- Biostatistics for the analysis outputs and their interpretation
- Clinical operations for what actually happened during conduct
- Regulatory and safety review of what the document commits to
- Regulatory affairs, whose submission is built from these documents
- Investigators and ethics committees relying on the protocol as written
- Safety reporting, which inherits the document’s characterisation of events
- The accuracy of every statement against its source output
- Document version control and the traceability of changes
- The refusal to write a conclusion the data does not support
- The analysis itself or the decision on which analyses are primary
- Clinical interpretation and benefit-risk judgement
- The decision to publish or to submit
- The medical lead, where a requested characterisation exceeds the data
- Quality or compliance, where a change would misrepresent conduct or outcome
- Protocols and amendments with a traceable change history
- Clinical study reports structured to ICH E3, with source outputs referenced
- Document review records showing who approved which statements
WHAT THIS ROLE CAN EVIDENCE · 0
No published competency maps to Medical Writer yet. 14 are published across the registry, and this role is not among the ones they name.
Read the standard and its stated coverage →A role map is Locate, moment 2 of 5: what surrounds your work, what you own, and what you escalate. It does not teach the practice or test it. Next is Learn — the Clinical Operations pathway. No scenario exercises this role yet, so Practise comes later for it, then what any of it evidences. Skip any of them — the order does not change.
The regulations and standards this pathway anchors on. SPEQ decodes and cites each one; the authoritative text lives at the official source.
- ICH E6(R3)Good Clinical Practice (GCP)ICH · last revised 2025-01-06
- ICH E8(R1)General Considerations for Clinical StudiesICH · last revised 2021-10-06
- 21 CFR Part 312Investigational New Drug Application (IND)FDA · last revised 2023-01-01
- 21 CFR Part 50Protection of Human Subjects (Informed Consent)FDA · last revised 2024-01-01