@Jondesu Thank you, that was the answer I was looking for. That makes perfect sense now, although somewhat unfortunate because it means someone like Vasher cant tap an unkeyed nicrosilmind and use it to power awakening.
So in order to get a medallion with a single power, it would have to be created by a ferring/misting who either has a feruchemical aluminum spike, or one wearing another medallion with nicrosil/aluminum. Or a full feruchemist but we dont know if they can specify which powers they put in.
And the one last unknown is how everyone seems to be able to tap the nicrosilmind in the first place.