Curriculum standards

Entrustable Professional Activities

LG8: Investigations and procedures in nuclear medicine

Learning Goal 8

Longitudinal care

Manage and coordinate the longitudinal care of patients with chronic illness, disability, and/or long-term health issues, and patients at the end of their lives

This activity requires the ability to:

  • develop management plans and goals in consultation with patients, families, and/or carers
  • manage chronic and advanced conditions, complications, disabilities, and comorbidities
  • collaborate with other care providers
  • ensure continuity of care
  • facilitate self-management and self-monitoring in patients and/or their families or carers
  • engage with the broader health policy context
  • recognise the dying phase
  • support patients to plan for their advance care, and document their own wishes
  • manage end-of-life care plans

Professional practice framework domain

Medical expertise

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • regularly assess and review care plans for patients with chronic conditions and disabilities, based on short- and long-term clinical and quality of life goals
  • provide documentation on patients’ presentation, management, and progress, including key points of diagnosis and decision making to inform coordination of care
  • ensure patients contribute to their needs assessments and care planning
  • monitor treatment outcomes, effectiveness, and adverse events
  • assess patients’ physical and psychological symptoms
  • avoid unnecessary investigations or treatments, ensuring physical and psychosocial support
  • estimate prognosis and communicate this appropriately, if requested, including the uncertainties around such estimates
  • develop and clearly document individualised end-of-life care plans, including patients’ preferences for treatment options, resuscitation plans, preferred place of care, and preferred place of death
  • review the goals of care and treatment plans with patients, families, or carers if significant changes in patients’ conditions or circumstances occur

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • assess patients’ knowledge, beliefs, concerns, and daily behaviours related to their chronic condition and/or disability and its management
  • contribute to medical record entries on histories, examinations, and management plans in a way that is accurate and sufficient as a member of multidisciplinary teams
  • demonstrate an understanding of the principles of care for patients at the end of their lives
  • provide timely assessment, and document patients’ care plans
  • manage physical symptoms in alignment with patients’ wishes
  • take steps to alleviate patients’ symptoms and distress
  • correctly identify patients approaching the end of life, and provide symptomatic treatment

Communication

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • encourage patients’ self-management through education to take greater responsibility for their care, and support problem solving
  • encourage patients’ access to self-monitoring devices and assistive technologies
  • communicate with multidisciplinary team members, and involve patients in that dialogue
  • establish supportive relationships with patients, families, or carers based on understanding, trust, empathy, and confidentiality
  • explore patients’ concerns across physical, spiritual, cultural, and psychological domains thoughtfully
  • identify opportunities to discuss end-of-life care
  • communicate effectively and in a timely manner with other health professionals involved in patients’ care
  • refer to national best practice standards around the management of patients with allergy
  • provide standardised action plans, such as the Australasian Society of Clinical Immunology and Allergy anaphylaxis and/or allergic reactions management plan

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • provide healthy lifestyle advice and information to patients on the importance of self-management
  • work in partnership with patients, and motivate them to comply with agreed care plans
  • discuss with patients, family, or carers the goals of care and treatment, and document this in patients’ clinical records
  • ensure consistent messages are given to patients, families, or carers about treatment options, their likelihood of success, risks, and prognosis
  • provide honest and clear clinical assessment summaries of situations, using plain language and avoiding medical jargon

Quality and safety

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • conduct medication chart safety audits and multidisciplinary mortality and morbidity meetings, and provide feedback to colleagues
  • use innovative models of chronic disease care, using telehealth and digitally integrated support services
  • review medicine use, and ensure patients understand safe medication administration to prevent errors
  • support patients’ self-management by balancing between minimising risk and helping them become more independent
  • participate in quality improvement processes impacting on patients’ abilities to undertake normal activities of daily living

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • participate in continuous quality improvement processes and clinical audits on chronic disease management
  • identify activities that may improve patients’ quality of life
  • communicate the content of discussions about prognosis and advance care planning to multidisciplinary teams

Teaching and learning

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • contribute to the development of clinical pathways for chronic diseases management, based on current clinical guidelines
  • educate patients to recognise and monitor their symptoms, and undertake strategies to assist their recovery
  • reflect on personal practice and use this process to guide continuing professional development

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • use clinical practice guidelines for chronic diseases management
  • participate in upskilling in best practice end-of-life care
  • encourage junior colleagues to participate in multidisciplinary case reviews, mortality and morbidity meetings, and adverse event reviews

Research

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • prepare reviews of literature on patients' encounters to present at journal club meetings
  • search for and critically appraise evidence to resolve clinical areas of uncertainty

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • search literature using problem / intervention / comparison / outcome (PICO) format
  • recognise appropriate use of review articles
  • recognise that the evidence may be insufficient to resolve uncertainty and make definitive decisions

Cultural safety

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • encourage patients from culturally and linguistically diverse backgrounds to join local networks to receive the support needed for long-term self-management
  • practise culturally responsible medicine based on understanding the personal, historical, and cultural influences on patients, families, and carers
  • offer support to patients, families, and carers to include cultural or religious practices in their care
  • incorporate appropriate LGBTQIA+ safe language, including gender affirming language

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • provide culturally safe chronic disease management
  • recognise, respect, and respond to individual preferences and needs of patients, regardless of their culture and religious beliefs
  • support patients, families, and carers with communication difficulties associated with cultural and linguistic diversity

Ethics and professional behaviour

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • share information about patients’ health care in a manner consistent with privacy laws and professional guidelines on confidentiality
  • use consent processes for the release and exchange of health information
  • assess patients’ decision-making capacity, and appropriately identify and use alternative decision makers
  • recognise feelings of moral distress and burnout in themselves and colleagues
  • enhance the quality of life for patients before death to minimise pain and suffering caused by ineffective treatments
  • recognise the complexity of ethical issues related to human life and death, when considering the allocation of scarce resources

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • share information between relevant service providers
  • acknowledge and respect the contribution of health professionals involved in patients’ care

Judgement and decision making

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • implement stepped care pathways in the management of chronic diseases and disabilities
  • recognise patients’ needs in terms of both internal resources and external support on long-term health care journeys
  • maximise patients’ autonomy and their best interests when making treatment decisions
  • liaise with other relevant services, providing referrals as necessary

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • recognise personal limitations and seek help in an appropriate way when required
  • define and document patients’, families’, or carers’ goals and agreed outcomes

Leadership, management, and teamwork

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • coordinate whole-person care through involvement in all stages of patients’ care journeys
  • use a multidisciplinary approach across services to manage patients with chronic diseases and disabilities
  • develop collaborative relationships with patients, families, carers, and a range of health professionals

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • participate in multidisciplinary care for patients with chronic diseases and disabilities, including organisational and community care, on a continuing basis, appropriate to patients’ context

Health policy, systems, and advocacy

confident
Ready to perform without supervision

Expected behaviours of a trainee who can routinely perform this activity without needing supervision

The trainee will:

  • use health screening for early intervention and chronic diseases management
  • assess alternative models of health care delivery for patients with chronic diseases and disabilities
  • participate in government initiatives for chronic diseases management to reduce hospital admissions and improve patients’ quality of life
  • help patients access initiatives and services for patients with chronic diseases and disabilities

direction
Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

  • demonstrate awareness of government initiatives and services available for patients with chronic diseases and disabilities, and display knowledge of how to access them