Curriculum standards
Entrustable Professional Activities
LG2: Team leadership
Leadership and accountability
Lead effective population and public health responses, programs, and organisations, adapting the leadership style to the situation
This activity requires the ability to:
- identify the context you are working within
- use an appropriate leadership style (for example, codesigning, delegating, participating, showing, listening, or integrating), dynamically switching styles according to the situation
- apply a systems thinking approach to understand and manage complex problems
- set priorities for action through consultation, establish and periodically review goals, recognise opportunities, and provide focus
- manage uncertainty and unexpected challenges
- inspire and enable others, and recognise and encourage individual contributions
- effectively manage daily tasks, delegations, and time allocation, according to priorities
- articulate individual responsibilities, expertise, and accountability of team members and staff
- effectively resolve conflicts
- establish effective partnerships and intersectoral action to achieve improved public health outcomes
- scan for opportunities to mentor, coach, and support to strengthen current, emerging, and future leaders
- undertake horizon scanning to identify emerging threats to public health and new technologies that can be implemented to advance public health
- provide appropriate representation of your organisation (such as state, territory, district health board, or public health unit) on any committees or groups you sit on in your leadership role (for example, Communicable Diseases Network Australia or technical reference groups)
Professional practice framework domain
Medical expertise
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- demonstrate medical expertise in situations other than patient care, such as providing expert legal testimony and advising governments
- use evidence-based principles of practice to meet the needs of populations, adapting to cultural context and promoting self-determination
- change viewpoints rapidly and responsibly between macro and micro, working on either big picture or details, as required
- identify salient potential issues across a broad range of situations, including from issue analysis, policy development, implementation, response, and public or stakeholder communications
- translate public health perspectives and required outputs between people with different expertise, such as clinical, research, and government
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of some of the nuances of the operational context
- apply medical knowledge to assess the impact and outcomes of management initiatives and decisions
- practise as a member of multidisciplinary teams
- demonstrate competence and skills in public health medicine
- recognise how the policy and practices of other sectors and organisations influence the health of the population
- recognise the role of the public health physician within the broader health sector
- recognise the role of the public health physician within the broader response landscape
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- communicate effectively with a broad range of audiences, including writing, speaking, listening, sharing, and editing
- demonstrate a transparent, consultative style by engaging patients4, families, whānau, carers, relevant professionals, and/or the public in shared decision making, taking into consideration cultural needs and styles of communication
- collaborate across groups and identify shared understandings and core needs and goals to increase the efficiency and effectiveness of collaborations
- work with stakeholders, other health professionals, and intersectoral colleagues to resolve conflict that may arise when planning and aligning goals
- demonstrate rapport with people at all levels by tailoring messages to different stakeholders
- present limitations and uncertainty honestly when communicating findings to others
- produce effective reports, briefs, proposals, submissions, and articles on public health issues
- deliver presentations in a variety of settings, tailoring the language and content to the audience and situation
- demonstrate use of the principles of risk communication at a population level
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise different communication approaches for different audiences and situations
- develop presentation skills, under supervision, using available tools
- develop media skills, under supervision, using available tools
- respect the roles of team members
- demonstrate excellent writing and word processing skills
- use clear, concise language
- use email and other written correspondence effectively
- deliver presentations in a variety of settings
- incorporate principles and methods of trauma-informed service delivery
- be able to identify contextual factors that will frame risk communication, such as level of outrage
Quality and safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- use frameworks to guide intersectoral action, such as in disaster management
- identify opportunities to improve care by participating in surveillance and monitoring of adverse events and ‘near misses’
- identify activities within systems to reduce errors, improve patient and population safety, and implement cost-effective change
- place safety and quality of care first in all decision making
- co-design, implement, and use methods to check benefits and harms as experienced by populations affected by public health policies and practice
- demonstrate the ability to prioritise professional duties effectively and appropriately when faced with multiple issues and problems
- build and apply leadership techniques in daily practice through ongoing learning
- maintain personal health and wellbeing and recognise the importance of self-care in the workplace
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- participate in audits and other activities that address the priorities of populations with greater health inequity and improve the quality and safety of the health system
- participate in multidisciplinary collaboration to provide effective health services and operational change
- use and promote information resources and the ethical use of electronic medical record technology where available
- develop and share reflective practice using available tools
- encourage others to practice continuous quality improvement
- advocate for system improvements in response to audit findings
- lead by example in quality improvement activities
Teaching and learning
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- regularly self-evaluate personal professional practice, and implement changes based on the results
- actively seek feedback from supervisors and colleagues on their own performance, and implement active processes to maintain and improve performance
- identify personal gaps in skills and knowledge, and engage in self-directed learning
- maintain up-to-date knowledge of new technologies, health priorities, and changing health needs
- learn and use methods to be culturally competent, including anti-racist reflection
- teach competently by imparting professional knowledge
- manage and monitor learners’ progress, providing regular assessment and feedback
- evaluate the impact of educational material
- advise on educational programs to improve practice
- initiate and conduct skills training for junior staff
- mentor junior colleagues and act as a role model
- prioritise offers to Aboriginal and Torres Strait Islander and Māori (tangata whenua) colleagues to mentor, support, and learn
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- accept feedback constructively, and change behaviour in response
- recognise the limits of personal expertise, and involve other health professionals as needed
- demonstrate basic skills in facilitating colleagues’ learning
- develop skills, under supervision, using available tools
- choose appropriate communication media
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- establish interdisciplinary collaborations
- engage with Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua) and their political structures, and respect self-determination
- display understanding of and support Indigenous-led research
- apply for and secure funding
- review research proposals
- advocate for policy- and practice-relevant research
- undertake and use systematic reviews to produce and implement best practice guidelines for the clinical and public health sectors
- ensure that any protocol for human research is approved by a human research ethics committee, in accordance with national statements on ethical conduct in human research
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise that participation in research is voluntary and based on an appropriate understanding about the purpose, methods, demands, risks, and potential benefits of research
- undertake systematic reviews under supervision
- write and submit ethics applications under supervision
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- demonstrate culturally competent relationships with professional colleagues and communities
- demonstrate respect for diversity and difference
- support Indigenous-led research
- take steps to minimise unconscious bias, including the impact of gender, religion, cultural beliefs, and socioeconomic background on decision making
- identify and apply the values and needs of potential health promotion partners, including Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua)
- co-design with and support self-determination of Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua)
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate awareness of cultural diversity, unconscious bias, prejudice, racism in all its forms (including pervasive, systemic, sinuous, and overt racism), and other forms of discrimination
- work effectively and respectfully with people from different cultural backgrounds
- recognise that different leadership styles may be more or less appropriate within a specific cultural context
Ethics and professional behaviour
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- promote a team culture of shared accountability for decisions and outcomes
- encourage open discussion of ethical concerns
- respect differences of multidisciplinary team members
- demonstrate an understanding of the ethics of resource allocation
- effectively consult with stakeholders, achieving a balance of alternative views
- work in partnership with Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua), including community-controlled health sector services and political governance structures
- acknowledge personal conflicts of interest, racism, prejudice, other types of discrimination (such as sexism, misogyny, transphobia, ableism, and homophobia), and unconscious bias
- act collaboratively to resolve behavioural incidents and conflicts such as harassment, bullying, racism, sexism, misogyny, transphobia, ableism, homophobia, and exclusion
- identify and appropriately respond to relevant ethical issues arising in the care of individuals, families, groups, organisations, communities, and populations
- show respect for knowledge and expertise of colleagues
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- support ethical principles in decision making
- maintain standards of medical practice by recognising the health interests of patients and populations as primary responsibilities
- respect the roles and expertise of other health professionals
- work effectively as a member of a team
- promote team values of honesty, discipline, and commitment to continuous improvement
- demonstrate understanding of the negative impact of workplace conflict
Judgement and decision making
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- use decision science approaches to formalise decision-making processes and optimise outcomes
- make decisions when faced with multiple and conflicting perspectives
- ensure medical input to organisational decision making
- adopt a systems approach to analysing information from a variety of specialties to make decisions that accelerate health equity in populations
- manage contracting processes for the purchase or provision of services, including specifying service and performance measures, selecting providers, and monitoring performance and outcomes
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- monitor services and provide appropriate advice
- review new healthcare interventions and resources with a pro-equity approach to ensure systemic privilege is experienced by all
- interpret appropriate data and evidence for decision making
Leadership, management, and teamwork
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- switch between leadership styles as required by the situation
- identify, prioritise, and develop a plan of action for issues of importance to public health, especially those that are inequitable
- visualise a ‘better’ future, inspire with this vision, and consider the steps, resources, structures, and systems that will help achieve this (such as to enhance efficiency, improve access, and minimise harm)
- develop and lead effective multidisciplinary teams by:
- building effective relationships
- developing and implementing strategies to motivate others
- recognising the range of team members’ skills, expertise, and roles
- combining team members' skills and expertise optimally
- expanding perspectives by including matua (elders) and others with expertise and wisdom
- collaborating with and motivating team members
- encouraging and adopting insights from team members
- ensuring all team members are accountable for their individual practice
- ensuring timely completion of agreed tasks
- adopting a coordination or non-leadership role when required
- give and receive positive and negative feedback
- facilitate and manage meetings, and contribute to good decision-making processes and information and knowledge sharing
- demonstrate understanding of public health legislation and regulations and relevant legislation in other sectors, including human rights commitments, such as the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) and the United Nations Convention on the Rights of the Child (UNCRC)
- demonstrate understanding of human rights commitments to Aboriginal and Torres Strait Islander peoples and treaty obligations to Māori (tangata whenua)
- lead and manage strategic planning, including business case development
- lead and manage operational planning
- lead organisational change
- use processes for job enhancement, recognition, and dispute resolution
- determine and analyse options and act within short timelines
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise the range of other team members’ skills, expertise, and roles
- acknowledge and show respect for the contribution of all health professionals involved in improving the health of the population
- participate effectively and appropriately in multidisciplinary teams
- seek out and respect the perspectives of multidisciplinary team members when making decisions
- develop skills in chairing meetings, under supervision, using available tools
Health policy, systems, and advocacy
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- apply principles of systems thinking to analyse and interrogate complex public health issues
- identify the key elements of an effective public health advocacy campaign
- identify key channels and mechanisms to conduct effective public health advocacy
- use the media effectively
- use negotiation skills effectively
- influence the policy and practices of other sectors / organisations to promote, protect, and improve the health of the population
- engage in appropriate consultation with stakeholders on the delivery of health care
- advocate for the resources and support for healthcare teams to achieve organisational priorities
- influence the development of organisational policies and procedures to optimise health outcomes
- remove self-interest from solutions to health advocacy issues
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- communicate with stakeholders within the organisation about population health
- apply methods used to allocate resources to provide high-quality population health care
- promote the development and use of organisational policies and procedures
- identify the determinants of health of the population, and mitigate barriers to access to care
- recognise the perspectives of different sectors, organisations, cultural groups, and populations involved
- recognise and prioritise the population health of Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua)