Curriculum standards

Ready to perform without supervision

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

The trainee will:

• support patients to have access to, and use, easy-to-understand, high-quality information about health care
• support patients to share decision making about their own health care, to the extent they choose
• assist patients to gain access to their health information, as well as complaint and feedback systems
• discuss any safety and quality concerns patients have relating to their care
• discuss adverse or unexpected, unplanned, iatrogenic events according to hospital or regional policy and frameworks, such as the open disclosure policy

Requires some supervision

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

The trainee may:

• apply knowledge of how health literacy might affect the way patients or populations gain access to, understand, and use health information
• demonstrate awareness of the evidence for consumer engagement and its contribution to quality improvement in care

Ready to perform without supervision

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

The trainee will:

• demonstrate safety skills, including infection control, adverse event reporting, and effective clinical handover
• participate in organisational quality and safety activities, including morbidity and mortality reviews, clinical incident reviews, root cause analyses, and corrective action and preventative action plans
• participate in systems for surveillance and monitoring of adverse events and ‘near misses’, including reporting such events
• ensure that identified opportunities for improvement are raised and reported appropriately
• use clinical audits and registries of data on patients’ experiences and outcomes, learnings from incidents, and complaints to improve care

Requires some supervision

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

The trainee may:

• recognise a systematic approach to improving the quality and safety of health care

Ready to perform without supervision

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

The trainee will:

• translate quality improvement approaches and methods into practice
• participate in professional training in quality and safety to ensure a contemporary approach to safety system strategies
• supervise and manage the performance of junior colleagues in the delivery of high-quality, safe care

Requires some supervision

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

The trainee may:

• work within organisational quality and safety systems for the delivery of clinical care
• use opportunities to learn about safety and quality theory and systems

Ready to perform without supervision

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

The trainee will:

• ensure compliance with good clinical practice guidelines
• ensure that any protocol for human research is approved by a human research ethics committee, in accordance with the relevant national statement on ethical conduct in human research
• review, present, publish, and disseminate results
• undertake clinical research, including design, collaboration, enrolment, collation of data, and analysis and interpretation of results
• participate in and provide education for junior doctors about critical appraisal of research, as well as the use of evidence-based medicine
• evaluate the use of emerging technologies in identifying data and improving safety

Requires some supervision

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

The trainee may:

• recognise that patient participation in research is voluntary and based on an appropriate interpretation about the purpose, methods, demands, risks, and potential benefits of the research

Ready to perform without supervision

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

The trainee will:

• undertake professional development opportunities that address the impact of systemic inequity on health outcomes

Requires some supervision

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

The trainee may:

• communicate effectively with patients from culturally and linguistically diverse backgrounds

Ready to perform without supervision

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

The trainee will:

• align improvement goals with the priorities of the organisation
• contribute to developing an organisational culture that enables and prioritises quality care and the safety of patients and the team

Requires some supervision

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

The trainee may:

• comply with professional regulatory requirements and codes of conduct

Ready to perform without supervision

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

The trainee will:

• use decision-making support tools, such as guidelines, protocols, pathways and reminders
• analyse and evaluate current care processes to improve health care

Requires some supervision

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

The trainee may:

• access information and advice from other health practitioners to identify, evaluate, and improve patients’ care management

Ready to perform without supervision

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

The trainee will:

• formulate and implement quality improvement strategies as a collaborative effort, involving all key health professionals
• support multidisciplinary team activities to reduce patients’ risk of harm, and promote interdisciplinary programs of education
• involve clinical pharmacists in the medication-use process

Requires some supervision

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

The trainee may:

• demonstrate attitudes of respect and cooperation among members of different professional teams
• partner with clinicians and managers to ensure patients receive appropriate care and information on their care

Ready to perform without supervision

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

The trainee will:

• participate in all aspects of the development, implementation, evaluation, and monitoring of governance processes
• participate regularly in multidisciplinary meetings where quality and safety issues are standing agenda items, and where innovative ideas and projects for improving care are actively encouraged
• measure, analyse, and report a set of specialty-specific process of care and outcome clinical indicators, and a set of generic safety indicators
• use the Australian and New Zealand Neonatal Network (ANZNN) to guide benchmarking and management of clinical information
• take part in the design and implementation of the organisational systems for:
  • clinical education and training
  • defining the scope of clinical practice
  • performance monitoring and management
  • safety and quality education and training

Requires some supervision

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

The trainee may:

• maintain a dialogue with service managers about issues that affect patients’ care
• contribute to relevant guidelines, organisational policies, and procedures
• help shape an organisational culture that prioritises safety and quality through openness, honesty, learning, and quality improvement