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 decisions and outcomes
• support patients to share decision making about their own health care, to the extent they choose
• outline potential benefits and risks of involvement in clinical research, supporting informed decision making by patients
• liaise with clinical trials staff, and arrange timely referrals for patients to be screened for eligible trials
• assist patients’ access to their health information, as well as complaint and feedback systems
• discuss with patients any safety and quality concerns they have relating to their care
• implement the organisation’s open disclosure policy

Requires some supervision

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

The trainee may:

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

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 preventative action plans
• participate in clinical research safety processes, such as adverse event reporting
• demonstrate awareness of EVOLVE recommendations in their work and health services
• 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:

• demonstrate awareness of a systematic approach to improving the quality and safety of health care
• demonstrate awareness of the role clinical research plays in advancing the quality and range of health care options available to patients and the community

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, including maintenance of GCP certification
• 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:

• demonstrate awareness of the ethical framework that governs clinical research in Australia and New Zealand
• ensure that any protocol for human research is approved by a human research ethics committee, in accordance with the national statement on ethical conduct in human research
• undertake appropriate certification to participate in clinical research in their own institution
• select studies based on optimal trial design, freedom from bias, and precision of measurement
• evaluate the value of treatments in terms of relative and absolute benefits, cost, potential patient harm, and feasibility
• evaluate the applicability of the results of clinical studies to the circumstances of individual patients, especially those with multiple comorbidities
• specify research evidence to the needs of individual patients

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 understanding 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 cultural bias on health outcomes
• incorporate appropriate LGBTQIA+ safe language, including gender affirming language

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 patients’ safety and quality of care
• ensure that patients’ decisions to participate in clinical trials are informed and unbiased

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, risk prediction tools, pathways, and reminders
• analyse and evaluate current care processes to improve 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
• actively involve clinical pharmacists in the medication-use process
• support multidisciplinary team activities to lower patients’ risk of harm, and promote interdisciplinary programs of education
• actively involve clinical research staff, such as nurses and research assistants, in clinical research implementation and conduct

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:

• recognise all aspects of the development, implementation, evaluation, and monitoring of governance processes in routine clinical care and in clinical research activities
• regularly participate in multidisciplinary meetings on quality clinical care, ethical clinical research, and patient and workplace safety
• measure, analyse, and report a set of specialty-specific process of care and outcome clinical indicators, and a set of generic safety indicators
• 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
  • safe chemotherapy practice
  • 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 organisational policies and procedures
• help shape an organisational culture that prioritises safety and quality through openness, honesty, learning, and quality improvement