Curriculum standards

Entrustable Professional Activities

LG10: Inclusive public health

Learning Goal 10

Inclusive public health

Identify, navigate, and practice within multisector, complex, trust-dependent, and culturally bounded societies and social systems

This activity requires the ability to:

  • work in partnership with cultural and population groups based on need, and facilitate codesign and engagement
  • identify the landscape of practice, including different cultural and population groups, the political environment, and organisational priorities
  • identify policy and practice opportunities for population health gain, effectively leveraging these opportunities to identify relevant stakeholders and cross-cultural partnerships and manage a stakeholder team, if relevant
  • establish effective cross-cultural partnerships using principles of cultural awareness and respect
  • identify health inequities across relevant domains of culture and context, and propose public health action to address those inequities
  • collaborate with stakeholders from diverse cultural and population groups to develop, select, and implement options for action, applying principles of cultural respect and safety
  • exercise reflexivity by recognising personal biases towards people of different cultures or population groups, or those with political or religious viewpoints
  • identify contrasting perspectives, cultural barriers, and enablers of health and related issues, or agendas for action, from different cultural and population groups
  • consider the wider consequences of public health programs and interventions across diverse cultural and population groups
  • communicate effectively to audiences from diverse cultural and population groups using appropriate communication methods
  • acknowledge and manage uncertainty effectively (such as due to incomplete data), including through communication to participant groups
  • share power authentically with cultural groups, and promote their leadership and self-determination

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:

  • advise on the public health issues affecting different cultural and population groups, including the complex interplay of drivers of suboptimal health outcomes
  • advise on public health measures to manage and support health issues affecting different cultural and population groups

direction
Requires some supervision

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

The trainee may:

  • recognise disparities in health across different cultural and population groups
  • recognise disparities in risk exposures across different cultural and population groups
  • identify the potential effects of public health interventions, programs, and/or responses on the physical and mental health of different cultural and population groups
  • describe the biological underpinnings of health disadvantage due to racism and discrimination
  • characterise the different forms of disability and the impact of disability on individuals and society

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • demonstrate effective communication, including written and oral, across diverse population groups and settings, and understand the barriers that may limit this
  • seek feedback on performance from community sources, cultural navigators, and experts
  • use interpreters, translators, and cultural navigators when required

direction
Requires some supervision

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

The trainee may:

  • provide written and oral communications that are appropriate to the audience to diverse cultural and population groups
  • seek advice and training on culturally safe communication
  • provide a suitable opening to team meetings and presentations that acknowledges the traditional custodians of the land
  • use and demonstrate the principles of cultural awareness, respect, and safety in interactions with people from different cultural and population groups
  • identify appropriate channels, including cultural or community leaders, through which to communicate, consult, and collaborate with communities

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:

  • challenge the cultural bias of individual colleagues and systemic bias within healthcare services and other organisations
  • ensure quality and safety activities that impact cultural groups, such as audits, are culturally safe and conducted according to best practice cultural governance frameworks
  • evaluate access to health services using a cultural lens

direction
Requires some supervision

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

The trainee may:

  • demonstrate an understanding of cultural awareness and safety, and apply this understanding consistently
  • demonstrate an understanding of institutional discrimination and its impact on health and wellbeing

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:

  • seek opportunities to build capacity across diverse cultural and/or non-dominant population groups to contribute to public health
  • improve health and public health literacy within organisations, including among clinicians and organisation managers
  • partner and codesign effectively with members of cultural and population groups different to one’s own
  • use diverse teaching methods, recognising different ways of learning across diverse population groups

direction
Requires some supervision

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

The trainee may:

  • teach and supervise using standard methods, with some recognition of cultural influences
  • participate in continuing professional development to maintain and improve one’s cultural competence
  • actively seek feedback on personal skills until competent

Research

confident
Ready to perform without supervision

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

The trainee will:

  • use culturally appropriate consumer and community participation strategies
  • select culturally suitable research methods and strategies
  • apply rigorous ethical processes and methodologies that are acceptable to the population under study
  • collect ethnicity and cultural identity data according to best practice policies
  • present results in a way that is comprehensible and meaningful to the audience, including different cultural groups, clinical colleagues, and organisational management
  • develop conclusions using data from both scientific and cultural sources
  • demonstrate recognition of data sovereignty, data governance, and return of data collected to the community

direction
Requires some supervision

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

The trainee may:

  • use methods that may have been developed in partnership with the community of study
  • focus on the return of findings to the community of study, rather than the publication of findings
  • frame a suitable research question
  • present the findings of research at scientific meetings or in publications with consultation and/or inclusion of members of the community of study

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:

  • identify key concepts and stages in developing cultural consciousness
  • recognise how policy and practices of dominant cultures influence the health of other groups
  • identify the values and needs of non-dominant population groups in partnership with those groups

direction
Requires some supervision

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

The trainee may:

  • undertake continuing professional development to maintain and improve one’s cultural competence
  • use appropriate individuals, organisations, and representative networks to seek information and advice when working with other cultural and population groups
  • demonstrate an understanding of culture as a determinant of health
  • describe the cultural composition of workforces in health settings
  • reflect on their own cultural identity and critically assess development needs
  • appreciate the interactions and interconnectedness between aspects of a group’s identity, such as race or gender, and attitudes, systems, structures, and organisations which can magnify inequity
  • recognise the impact of colonisation on epistemic justice, decolonising actions, and Indigenist approaches to partnerships, knowledge generation, knowledge translation, and capacity building

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:

  • demonstrate an understanding of the impact of their own culture on their practice
  • advise colleagues on non-discriminatory work practices, and advocate for change when discriminatory work practices are displayed
  • model interpersonal interactions with colleagues and stakeholders that demonstrate courtesy, fairness, and respect
  • recognise and implement ethical principles for working with community and cultural groups
  • promote and support self-determination of Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua)
  • prioritise population impact and value, and sustainability and accountability

direction
Requires some supervision

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

The trainee may:

  • recognise and implement general ethical principles
  • work respectfully with colleagues
  • demonstrate professional values, including compassion, empathy, respect for diversity, integrity, honesty, and partnership across diverse groups within the landscape of practice

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:

  • discuss options and make decisions in genuine partnership with communities and diverse population groups
  • identify uncertainty and estimate the possible effects on different facets of health and equity for different population groups
  • maintain personal and professional integrity in the face of political, professional, or organisational pressures that disadvantage a particular population

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

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:

  • switch leadership styles (delegating, participating, selling, or telling) according to the situation
  • manage culturally diverse teams effectively, including co-leadership
  • manage stakeholder committees with diverse cultures, interests, and agendas
  • collaboratively design, implement, and evaluate interventions with stakeholders from diverse and non-dominant population groups

direction
Requires some supervision

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

The trainee may:

  • be an effective member of culturally diverse teams
  • respect all members of culturally diverse teams
  • work collaboratively with researchers, policy makers, and experts from other cultural and population groups
  • maintain a focus on health equity

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:

  • collaborate meaningfully with community-controlled health services
  • use processes and protocols that are culturally respectful and safe and uphold self-determination in providing services to non-dominant populations
  • advocate for choice in health services for Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua)
  • identify and act on cultural and other bias within healthcare services and other organisations
  • evaluate access to health services using a cultural lens
  • recognise the differential impacts of health policy and health systems on equity across diverse cultural and population groups

direction
Requires some supervision

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

The trainee may:

  • recognise the benefits and harms Westernised health services have played in the health of people of non-Western cultures
  • recognise cultural and other bias within healthcare services and other organisations, and seek guidance on an appropriate course of action when required