Curriculum standards
Entrustable Professional Activities
LG11: Clinic management
Clinic management
Manage an outpatient clinic or multidisciplinary sexual health service
This activity requires the ability to:
- manage medical procedures and treatments
- manage clinic services
- oversee quality improvement activities
- liaise with other health professionals and team members
- demonstrate problem-solving skills
- responsibly use public resources
- assess policies and guidelines as they relate to sexual health service delivery, child protection, occupational health and safety, and privacy
- communicate with external stakeholders and respond to media enquiries with the support of the relevant health communication team
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:
- ensure clinic systems enable the identification, recording, and addressing of current clinical concerns, as well as longer-term clinical objectives, as appropriate to patients’ context
- evaluate environmental and lifestyle health risks relevant to the community served by the clinic, and ensure the clinic has capacity to respond to these
- ensure clinic documentation occurs in a time frame appropriate to the clinical situation of patients
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of the importance of prevention, early detection, health maintenance, and chronic condition management
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- collaborate with other services, such as community health centres and consumer organisations
- advocate for the needs of minority, stigmatised, and priority groups that access sexual health services
- identify or support the development of specific community-based health programs and group education programs
- demonstrate an understanding of information technologies and their potential use in the sexual health setting
- contribute to the provision of accurate local surveillance data, and interpret local and national surveillance data regarding sexually transmitted infections (STIs) and blood-borne viruses (BBVs) in relation to clinical care, policy development, and service planning
- collaborate with a range of stakeholders, including public health units and non-government organisations, in identification of and response to emerging epidemics in relation to STIs
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- wherever practical, meet patients’ specific language and communication needs
- facilitate the appropriate use of interpreter services and translated materials
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:
- practice health care that maximises patient safety
- adopt a systematic approach to the review and improvement of professional practice in the outpatient sexual health clinic setting
- demonstrate an understanding of how to identify and implement key performance indicators and benchmarking for a sexual health service
- develop, implement, and evaluate quality assurance activities
- monitor and evaluate service delivery
- identify aspects of service provision that may be a risk to patients’ safety
- support a mix of service delivery, including primary care, public sexual health centres, outreach programs and co-located services, to maintain access to confidential testing and treatment
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- take reasonable steps to address issues if patients’ safety may be compromised
- understand a systematic approach to improving the quality and safety of health care
- participate in organisational quality and safety activities, including clinical incident reviews
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:
- evaluate own professional practice
- demonstrate learning behaviour and skills in educating junior colleagues
- contribute to the generation of knowledge
- maintain professional continuing education standards
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise the limits of personal expertise, and involve other professionals as needed to contribute to patients’ care
- use information technology appropriately as a resource for modern medical practice
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- ensure clinic research is undertaken with appropriate ethical and governance oversight
- notify breaches of protocol for approved research
- demonstrate an understanding of data management issues as they apply to service delivery
- ensure clinic protocols are in place to inform patients about their rights, the purpose of the research, the procedures to be undergone, and the potential risks and benefits of participation, and obtain informed consent or other valid authority before involving patients in research
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- allow patients to make informed and voluntary decisions to participate in research
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- apply knowledge of the cultural needs of the community being served, and how best to meet them
- mitigate the influence of own culture and beliefs on interactions with patients and decision making
- adapt practice to improve patient engagement and health outcomes
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- acknowledge the social, economic, cultural, and behavioural factors influencing health, both at individual and population levels
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:
- identify and respect the boundaries that define professional and therapeutic relationships
- respect the roles and expertise of other health professionals
- comply with the legal requirements of preparing and managing documentation
- demonstrate awareness of financial and other conflicts of interest
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of the responsibility to protect and advance the health and wellbeing of individuals and communities
- maintain the confidentiality of documentation, and store clinical notes appropriately
- ensure that the use of social media is consistent with ethical and legal obligations
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:
- integrate prevention, early detection, health maintenance, and chronic condition management, where relevant, into clinical practice
- work to achieve optimal and cost-effective patient care that allows maximum benefit from available resources
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of the appropriate use of human resources, diagnostic interventions, therapeutic modalities, and health care facilities
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:
- prepare for and conduct clinical encounters in a well-organised and time-efficient manner
- work effectively as a member of multidisciplinary teams or other professional groups
- ensure that all important discussions with colleagues, multidisciplinary team members, and patients are appropriately documented
- provide supervision for clinical activities, and documentation of junior colleagues
- support colleagues who raise concerns about patients’ safety
- provide medical leadership that supports other team members’ ability to work effectively and efficiently
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- attend relevant clinical meetings regularly
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:
- demonstrate capacity to engage in the surveillance and monitoring of the health status of populations in the outpatient setting
- use databases and other information technologies to assist clinical service delivery
- develop clinical and administrative policies and procedures
- participate in strategic planning to meet health service objectives
- maintain good relationships with health agencies and services
- apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
- advocate for the needs of a variety of stakeholders, including media, non-medical organisations, and other professions
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand common population health screening and prevention approaches
- contribute to clinical policy and procedure development