Curriculum standards
Entrustable Professional Activities
LG13: Clinic management
Clinic management
Manage an outpatient clinic
This activity requires the ability to:
- manage medical procedures and treatments
- manage clinic services, ensure appointments are arranged in a timely manner according to clinical urgency, and follow up investigations in a timely way
- oversee quality improvement activities
- communicate with patients
- liaise with other health professionals and team members
- demonstrate problem-solving skills
- use public resources responsibly
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:
- identify and address current clinical concerns effectively, as well as longer-term clinical objectives, as appropriate to patients’ context
- evaluate environmental and lifestyle health risks, and advocate for healthy lifestyle choices
- create accurate and appropriately prioritised problem lists in the clinical notes or as part of ambulatory care reviews
- update documentation in a timeframe 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
- ensure patient appointments are arranged in the appropriate time frame based on clinical urgency
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- help patients navigate the healthcare system to improve access to care by collaboration with other services, such as community health centres and consumer organisations
- link patients to specific community-based health programs and group education programs
- involve patients in active decision making concerning their own medical care
- provide patients with written information relevant to diagnosis, and use rheumatology resources of relevance
- provide adequate clinical handover to other healthcare workers involved in patients’ care
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 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 clinic setting
- identify aspects of service provision that may be a risk to patients’ safety
- ensure that patients are informed about fees and charges
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
- recognise 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:
- obtain informed consent or other valid authority before involving patients in research
- inform patients about their rights, the purpose of the research, the procedures to be undergone, and the potential risks and benefits of participation before obtaining consent
- initiate research questions by identifying areas of clinical need
- ensure research is carried out as per study protocol
- coordinate patient recruitment and date collection
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
- be aware of research activities and opportunities
- participate in research activities
- contribute to discussion of relevant rheumatology research
- develop research protocol, including ethics application
- explain 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
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 serving, and how to shape service to those people
- 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
- explain 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:
- maintain the confidentiality of documentation, and store clinical notes appropriately
- understand the responsibility to protect and advance the health and wellbeing of individuals and communities
- 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 the available resources
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- explain the appropriate use of diagnostic interventions, health care facilities, human resources, and therapeutic modalities
- discuss complex cases with other relevant medical specialties and peers to enhance patient care
- apply evidence-based practice to clinical decisions
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
- review discharge summaries, notes, and other communications written by junior colleagues
- support colleagues who raise concerns about patients’ safety
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
- 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
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- explain common population health screening and prevention approaches