Curriculum standards

Ready to perform without supervision

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

The trainee will:

• communicate openly, listen, and take patients’ concerns seriously, giving them adequate opportunity to ask questions
• provide information to patients, family or carers (if relevant), to enable them to make a fully informed decision from various diagnostic, therapeutic, and management options
• communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care, including GPs and pharmacists

Requires some supervision

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

The trainee may:

• anticipate, read, and respond to patients’ questions and comments
• demonstrate active listening skills
• communicate patients’ situations to colleagues, including senior clinicians
• understand how to assess communication skills and effectiveness, evaluating patient feedback

Ready to perform without supervision

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

The trainee will:

• determine what reasonable risk mitigation strategies need to be in place
• document management plans clearly
• communicate clearly when prescribing for opioid dependence
• demonstrate safety skills, including infection control, adverse event reporting, and effective clinical handover
• recognise and de-escalate challenging behaviours
• obtain informed consent before undertaking any investigation or providing treatment, except in an emergency
• inform patients of the material risks associated with any part of the proposed management plans

Requires some supervision

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

The trainee may:

• perform hand hygiene, and take infection control precautions at appropriate moments
• take precaution against assaults by patients

Ready to perform without supervision

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

The trainee will:

• set defined objectives for clinical teaching encounters, and solicit feedback on mutually agreed goals
• reflect regularly and self-evaluate professional development
• obtain informed consent before involving patients in teaching activities
• use clinical activities as an opportunity to teach, appropriate to the setting
• collaborate with primary care and pharmacy colleagues to increase understanding and adoption of opioid agonist treatment (OAT)

Requires some supervision

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

The trainee may:

• set vague goals and objectives for self-learning
• deliver teaching considering learners’ level of training
• participate in specialty journal clubs and available advanced training tutorials

Ready to perform without supervision

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

The trainee will:

• compile, analyse, interpret, and evaluate information relevant to the research subject
• use relevant resources to assist with resolving clinical problems, including practice guidelines and current literature
• consider treatment decisions, including evidence from clinical trials and their applicability to older patients

Requires some supervision

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

The trainee may:

• refer to guidelines and medical literature to assist in clinical assessments when required
• demonstrate an understanding of the limitations of evidence, and the challenges of applying research in daily practice
• refer to colleagues to assist with research or finding resources to resolve clinical problemse

Ready to perform without supervision

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

The trainee will:

• acknowledge patients’ beliefs and values, and how these might impact on health
• demonstrate effective and culturally safe communication and care for Māori and Aboriginal and Torres Strait Islander peoples, and members of other cultural groups
• use culturally safe settings for service provision
• use professional interpreters, health advocates, or family or community members to assist in communication with patients
• use plain language patient education materials, demonstrating cultural and linguistic sensitivity

Requires some supervision

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

The trainee may:

• display respect for patients’ cultures, and attentiveness to social determinants of health
• access interpretive or culturally focused services

Ready to perform without supervision

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

The trainee will:

• facilitate interactions within multidisciplinary teams, respecting values, encouraging involvement, and engaging all participants in decision making
• demonstrate critical reflection on personal beliefs and attitudes, including how these may affect patient care and health care policy

Requires some supervision

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

The trainee may:

• communicate medical management plans as part of multidisciplinary plans
• establish, where possible, patients’ wishes and preferences about care
• contribute to building a productive culture within teams
• outline management strategies for resolving high-conflict situations

Ready to perform without supervision

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

The trainee will:

• determine risks associated with treatment and manage accordingly, taking into account the impact on patients
• identify high-risk presentations while in treatment, and respond accordingly
• collaborate with colleagues, including medical nursing and allied health, and at times regulatory authorities, in determining management of complex high-risk situations
• integrate evidence related to questions of diagnosis, therapy, prognosis, risks, and causes into clinical decision making
• reconcile conflicting advice from other specialties, applying judgement in making clinical decisions in the presence of uncertainty

Requires some supervision

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

The trainee may:

• involve additional staff to assist in a timely fashion when required
• recognise situations in which to ask for help

Ready to perform without supervision

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

The trainee will:

• collaborate with medical, pharmacy, nursing, and allied health professionals to ensure safe and effective medicine use
• collaborate with colleagues in other specialties about common risks, side effects, and drug interactions

Requires some supervision

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

The trainee may:

• work collaboratively with pharmacists
• participate in medication safety, and morbidity and mortality meetings
• outline the meaning of clinical governance and lines of accountability

Ready to perform without supervision

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

The trainee will:

• choose medicines based on evidence underpinning comparative efficacy, safety, and cost-effectiveness
• collaborate with other health professionals and community members to better understand the risks associated with opioid dependence and the role of opioid agonist treatment
• manage clear guidelines in place for management of opioid dependence prescribing
• manage adequate processes for transfers between specialist services and custodial services and primary care to ensure continuity

Requires some supervision

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

The trainee may:

• prescribe in accordance with the organisational policy