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 informed decisions about diagnostic, therapeutic, and management options
• communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care

Requires some supervision

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

The trainee may:

• anticipate, read, and respond to verbal and nonverbal cues
• demonstrate active listening skills
• communicate patients’ situations to colleagues, including senior clinicians

Ready to perform without supervision

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

The trainee will:

• determine the optimal environment for management of withdrawal
• document management plans clearly
• communicate procedures for management of withdrawal, including criteria for care escalation
• demonstrate safety skills, including infection control, adverse event reporting, and effective clinical handover
• recognise and effectively deal with aggressive and violent patient behaviours through appropriate training
• obtain informed consent before undertaking any investigation or providing treatment, except in an emergency
• inform patients of the material risks associated with 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 from confused or agitated patients, ensuring appropriate care of patients
• document histories and physical examination findings, and synthesise with clarity

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
• regularly reflect and self-evaluate professional development
• set clear goals and objectives for self-learning
• obtain informed consent before involving patients in teaching activities
• turn clinical activities into an opportunity to teach, appropriate to the setting

Requires some supervision

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

The trainee may:

• deliver teaching considering learners’ level of training

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
• engage culturally safe carers or family members to assist during the withdrawal
• 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
• display an understanding of at least the most prevalent cultures in society, and an appreciation of their sensitivities
• appropriately 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:

• discuss the treatment and non-treatment options available with patients
• explain access options for treatments now and in the future
• 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

Ready to perform without supervision

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

The trainee will:

• evaluate and determine the balance of intensity of treatment options in collaboration with patients’ families and decision makers
• recognise the need for escalation of care, and escalate to appropriate staff or services
• 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:

• interact with medical, pharmacy, and nursing staff 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

Ready to perform without supervision

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

The trainee will:

• advocate for improved access to withdrawal services in metropolitan, regional, and remote areas
• support community withdrawal services adequately
• prepare and implement appropriate treatment escalation protocols
• manage measures to ensure continuity of care when transferring care to non-government organisations (NGOs) or primary care
• work with Māori and Aboriginal and Torres Strait Islander communities to improve access and develop culturally safe withdrawal services

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