Curriculum standards
Curriculum standards
Advanced Training in Palliative Medicine (Adult Medicine and Chapter)
Entrustable Professional Activities
LG12: Clinic and community management
Clinic and community management
Manage the care of community-based patients
This activity requires the ability to:
- organise patients in the outpatient clinic and community settings, including home and aged care facilities
- communicate with patients in community palliative care and outpatient clinic settings
- collaborate with other clinicians involved in the management of community-based patients
- communicate with other community-based resources and organisations
- behave respectfully in people’s homes
- administer quality improvement activities related to the provision of community palliative care and outpatient clinic services
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:
- incorporate the management of cultural, physical, psychosocial, and spiritual issues into management plans for outpatients
- consider unique factors of community-based care when developing diagnosis and management plans
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- assess, diagnose, and manage patients in community palliative care and outpatient clinic settings
- formulate basic assessment and management plans for community palliative care or outpatient clinic care
- require supervisor input to comprehensively manage community palliative care patients or those in outpatient clinic settings
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- facilitate handover and continuity of care
- maintain a flexible approach to communication, depending on the setting, such as aged care facility, clinic, and home environments
- write comprehensive and accurate letters
- provide written plans to patients and support persons when appropriate
- communicate with multidisciplinary teams regarding management plans for community palliative care and outpatient clinic patients
- communicate with general practitioners, community palliative care, and any other specialists involved in patients’ care
- effectively manage patients using telehealth
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:
- contribute to monitoring and evaluation strategies around the provision of community palliative care and outpatient care, including clinical audits
- identify aspects of service provision that may be a risk to patients’ and staff safety
- ensure that patients are informed about fees and charges
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:
- regularly self-evaluate personal clinical practice around clinic and community management
- seek feedback from colleagues, learners, and patients on their own clinical practice
- address gaps in knowledge and skills through self-directed learning and continuing professional development
- supervise junior colleagues in managing palliative care patients in the outpatient clinic setting
- use teaching opportunities arising from clinic and community encounters
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- apply relevant research literature and evidence-based guidelines to clinical practice in community and outpatient settings
- obtain informed consent or other valid authority before involving outpatients 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
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- demonstrate effective and culturally safe communication and care for Māori and Aboriginal and Torres Strait Islander peoples, and members of other cultural groups in the outpatient clinic and community
- use professional interpreters, health advocates, family members, whānau, carers, or community members to assist in communication with patients, and understand the potential limitations of each
- consider the influence of own culture and beliefs on interactions with patients and decision making in the community and outpatient settings
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:
- understand, recognise, and respect the roles and responsibilities of other health professionals when managing community palliative care patients and outpatients
- demonstrate awareness of financial and other conflicts of interest in community and outpatient settings
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand 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:
- optimise patient care using available resources
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:
- work effectively as a member of multidisciplinary teams or other professional groups during the delivery of care through outpatient clinics and community palliative care
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:
- maintain good relationships with health agencies and services
- apply the principles of efficient and equitable allocation of resources
- facilitate patients’ access to relevant community-based resources and organisations