Entrustable Professional Activities

LG12: Clinic and community management

Learning Goal 12

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

confident
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

direction
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

confident
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

confident
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

confident
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

confident
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

confident
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

confident
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

direction
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

confident
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

confident
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

direction
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

confident
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