Curriculum standards
Curriculum standards
Advanced Training in Palliative Medicine (Adult Medicine and Chapter)
Entrustable Professional Activities
LG2: Team leadership
Team leadership
Provide leadership within teams of health professionals to provide palliative care for patients
This activity requires the ability to:
- facilitate patient-centred care and carer involvement
- communicate effectively
- collaborate with the team to build a positive work culture with shared values and priorities
- articulate and appropriately delegate individual responsibilities based on expertise and resources in the team
- prioritise own workload
- apply knowledge of clinical practice
- address and manage conflict when it arises
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:
- model shared decision making by exploring patients’ concerns, informing them, prioritising their wishes, and respecting their beliefs
- provide coordinated and quality health care for patients as a member of a multidisciplinary team
- synthesise information with other disciplines to develop optimal, goal-centred plans
- assess and effectively manage clinical risk
- manage complexity and uncertainty
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- assess the spectrum of problems to be addressed, but may require some assistance to synthesise all the information to develop goal-centred plans for patients
- demonstrate knowledge of health care issues by interpreting complex information
- apply medical knowledge to assess the impact and clinical outcomes of decisions, but require assistance to manage these
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- communicate clearly and respectfully with other health professionals and patients
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- communicate adequately with colleagues
- communicate adequately with patients and/or the public
- respect the roles of team members
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:
- participate in surveillance and monitoring of adverse events
- identify activities within systems to reduce errors, improve patient and population safety, and implement cost-effective change
- consider safety and quality of care in all decision making
- participate in interdisciplinary collaboration to provide effective health services and operational change
- raise and escalate concerns where there is an issue with patient safety or quality of care
- demonstrate the ability to offer an apology or explanation where appropriate
- use open disclosure
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- participate in audits and other activities that affect the quality and safety of patients’ care
- use information resources and electronic medical record technology where available
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:
- reflect regularly to self-evaluate personal professional practice, skills, and knowledge, and address gaps through self-directed learning
- actively seek feedback from supervisors and colleagues on performance as a team member and leader
- supervise junior doctors and support multidisciplinary teams
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- accept feedback constructively, and change behaviour in response
- recognise the limits of personal expertise, and involve other health professionals as needed
- demonstrate basic skills in facilitating colleagues’ learning
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- actively engage with patients to learn about their cultural needs
- demonstrate culturally safe relationships with professional colleagues and patients
- demonstrate respect for diversity and difference
- take steps to minimise unconscious bias, including the impact of gender, religion, cultural beliefs, and socioeconomic background on decision making
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate awareness of cultural diversity and unconscious bias
- work effectively and respectfully with people from different cultural backgrounds
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:
- promote a team culture of shared accountability for decisions and outcomes
- encourage open discussions of ethical and clinical concerns
- respect differences of multidisciplinary team members
- apply the ethics of resource allocation by aligning optimal patient and organisational care
- acknowledge personal conflicts of interest and unconscious bias
- act collaboratively to resolve unacceptable behaviour and conflicts, such as harassment and bullying
- acknowledge burnout in self and colleagues
- work with the team to promote a healthy working environment
- be self-aware and seek help if there are concerns of stress or burnout
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- support ethical principles in clinical decision making
- maintain standards of medical practice by recognising the health interests of patients or populations as primary responsibilities
- respect the roles and expertise of other health professionals
- work effectively as a member of a team
- promote team values of honesty, discipline, and commitment to continuous improvement
- demonstrate understanding of the negative impact of workplace conflict
- show empathy and understanding to colleagues and patients
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:
- make decisions when faced with multiple and conflicting perspectives from the health care team
- ensure medical input to organisational decision making
- adopt a systematic approach to analysing information from a variety of specialties to make decisions that benefit health care delivery
- recognise and work within limits of own personal competence
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- monitor services and provide appropriate advice
- review new health care interventions and resources
- interpret appropriate data and evidence for decision making
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:
- combine team members’ skills and expertise in delivering patient care and/or population advice
- develop and lead effective multidisciplinary teams by developing and implementing strategies to motivate others
- build effective relationships with multidisciplinary team members to achieve optimal outcomes
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand the range of personal and other team members’ skills, expertise, and roles
- acknowledge and respect the contribution of all health professionals involved in patients’ care
- participate effectively and appropriately in multidisciplinary teams
- seek out and respect the perspectives of multidisciplinary team members when making decisions
- ensure that finding out patients’ priorities and goals is worked towards
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:
- engage in appropriate consultation with stakeholders on the delivery of health care
- advocate for the resources and support for health care teams to achieve organisational priorities
- influence the development of organisational policies and procedures to optimise health outcomes and safeguard vulnerable groups
- identify the determinants of health of the population, and mitigate barriers to access to care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- communicate with stakeholders within the organisation about health care delivery
- understand methods used to allocate resources to provide high-quality care
- promote the development and use of organisational policies and procedures