Entrustable Professional Activities

LG2: Team leadership

Learning Goal 2

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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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