Entrustable Professional Activities

LG7: Communication

Learning Goal 7

Communication with patients and health care workers involved in multidisciplinary care of nuclear medicine patients

Communication to optimise the care of nuclear medicine patients

This activity requires the ability to:

  • identify appropriate contexts to include family, carers, and/or other team members when communicating with patients
  • adopt a patient-centred perspective, including adjusting for language skills, cognition, and disabilities
  • select and use appropriate technologies and communication strategies
  • negotiate a mutually agreed management plan
  • verify patients’, family members’ or carers’ understanding of information conveyed
  • develop and implement clear plans and processes agreed upon in the context of multidisciplinary patient care, including explicit lines of responsibility and reporting
  • ensure conversations and resultant plans are appropriately documented

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:

  • anticipate and be prepared to address any misconceptions patients might have regarding their conditions and/or risk factors
  • guide patients through the informed consent process prior to nuclear medicine investigations and/or treatments
  • seek to understand the concerns and goals of patients, and plan management in partnership with them

direction
Requires some supervision

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

The trainee may:

  • apply knowledge of the scientific basis of health and disease to the management of patients
  • demonstrate an understanding of the clinical problems being discussed
  • formulate management plans in partnership with patients

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • select and employ appropriate communication strategies and modalities, such as email, face-to-face, or phone calls
  • obtain patients' perspectives, worries, and preferences to foster rapport
  • provide information to patients in plain language, avoiding the use of jargon, acronyms, and other complex medical terms
  • encourage questions, and answer them thoroughly
  • ask patients to share their thoughts or to explain their management plan in their own words, to verify understanding
  • document and share written and electronic information about the patient encounter to optimise clinical decision making, patient safety, confidentiality and privacy
  • author clear and comprehensive reports on imaging studies conveying relevant findings, clinical opinion, level of certainty and any additional recommendations as appropriate
  • communicate with patients thoughtfully and sensitively, seeking clarification when unsure of the best course of action
  • convey the concept of relative and absolute risk, as it applies to radiation exposure, in discussion of investigations and treatment
  • discuss significant unexpected findings urgently with the referring clinician, and document accordingly with the date / time and person communicated to in a way they can understand before asking for their consent

direction
Requires some supervision

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

The trainee may:

  • collaborate with patient liaison officers as required
  • adapt communication style in response to patients’ cognitive, physical, cultural, socioeconomic, and situational factors

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:

  • consider patients’ capacity for decision making and consent
  • recognise and take precautions where patients may be vulnerable, such as issues of self-harm, non-accidental injury, or elder abuse
  • respect patient confidentiality
  • respond appropriately to complaints from patients, family, and carers, and participate in processes to manage these

direction
Requires some supervision

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

The trainee may:

  • inform patients of the material risks associated with proposed management plans
  • treat information about patients as confidential

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:

  • discuss the aetiology of diseases in a relevant and understandable way
  • explain the purpose, nature, and practicalities of nuclear medicine interventions which could be conducted to assess or treat the disease
  • obtain informed consent or other valid authority before involving patients in teaching

direction
Requires some supervision

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

The trainee may:

  • respond appropriately to information sourced by patients, and to patients’ knowledge regarding their conditions

Research

confident
Ready to perform without supervision

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

The trainee will:

  • obtain informed consent or other valid authority before involving patients in research
  • provide information to patients that is based on guidelines issued by the National Health and Medical Research Council and/or Health Research Council of NZ
  • provide information to patients in an understandable manner before asking for consent to participate in research

direction
Requires some supervision

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

The trainee may:

  • refer to evidence-based clinical guidelines
  • demonstrate an understanding of the limitations of the evidence and the challenges of applying research in daily practice

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:

  • effectively communicate with members of all cultural groups, including Aboriginal and Torres Strait Islander and Māori peoples, by meeting patients’ specific language, cultural, and communication needs
  • when necessary, use qualified language interpreters or cultural interpreters to help to meet patients’ communication needs
  • provide plain language and culturally appropriate written materials to patients when possible
  • use gender inclusive language in verbal and written interactions with patients and colleagues

direction
Requires some supervision

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

The trainee may:

  • allow enough time for communication across cultural barriers

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:

  • behave equitably towards all, irrespective of gender, age, culture, socioeconomic status, sexual preference, beliefs, contribution to society, illness related behaviours, or the illness itself
  • avoid sexual, intimate, and/or financial relationships with patients
  • demonstrate a caring attitude towards patients
  • encourage and support patients to be well informed about their health, and to use this information wisely when they are making decisions
  • encourage and support patients and, when relevant, their families or carers, in caring for themselves and managing their health
  • demonstrate respectful professional relationships with patients
  • prioritise honesty, patient welfare, and community benefit above self-interest
  • develop a high standard of personal conduct, consistent with professional and community expectations
  • support patients’ right to seek second opinions
  • respect the preferences of patients
  • respect patients, including protecting their rights to privacy and confidentiality
  • openly disclose harmful patient safety incidents to patients and their families accurately and appropriately
  • use social media ethically and according to legal obligations to protect patients’ confidentiality and privacy

direction
Requires some supervision

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

The trainee may:

  • communicate appropriately, consistent with the context, and respect patients’ needs and preferences
  • maximise patient autonomy, and support their 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:

  • communicate effectively with health care team members involved in patients’ care, and with patients and families or carers
  • discuss medical assessments, treatment plans, and investigations with patients and primary care teams, and work collaboratively with them
  • discuss patients’ care needs with health care team members to align them with appropriate resources
  • facilitate an environment where all team members feel they can contribute, and their opinions are valued
  • communicate accurately and succinctly, and motivate others on the health care team
  • engage with multidisciplinary teams to ensure a collaborative approach to patient management

direction
Requires some supervision

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

The trainee may:

  • address queries from team members
  • summarise, clarify, and communicate responsibilities of health care team members
  • keep health care team members focused on patient outcomes

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:

  • collaborate with interdepartmental and external services, such as community health centres and consumer organisations, to help patients navigate the healthcare system
  • effectively provide appropriate radiation safety advice relevant to the procedure or scan being performed

direction
Requires some supervision

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

The trainee may:

  • communicate with and involve other health professionals as appropriate