Curriculum standards
Curriculum standards
Advanced Training in Nuclear Medicine
Entrustable Professional Activities
LG7: Communication
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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