Entrustable Professional Activities

LG6: Longitudinal care and transitions in care of nuclear medicine patients, including those receiving Theranostics

Learning Goal 6

Longitudinal care of patients

Manage and coordinate the longitudinal care and transitions in care of nuclear medicine patients, including those receiving Theranostics

This activity requires the ability to:

  • develop management plans and goals in consultation with patients, families, and carers, and other multidisciplinary team members
  • manage complex and advanced chronic conditions, complications, disabilities, and comorbidities in the context of nuclear medicine investigations and therapy
  • collaborate with other health care providers, including transition of patient care
  • ensure continuity of care, and clearly communicate to other team members each person’s role in the care of the patient
  • facilitate patients’, families’ or carers’ self-management and self-monitoring
  • engage with the broader health policy context

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:

  • document the results of nuclear medicine procedures in a timely manner after the administration of a radioisotope for diagnosis or therapy, including information on radiation safety precautions where applicable
  • convey the concepts of relative and absolute risk, as they apply to radiation exposure, in discussion of investigations and treatment with colleagues and patients
  • monitor treatment outcomes, effectiveness, and adverse events
  • facilitate an optimal transition of care for patients, including from paediatric to adult care
  • recognise goals of patient care and resuscitation status
  • appropriately apply Theranostic procedures to improve quality of life in the palliative care setting, in collaboration with the patient and other carers

direction
Requires some supervision

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

The trainee may:

  • assess patients’ knowledge, beliefs, concerns, and daily behaviours in relation to the performance of nuclear medicine tests / therapies
  • accurately and sufficiently contribute to medical record entries on histories, examinations, and management plans as a member of multidisciplinary teams
  • demonstrate an understanding of the principles of care for patients at the end of their lives

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • encourage patients’ self-management through education to take greater responsibility for their care, and support problem solving
  • communicate with multidisciplinary team members, and involve patients in that dialogue where appropriate
  • communicate with patients, families, or carers about transition of care, and engage and support these parties in decision making
  • collaborate effectively with those managing end of life care

direction
Requires some supervision

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

The trainee may:

  • work in partnership with patients, and motivate them to comply with agreed care plans
  • ensure consistent messages are given to patients, families, or carers about treatment options, their likelihood of success, risks, and prognosis

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:

  • use innovative models of care, including telehealth and digitally integrated support services, as appropriate
  • review medication use, and ensure patients understand safe medication administration to assist in the prevention of errors

direction
Requires some supervision

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

The trainee may:

  • participate in continuous quality improvement processes and clinical audits on chronic disease management
  • identify activities that may improve patients’ quality of life

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:

  • educate patients to recognise and monitor their symptoms, and undertake strategies to assist their recovery

direction
Requires some supervision

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

The trainee may:

  • demonstrate an awareness of how patients can self-monitor and undertake strategies to assist their recovery

Research

confident
Ready to perform without supervision

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

The trainee will:

  • prepare reviews of literature to present at journal club meetings Research
  • search for and critically appraise evidence to resolve clinical areas of uncertainty

direction
Requires some supervision

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

The trainee may:

  • search literature using Problem / Intervention / Comparison / Outcome (PICO) format
  • recognise appropriate use of review articles

Cultural safety

direction
Requires some supervision

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

The trainee may:

  • provide culturally safe chronic disease management
  • demonstrate an awareness of patient support and advocacy groups patients may relate to

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:

  • share information about patients’ health care, consistent with privacy laws and professional guidelines about confidentiality
  • use consent processes for the release and exchange of health information
  • assess patients’ decision-making capacity, and appropriately identify and use alternative decision makers

direction
Requires some supervision

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

The trainee may:

  • share information between relevant service providers
  • acknowledge and respect the contribution of health professionals involved in patients’ care

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:

  • implement stepped care pathways in the management of chronic diseases and disabilities
  • recognise appropriate stages of end-of-life care and limitation of treatment
  • recognise patients’ needs in terms of both internal resources and external support on long-term health care journeys

direction
Requires some supervision

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

The trainee may:

  • recognise personal limitations, and seek help in an appropriate way when required

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:

  • use a multidisciplinary approach across services to manage patients with chronic diseases and disabilities
  • develop collaborative relationships with patients, families, or carers, and a range of health professionals
  • coordinate whole-person care through involvement in all stages of the patients’ care journey
  • effectively manage challenges of dealing with death and grief

direction
Requires some supervision

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

The trainee may:

  • participate in multidisciplinary team care for patients with chronic diseases and disabilities, including organisational and community care on a continuing basis, appropriate to patients’ context

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:

  • participate in government initiatives for cancer and chronic disease management to reduce hospital admissions and improve patients’ quality of life
  • contribute to processes for managing risks and identifying strategies for the improvement of transitions of care
  • engage in organisational processes to improve transitions of care

direction
Requires some supervision

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

The trainee may:

  • demonstrate awareness of government initiatives and services available for patients with chronic diseases and disabilities, and knowledge of how to access them, such as palliative care