Entrustable Professional Activities

LG2: Leadership in the nuclear medicine department

Learning Goal 2

Leadership in the nuclear medicine department

Lead a team of health and clerical professionals in the nuclear medicine context, encompassing inpatients, outpatients and multidisciplinary teams

This activity requires the ability to:

  • describe all aspects of nuclear medicine, including molecular imaging and therapy
  • lead a team with kindness and integrity, with the patient as the central focus
  • prioritise workload
  • manage multiple concurrent tasks, including inpatient and outpatient services
  • articulate individual responsibilities, expertise, and accountability of team members
  • understand the range of team member’s skills, expertise, and roles
  • acquire and apply leadership techniques in daily practice, including problemsolving skills
  • encourage and adopt insights from team members
  • act as a role model

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:

  • assess, advise on, and authorise appropriate nuclear medicine diagnostic and therapeutic interventions for patients
  • use evidence-based care to meet the needs of patients or populations
  • assess and effectively manage clinical risk in various scenarios, including radiation safety
  • direct optimisation of diagnostic nuclear medicine image quality in terms of patient preparation, image acquisition, post processing, and display
  • demonstrate clinical competence and skills to effectively support team members
  • convey information to clinicians in a manner that enhances patient management

direction
Requires some supervision

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

The trainee may:

  • demonstrate adequate knowledge of health care issues by interpreting complex information
  • contribute to the coordination of quality health care for populations or patients as a member of a multidisciplinary team

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • provide adequate information to referrers and patients to optimise appropriate test requesting and informed patient consent

direction
Requires some supervision

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

The trainee may:

  • communicate effectively with colleagues

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:

  • demonstrate rapport with people at all levels by tailoring messages to different stakeholders
  • provide timely, accurate, and clinically pertinent reports on all nuclear medicine diagnostic studies and therapeutic interventions
  • ensure timely escalation of clinically significant or unexpected findings with urgent management implications for the patient
  • engage in quality improvement activities
  • facilitate ongoing review of current practices to remain up to date in an ever-changing environment
  • identify opportunities to improve care by participating in surveillance and monitoring of adverse events and ‘near misses’
  • place safety and quality of care first in all decision making
  • identify activities within systems to reduce errors, improve patient, population, and staff safety, and implement cost-effective change

direction
Requires some supervision

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

The trainee may:

  • communicate effectively with patients, families or carers, and/or the public
  • respect the roles of team members
  • participate in audits and other activities that affect the quality and safety of patients’ care
  • participate in multidisciplinary collaboration to provide effective health services and operational change
  • 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:

  • regularly self-evaluate personal professional practice, and implement changes based on the results
  • actively seek feedback from supervisors and colleagues on own performance
  • identify personal gaps in knowledge and skills, and engage in self-directed learning
  • maintain current knowledge of new technologies, health care priorities, and changes of patients’ expectations
  • teach competently by imparting professional knowledge
  • manage and monitor learners’ progress, providing regular assessments and feedback

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 plan and deliver learning activities

Research

confident
Ready to perform without supervision

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

The trainee will:

  • facilitate research and teaching activities in the department / practice
  • ensure that any protocol for human research is approved by a human research ethics committee, in accordance with the national statement on ethical conduct in human research

direction
Requires some supervision

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

The trainee may:

  • understand that patient participation in research is voluntary and based on an appropriate understanding about the purpose, methods, demands, risks, and potential benefits of the research

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:

  • demonstrate culturally competent relationships with professional colleagues and patients
  • demonstrate respect for diversity and difference
  • provide a physically, culturally, and psychologically safe service
  • take steps to minimise unconscious bias, including the impact of gender, disability, religion, cultural beliefs, sexuality, and socioeconomic background on decision making
  • model inclusive workplace practices

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
  • understand the ethics of resource allocation by aligning optimal patients and organisational care
  • effectively consult with stakeholders, achieving a balance of alternative views
  • acknowledge personal conflicts of interest and unconscious bias
  • act collaboratively to resolve behavioural incidents and conflicts such as harassment and bullying

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
  • promote team values of honesty, discipline, and commitment to continuous improvement
  • demonstrate understanding of the negative impact of workplace conflict

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:

  • evaluate health services and clarify expectations to support systematic, transparent decision making
  • make decisions when faced with multiple and conflicting perspectives

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:

  • 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
  • lead compliance with nuclear medicine statutory and financial regulations
  • consult, collaborate, and communicate with other health professionals, maintaining a patient-centred approach to deliver optimal multidisciplinary patient care
  • 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
  • ensure all members of the team are aware of their individual professional responsibilities and accountable for their individual practices

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 patient care
  • participate effectively and appropriately in multidisciplinary teams
  • seek out and respect the perspectives of multidisciplinary team members when making decisions

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
  • identify the determinants of health of the population, and mitigate barriers to access to care
  • remove self-interest from solutions to health advocacy issues
  • advocate for inclusive workplace practices for the benefit of patients and colleagues
  • advocate for nuclear medicine in the hospital / community setting, and promote the speciality as one that is useful in addressing many clinical needs

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
  • respond to an individual patient’s health needs by advocating with the patient within and beyond the clinical environment