Curriculum standards
Curriculum standards
Sleep Medicine (Adult Medicine)
Entrustable Professional Activities
LG 5: Clinical assessment and management
Clinical assessment and management
Clinically assess and manage the ongoing care of patients
This activity requires the ability to:
- identify and access sources of relevant information about patients
- obtain patient histories
- examine patients
- synthesise findings to develop provisional and differential diagnoses
- discuss findings with patients, families and/or carers
- generate a management plan
- present findings to other health professionals
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:
- elicit an accurate, organised, and problem-focused medical history (including collateral history) considering physical, psychosocial, and risk factors
- perform a full physical examination to establish the nature and extent of problems
- synthesise and interpret findings from the history and examination to devise the most likely provisional diagnoses via reasonable differential diagnoses
- assess the severity of problems, the likelihood of complications and clinical outcomes
- develop management plans based on relevant guidelines, and consider the balance of benefit and harm by taking patients’ medical comorbidities and personal sets of circumstances into account
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- take patient-centred histories, considering psychosocial factors
- perform accurate physical examinations
- recognise and correctly interpret abnormal findings
- synthesise pertinent information to direct the clinical encounter and diagnostic categories
- develop appropriate management plans
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- communicate openly, listen, and take patients’ concerns seriously, and give them adequate opportunity to question
- communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care
- provide information to patients, family, or carers to enable them to make informed decisions from various diagnostic, therapeutic, and management options
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- anticipate, read, and respond to verbal and nonverbal cues
- demonstrate active listening skills
- communicate patients’ situations to colleagues, including senior clinicians
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:
- demonstrate safety skills including infection control, adverse event reporting, and effective clinical handover
- recognise and effectively deal with aggressive and violent patient behaviours through appropriate training
- obtain informed consent before undertaking any investigation or providing treatment, except in an emergency
- ensure patients are informed of the material risks associated with any part of the proposed management plans
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- perform hand hygiene and take infection control precautions at appropriate moments
- take precaution against assaults from confused or agitated patients, ensuring appropriate care of patients
- document history and physical examination findings, and synthesise with clarity and completeness
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:
- set defined objectives for clinical teaching encounters, and solicit feedback on mutually agreed goals
- regularly reflect upon and self-evaluate professional development
- obtain informed consent before involving patients in teaching activities
- turn clinical activities into an opportunity to teach, appropriate to the setting
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- set unclear goals and objectives for self-learning
- self-reflect infrequently
- deliver teaching considering learners’ level of training
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- search for, find, compile, analyse, interpret, and evaluate information relevant to the research subject
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- refer to guidelines and medical literature to assist in clinical assessments when required
- 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:
- acknowledge patients’ beliefs and values, and how these might impact on health
- demonstrate effective and culturally competent communication and care for Aboriginal and Torres Strait Islander and Māori peoples, and members of other cultural groups
- use a professional interpreter, a health advocate, family or community member to assist in communication with patients
- use plain-language patient education materials, and be culturally and linguistically sensitive
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- display respect for patients’ cultures, and attentiveness to social determinants of health
- display an understanding of at least the most prevalent cultures in society, and an appreciation of their sensitivities
- appropriately access interpretive or culturally focused services
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:
- demonstrate professional values including compassion, empathy, respect for diversity, integrity, honesty, and partnership to all patients
- hold information about patients in confidence, unless the release of information is required by law or public interest
- assess patients’ capacity for decision making, involving a proxy decision maker appropriately
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate professional conduct, honesty and integrity
- consider patients’ decision-making capacity
- identify patients’ preferences regarding management, and the role of families in decision making
- not advance personal interest or professional agendas at the expense of patient or social welfare
Judgement and decision making
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- apply knowledge and experience to identify patients’ problems, making logical, rational decisions, and acting to achieve positive outcomes for patients
- adopt a holistic approach to patient care, considering patient preferences, comorbidity, uncertainty, and risk
- use the best available evidence for the most effective therapies and interventions to ensure quality care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate clinical reasoning by gathering focused information relevant to patients’ care
- recognise personal limitations, and seek help in an appropriate way when required
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:
- work effectively as a member of multidisciplinary teams to achieve the best health outcome for patients
- present and discuss complicated cases within a multidisciplinary team to help direct clinical management
- demonstrate awareness of colleagues in difficulty, and work within the appropriate structural systems to support them while maintaining patient safety
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- share relevant information with members of the health care team
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:
- participate in health promotion, disease prevention and control, screening, and reporting notifiable diseases
- aim to achieve the optimal cost-effective patient care to allow maximum benefit from available resources
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- identify and navigate components of the health system relevant to patients’ care
- identify and access relevant community resources to support patient care