Entrustable Professional Activities

LG7: Assessment and management - child population health

Learning Goal 7

Child population health

Assessment and management of patients through a child population health lens

This activity requires the ability to:

  • identify opportunities for advocacy, health promotion, disease prevention, child protection, and safeguarding in the community to improve children’s health, development and well-being
  • identify and make recommendations on the determinants of child population health, including reducing barriers to accessing healthcare, and addressing inequities affecting various socioeconomic, gender, indigenous, disabled, and other minoritised groups
  • identify and advocate as a leader for priority populations and/or minoritised groups for improved child health and developmental outcomes
  • contribute to the development of population-level and local strategies to improve the health and development of all children and young people in an area, including targeted and universal interventions, programs, and policies
  • apply knowledge of population health to provide paediatric input for the planning of services for children in the community, including working with other agencies
  • contribute to the development of standards, protocols, guidelines, and policies with a population health perspective
  • critically appraise published literature including epidemiological, descriptive/qualitative, and interventional research; then synthesise and communicate population health information for varied audiences

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:

  • identify protective factors and resilience in at-risk groups, and use them to generate management plans and recommendations
  • formulate an awareness and consideration of conditions that are more prevalent in specific populations
  • advocate, and reduce barriers, for children and young people whose life circumstances increase their vulnerability
  • integrate an understanding of attachment and biological embedding and their impact on child health and wellbeing into clinical practice
  • improve support and access to community-based and educational services that increase health,development and wellbeing of individuals and the population
  • consider complex care needs of patients with multiple comorbidities, aiming to improve individual patient and population health outcomes
  • advocate for strategies, services, and policies that promote optimal child and adolescent development and health across the life course, with particular reference to early childhood
  • contribute to the development of standards, protocols, measures and guidelines with a population health perspective, such as through clinical leadership and interagency forums
  • generate a child population health question to drive health promotion or population health improvement
  • create, implement, and evaluate strategies for the promotion of child health, wellbeing, and optimal developmental trajectories at a population level
  • demonstrate an understanding of complex interplay of intergenerational trauma and social determinants of health in impacting health outcomes

direction
Requires some supervision

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

The trainee may:

  • identify children from priority populations
  • identify barriers to health for children, young people, their families, and the community.
  • identify community-based services and supports that improve health, development, and wellbeing for children, young people, and their families
  • describe the life course model, the social determinants of health, and their impacts
  • describe the concepts of attachment, biological embedding, and the developmental trajectory
  • apply knowledge of how a policy or health strategy will impact on the health and wellbeing of populations
  • define a population health question or policy that affects the health and wellbeing of children, young people, and their families.
  • analyse data and evidence

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • practise trauma-informed, and culturally safe communication
  • recognise and respond to the communication needs of disabled and neurodiverse individuals and population groups
  • communicate with community-based service providers, primary care, schools, and other organisations to coordinate care
  • apply science communication skills to present health information and research effectively to colleagues, the public, policymakers, or media
  • use the principles of science communication to share information clearly, accurately, respectfully, responsibly, and empathetically
  • effectively communicate the results and relevance of scientific studies with attention to epidemiological concepts such as absolute and relative risk, bias, and generalisability

direction
Requires some supervision

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

The trainee may:

  • communicate with and refer to community-based service providers, primary care, schools, and other organisations
  • present health information in a variety of formats to suit the communication needs of individuals and population groups
  • ensure clinical documentation is clearly written and formatted
  • ensure academic documentation is appropriately structured and referenced

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:

  • contribute to the development and implementation of activities that improve clinical quality and safety to reduce inequities in health and developmental outcomes
  • contribute to the evaluation of existing health services and programs and identify opportunities for further improvement
  • contribute to planning and implementation of health services and programs for a minoritised group
  • support engagement with consumers and community representatives in quality improvement activities
  • contribute to the development of operational policies that support high quality health care for children and young people from minoritised groups
  • participate in activities that increase the effectiveness of health care organisations and health systems

direction
Requires some supervision

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

The trainee may:

  • identify opportunities to improve clinical quality and safety to reduce inequities in health and developmental outcomes
  • identify relevant consumer groups and community representatives for quality improvement activities
  • identify operational policies that support high quality health care for children and young people from minoritised groups
  • ensure information privacy and security
  • critically appraise the quality of information

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:

  • contribute to the teaching and supervision of health professional colleagues, trainees and students regarding strategies to improve child population health
  • develop educational resources about child population health areas for health professional colleagues, other trainees and students, and other audiences
  • regularly participate in continuing professional development activities that increase knowledge of child population health current issues, policies and programs
  • demonstrate effective supervision skills and teaching methods which are adapted to the context of the training

direction
Requires some supervision

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

The trainee may:

  • provide constructive feedback to junior colleagues to contribute to improvements in individuals’ skills
  • participate in the teaching and supervision of junior colleagues and medical students
  • participate in continuing professional development activities that increase knowledge of child population health policies and programs

Research

confident
Ready to perform without supervision

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

The trainee will:

  • contribute to child health-related research, where applicable
  • conduct systematic searches of published and ‘grey’ literature
  • critically appraise the strength of evidence in published scientific papers, referring to levels of evidence
  • critically appraise evidence to address a research question
  • integrate critical appraisal conclusions into clinical care and population health work
  • disseminate the findings of a study appropriate to the audience

direction
Requires some supervision

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

The trainee may:

  • apply the principles of evidencebased practice in clinical and other settings
  • effective retrieval of evidence from scientific databases
  • conduct non-systematic or narrative reviews of evidence
  • describe the principles of critical appraisal
  • refer to evidence-based guidelines and protocols
  • demonstrate an understanding of the limitations of 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:

  • demonstrate commitment to improving the health of Māori and Aboriginal and Torres Strait Islander children
  • collaborate with families and communities to optimise child health and developmental outcomes
  • actively support management of patients within cultural and family context
  • advocate for culturally safe care
  • apply knowledge of the values, beliefs, practices, cultural models of health (e.g., Te Whare Tapa Wha for Māori), biological factors, and unique health needs of specific population groups
  • utilise interpreters and other communication assistance means during clinical encounters where appropriate
  • use qualified language interpreters or cultural interpreters to help meet the communication needs of children and families

direction
Requires some supervision

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

The trainee may:

  • show respect for knowledge and expertise of communities
  • demonstrate a commitment to improving cultural safety
  • demonstrate an emerging understanding of cultural safety
  • proactively identify risks in the communication of public health information to different groups

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:

  • actively support and promote diversity and equity
  • facilitate and advocate for the safety and rights of the child, including adherence to child protection legislation and relevant policies
  • support and empower families and carers to provide optimal care for their child
  • perform work that considers ethical implications, and adheres to legal requirements in managing and sharing health information

direction
Requires some supervision

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

The trainee may:

  • demonstrates an awareness of the rights of the child
  • adhere to child protection legislation and policies
  • identify ethical principles relevant to the sharing of health information

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:

  • integrates child population health perspectives into decision-making, with attention to reducing health inequities
  • balance risks and benefits in communicating public health information

direction
Requires some supervision

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

The trainee may:

  • identifies child population health perspectives in clinical decision-making
  • seek support to manage patients in challenging contexts
  • identify risks and benefits in communicating public health information

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:

  • demonstrate skills for multidisciplinary and/or cross-agency collaboration to improve child population health outcomes
  • advocate for quality, safe, and effective care for improved child health and development outcomes
  • contribute to the development and implementation of strategies for child health, development and wellbeing at a regional and local population level
  • work collaboratively with other staff
  • lead teams, maintaining engagement and a focus on outcomes
  • demonstrate an understanding of how to effectively chair multidisciplinary meetings

direction
Requires some supervision

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

The trainee may:

  • demonstrate skills for collaboration with team members, including the wider multidisciplinary team
  • encourage an environment of openness and respect
  • demonstrate emerging skills for participating in multidisciplinary meetings, under supervision

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:

  • contribute to activities that address the determinants of health and mitigate barriers to accessing care
  • contribute to activities that improve equity of access to community-based universal health and developmental screening programmes
  • demonstrate application of the rights of children, disabled peoples, and indigenous peoples, and identify legislative support for these concepts
  • demonstrate awareness of current policies and strategies that impact the health, development and wellbeing of children and their families
  • contribute to, or participate in, advocacy and policy activities to improve child population health outcomes
  • demonstrate an understanding of monitoring systems and data resources for child population health outcomes
  • contribute to planning and commissioning processes for local health services for children and young people

direction
Requires some supervision

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

The trainee may:

  • demonstrate awareness of health promotion and disease prevention interventions in the local setting
  • connect patients to community-based health services and universal health and developmental screening programmes
  • demonstrate awareness of the rights of children, disabled peoples, and indigenous peoples
  • identify a policy issue or question that affects the health and wellbeing of children, young people, and their families
  • demonstrate an emerging understanding of the role of physician leadership and advocacy for improving population health outcomes
  • demonstrate an emerging understanding of the role and place of different agencies within the health system