Curriculum standards

Ready to perform without supervision

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

The trainee will:

• use communication that is appropriate for the age and developmental stage of patients, recognising this may change over time
• document and communicate changes in care plans as patients grow and develop
• use assistive technologies for patients whose speech and language is impacted by underlying medical conditions
• be curious and ask families and/or carers to interpret emotions, values, likes, and dislikes for patients who are nonverbal or have limited communication
• stage conversations and processes of transition, with overlap between services where possible
• conduct comprehensive verbal and written handovers when transitioning patients between settings and medical teams

Requires some supervision

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

The trainee may:

• actively elicit patients’ specific language and communication needs wherever possible
• develop strategies to meet patients’ changing developmental needs over time
• document and share insights about patients’ and families’ changing needs with relevant care providers to optimise and personalise care over time

Ready to perform without supervision

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

The trainee will:

• evaluate and explain the reasons and processes around transitioning between care settings and teams due to age
• analyse adverse incidents and sentinel events to identify system failures and contributing factors when transitioning between care settings and teams
• identify evidence-based practice gaps using clinical indicators, and implement changes to improve patients’ outcomes when transitioning between care settings and teams

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

Ready to perform without supervision

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

The trainee will:

• regularly evaluate personal clinical practice around assessing and managing patients at chronologically and developmentally appropriate levels
• seek feedback on own clinical practice
• address gaps in knowledge and skills through self-directed learning and continuing professional development
• supervise junior colleagues in managing patients according to their chronological and developmental ages and stages, re-assessing as changes occur
• use teaching opportunities arising from encounters incorporating age and developmental assessment

Requires some supervision

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

The trainee may:

• use clinical practice guidelines for management of chronic diseases in children
• participate in intra- and inter-team education around children’s changing developmental needs

Ready to perform without supervision

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

The trainee will:

• apply relevant research literature and evidence-based guidelines to clinical practice in managing patients who transition between care settings and teams based on age
• support and participate in research to enhance care for patients who encounter transitions in care settings and teams

Requires some supervision

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

The trainee may:

• efficiently search literature for evidence of best practice in developmentally appropriate care of patients with palliative care needs
• recognise appropriate use of review articles

Ready to perform without supervision

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

The trainee will:

• demonstrate effective and culturally safe communication and care for Māori and Aboriginal and Torres Strait Islander peoples and members of other cultural groups when considering ages and stages of development and transitions in care settings and teams
• use professional interpreters, health advocates, family or community members to assist in communication with patients, and understand the potential limitations of each

Requires some supervision

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

The trainee may:

• provide culturally sensitive chronic disease management for children with palliative care needs
• facilitate appropriate use of interpreter services and translated materials

Ready to perform without supervision

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

The trainee will:

• respect the roles and expertise of other health professionals, including those across other care settings and teams
• use processes for the release and exchange of health information when patients are transitioning between care settings and teams

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

Ready to perform without supervision

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

The trainee will:

• implement a stepwise process in the management of transition between care settings and teams, with appropriate handovers
• recognise patients’ and their families’, whānau, and/or carers’ needs in terms of both internal resources and external support on a longitudinal health care journey involving the changing needs of a growing and developing child

Requires some supervision

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

The trainee may:

• recognise personal limitations in caring for patients with changing needs, and seek help in an appropriate way when required

Ready to perform without supervision

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

The trainee will:

• coordinate whole-person care through involvement in all stages of patients’ care journeys as they grow and develop
• work effectively within multidisciplinary teams across and between services to manage patients who may have changing needs as they grow and develop

Requires some supervision

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

The trainee may:

• participate in multidisciplinary care for patients with chronic diseases and disabilities, including care transitions between health care facilities and home, as appropriate to patients’ context

Ready to perform without supervision

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

The trainee will:

• maintain good relationships with health agencies and services
• apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs when providing care to patients who have changing needs as they grow and develop