Curriculum standards

Ready to perform without supervision

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

The trainee will:

• explain desired outcomes, potential value, and risks of both undertaking and not undertaking investigations or procedures to patients
• address patients’ concerns about investigations or procedures, and provide opportunities to ask questions
• tailor explanations and information about investigations and procedures to patients, including accounting for age and development, and cultural and linguistic considerations
• provide written instructions and information to patients about investigations and procedures as appropriate
• collaborate and communicate effectively with health professionals to achieve consensus about the appropriateness of investigations and procedures as appropriate, such as scoliosis surgery for a child with severe cerebral palsy who has deteriorating health

Requires some supervision

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

The trainee may:

• explain the process of procedures to patients without providing a broader context
• help patients choose the procedure
• communicate with members of procedural teams so all team members understand who each member is
• discuss post-procedural care with patients
• complete relevant documentation, and conduct appropriate clinical handovers

Ready to perform without supervision

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

The trainee will:

• communicate and collaborate with health professionals and care teams to ensure relevant people are involved in complex decision making about investigations and procedures in the palliative care setting
• obtain informed consent or other valid authority before undertaking procedures
• ensure clear plans for who is responsible for following up results and outcomes of investigations and procedures, particularly when working in a consultation-liaison role

Requires some supervision

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

The trainee may:

• provide information in a manner so patients are fully informed when consenting to any procedures
• demonstrate consistent use of aseptic technique
• identify patients using approved patient identifiers before any treatment or intervention is initiated

Ready to perform without supervision

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

The trainee will:

• self-reflect on approaches to ordering and conducting investigations and procedures in the palliative care setting
• seek feedback from colleagues on their approach to investigations and procedures in the palliative care setting
• supervise and mentor colleagues in decision making about the role of investigations and procedures in the palliative care setting
• use teaching opportunities around ordering and interpreting investigations

Requires some supervision

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

The trainee may:

• participate in continued professional development
• help junior colleagues develop new skills
• actively seek feedback on procedural technique until competent

Ready to perform without supervision

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

The trainee will:

• obtain written consent from patients if the investigation is part of a research program

Ready to perform without supervision

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

The trainee will:

• tailor conversations and recommendations about investigations and procedures to the cultural context of patients, their families, whānau, and/or carers

Requires some supervision

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

The trainee may:

• respect cultural, linguistic, and religious values and differences of patients, their families, whānau and/or carers

Ready to perform without supervision

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

The trainee will:

• communicate and collaborate with health professionals within and external to the palliative care team in a respectful and timely manner to ensure best practice and quality care for investigations and procedures in the palliative care setting, such as imaging, pathology, and surgical departments
• incorporate ethical principles in decision making about investigations and procedures in the palliative care setting, including autonomy, beneficence, justice, and non-maleficence
• explain the expected benefits as well as the potential burdens and risks of proposed investigations before obtaining informed consent or other valid authority

Requires some supervision

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

The trainee may:

• perform procedures when adequately supervised
• follow procedures to ensure safe practice
• involve patients in decision making regarding investigations, obtaining the appropriate informed consent, including financial consent, if necessary

Ready to perform without supervision

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

The trainee will:

• identify the optimal timing, risks, and roles for investigations and procedures based on patients’ illness stages, prognosis, and goals of care
• adjust the investigative path in accordance with test results received

Requires some supervision

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

The trainee may:

• prioritise which patients receive procedures first (if there is a waiting list)
• assess personal skill levels and seek help with procedures when appropriate
• use tools and guidelines to support decision making

Ready to perform without supervision

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

The trainee will:

• consider the role other members of the health care team might play in ordering and/or conducting investigations, and avoid duplication of effort
• provide other health professionals with clear information, and negotiate required follow-up for investigations and procedures
• create a working environment in which concerns about the outcomes of investigations and procedures can be discussed in a safe and open manner

Requires some supervision

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

The trainee may:

• ensure all relevant team members are aware that a procedure is occurring
• discuss patients’ management plans for recovery with colleagues

Ready to perform without supervision

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

The trainee will:

• discuss serious incidents regarding investigations and procedures at clinical review meetings
• initiate local improvement strategies in response to serious incidents
• use resources efficiently when performing investigations and procedures
• advocate for equity of access to appropriate investigations for all patient groups, irrespective of age, gender, race, or socioeconomic status

Requires some supervision

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

The trainee may:

• perform procedures in accordance with organisational guidelines and policies