Curriculum standards
Curriculum standards
Advanced Training in Palliative Medicine (Paediatrics & Child Health)
Entrustable Professional Activities
LG 2: Team leadership
Team leadership
Contribute leadership within a team of health professionals to provide palliative care for patients
This activity requires the ability to:
- prioritise workload
- organise or coordinate multiple concurrent tasks
- articulate and appropriately delegate individual responsibilities based on expertise and resources in the team
- comprehend the range of team members’ skills, expertise, and roles, and monitor for accountability as appropriate
- develop and apply leadership techniques in daily practice
- collaborate with and motivate team members
- promote and adopt insights from team members
- act as a role model
- resolve conflict
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:
- synthesise information with other disciplines to develop optimal goals of care for patients
- use evidence-based care to meet the needs of patients or populations
- assess and effectively manage clinical risk in various scenarios
- demonstrate clinical competence and skills by effectively supporting team members
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
- assess the spectrum of problems to be addressed
- apply medical knowledge to assess the impact and clinical outcomes of management decisions
- provide coordinated and quality health care for populations or patients as a member of a multidisciplinary team
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- communicate clearly and respectfully with other health professionals and members of relevant multidisciplinary teams within and outside the palliative care team
- prepare succinct and well-written documentation, including medical record notes, letters, symptom management plans for health professionals, and symptom management plans for children and families
- apply relevant communication skills to resolve conflict between health professionals and with children and families
- include children and families, as appropriate, in discussions with the multidisciplinary team
- develop rapport with people at all levels by tailoring messages to different stakeholders
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- communicate adequately with colleagues, patients, and/or the public
- respect the roles of team members
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:
- participate in surveillance and monitoring of adverse events and near misses
- identify activities within systems to reduce errors, improve patient and population safety, and implement cost-effective change
- place safety and quality of care first in all decision making
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- 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
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- reflect regularly to self-evaluate personal professional practice, skills, and knowledge, and address gaps through self-directed learning
- actively seek feedback from supervisors and colleagues on performance as a team member and team leader
- maintain current knowledge of medical advances, as well as health care priorities and expectations of the child, family, and health care teams
- teach competently by imparting professional knowledge
- manage and monitor learner progress, providing regular assessment and feedback
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
Cultural safety
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 children and families, professional colleagues, and stakeholders
- demonstrate inclusion of and respect for diversity and difference
- take steps to minimise unconscious bias, including the impact of gender, religion, cultural beliefs, and socioeconomic background on decision making
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
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 discussion of ethical and clinical concerns
- respect differences between multidisciplinary team members, and model respectful conversations when there are differing approaches and opinions
- apply the ethics of resource allocation
- effectively consult with stakeholders
- acknowledge personal conflicts of interest and unconscious bias to ensure these do not negatively impact patient care
- act collaboratively to resolve behavioural incidents and conflicts, including harassment and bullying
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
- work effectively as a member of a team
- promote team values of honesty, discipline, and commitment to continuous improvement
- demonstrate understanding of the negative impact of workplace conflict
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:
- evaluate health services and clarify expectations to support systematic, transparent decision making
- make decisions when faced with multiple and conflicting health professionals’ perspectives
- 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
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
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- combine team members’ skills and expertise to deliver patient care and/or population advice
- develop and lead effective multidisciplinary teams by developing and implementing strategies to motivate and support others
- build effective relationships with and between multidisciplinary team members to achieve optimal outcomes
- ensure all members of the team are accountable for their individual practice
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 patients’ 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
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
- 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 for patient populations, and mitigate barriers to access to care
- remove self-interest from solutions to health advocacy issues
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