Curriculum standards

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 carers and patients’ concerns seriously, giving them adequate opportunity to ask questions
• provide developmentally appropriate information to patients to enable them to make fully informed decisions from various diagnostic, therapeutic, and management options
• communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care, including in written correspondence, medical records and verbal communications
• use age-appropriate communication skills with patients, considering both family and/or carers' wishes and patients’ autonomy when discussing medical information

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
• document clinical encounters to convey clinical reasoning and the rationale for decisions
• arrange investigations, providing accurate and informative referrals, and liaising with other services where appropriate

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 behaviors through appropriate training
• obtain informed consent before undertaking any investigation or providing treatment (except in emergencies)
• ensure patients are informed of the material risks associated with any part of proposed management plans
• outline risk mitigation strategies for patients living with chronic endocrine conditions who are at risk of acute deterioration

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 patients and/or families, while still ensuring appropriate care of patients
• document history and physical examination findings, and synthesise with clarity and completeness

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:

• need assistance to set goals and clear objectives for self-learning
• engage in self-reflection, and require encouragement to do this more frequently
• deliver teaching considering learners’ levels of training

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
• use relevant resources to assist with resolving clinical problems, including practice guidelines and current literature

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 evidence and the challenges of applying research in daily practice

Ready to perform without supervision

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

The trainee will:

• use plain-language patient education materials, and demonstrate cultural and linguistical sensitivity
• demonstrate effective and culturally safe communication and care for Māori and Aboriginal and Torres Strait Islander peoples, and members of other cultural groups
• use a professional interpreter, health advocate, or a family or community member to assist in communication with patients, and understand the potential limitations of each
• acknowledge patients’, families’ and/or carers' beliefs and values, and how these might impact on health

Requires some supervision

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

The trainee may:

• display respect for patients’, families’, and/or carers’ 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

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 family or carers appropriately
• recognise the limits of parents‘ ability to consent
• demonstrate an understanding of the ethical implications of pharmaceutical industry marketing and funded research
• not advance personal interest or professional agendas at the expense of patient or social welfare

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
• follow organisational policies on pharmaceutical representative visits and drug marketing

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
• use a holistic approach to health considering 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

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
• 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

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 the 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 healthcare system relevant to patients’ care
• identify and access relevant community resources to support patient care