Curriculum standards
Curriculum standards
Advanced Training in Endocrinology (Paediatrics & Child Health)
Entrustable Professional Activities
LG12: Clinic management
Clinic management
Manage an outpatient clinic
This activity requires the ability to:
- manage medical procedures and treatments
- manage clinic services
- keep appropriate written documentation of clinic attendance
- oversee quality improvement activities
- communicate with patients, their families, and/or carers
- communicate with other health professionals
- liaise with other health professionals and team members
- demonstrate problem-solving skills
- responsibly use public resources
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:
- effectively identify and address current clinical concerns, as well as longer-term clinical objectives, as appropriate to patients’ context
- evaluate environmental and lifestyle health risks, and advocate for healthy lifestyle choices
- create accurate and appropriately prioritised problem lists in clinical notes, or as part of ambulatory care review
- maintain up-to-date documentation on patients’ presentation, intercurrent health conditions, management, and progress, including key points of diagnosis and decision making to inform coordination of care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate an understanding of the importance of prevention, early detection, health maintenance, and chronic condition management
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- help patients navigate the healthcare system to improve access to care by collaboration with other services, such as general practitioners, community health centres, and consumer organisations
- ensure patients understand the need for, and purpose of, a valid referral at each visit, and the duration of validity of the referral
- link patients to specific community-based health programs and group education programs
- use telehealth and digitally integrated support services to enable patients’ access to care
- update referring doctor / team of the attendance outcome and management plan in a timely manner, appropriate to the clinical situation of the patient
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- wherever practicable, meet patients’ specific language and communication needs
- facilitate appropriate use of interpreter services and translated materials
- work in partnership with patients to develop agreed care plans and optimise motivation for adherence
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:
- practice health care that maximises patient safety
- adopt a systematic approach to the review and improvement of professional practice in the outpatient clinic setting
- identify aspects of service provision that may be a risk to patients’ safety, and escalate appropriately
- ensure that patients are informed about waiting times and any fees and charges
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- take reasonable steps to address issues if patients’ safety may be compromised
- understand different ways to evaluate and improve the quality and safety of outpatient health care
- participate in organisational quality and safety activities, including clinical incident reviews
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:
- evaluate their own professional practice
- demonstrate learning behaviour and skills in educating junior colleagues
- obtain patients' consent before involving students or other health professional observers in patient consultations
- contribute to the generation of knowledge
- provide supervision to junior colleagues to ensure the provision of quality patient care
- maintain professional continuing education standards
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise the limits of personal expertise, and involve other professionals as needed to contribute to patients’ care
- use information technology appropriately as a resource for modern medical practice
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- obtain informed consent before involving patients in research
- inform patients about their rights, the purpose of the research, the procedures to be undergone, and the potential risks and benefits of participation before obtaining consent
- ensure that usual care is not compromised if patients decline participation in research
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- allow patients to make informed and voluntary decisions to participate in research
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- apply knowledge of the cultural needs of the community being served, and how to shape service delivery to its people
- mitigate the influence of own culture and beliefs on interactions with patients and decision making
- adapt practices which improve patient engagement and health outcomes and are underpinned by cultural safety
- identify and refer to, or engage, culturally appropriate support services for those with chronic health conditions
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- acknowledge the social, economic, cultural, and behavioural factors influencing health, both at individual and population levels
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:
- identify and respect the boundaries that define professional and therapeutic relationships
- respect the roles and expertise of other health professionals
- comply with the legal requirements of preparing and managing documentation
- demonstrate an awareness of financial and other conflicts of interest
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand the responsibility to protect and advance the health and wellbeing of individuals and communities
- maintain the confidentiality of documentation, and store clinical notes appropriately
- ensure that the use of social media is consistent with ethical and legal obligations
- ensure appropriate consent procedures, and evaluate patients’ capacity / competence to make decisions regarding their health care
- use the legal framework for decision making and consent in paediatrics
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:
- triage referrals according to urgency of care required
- integrate prevention, early detection, health maintenance, and chronic condition management, where relevant, into clinical practice
- work to achieve optimal and cost-effective patient care that allows maximum benefit from the available resources
- decide on the effective use of telehealth, outreach, and liaison services, when appropriate and where available
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand the appropriate use of human resources, diagnostic interventions, therapeutic modalities, and health care facilities
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:
- prepare for and conduct clinical encounters in a well-organised and time-efficient manner
- work effectively as a member of multidisciplinary teams or other professional groups
- work effectively with patients’ primary care providers
- ensure that all important discussions with colleagues, multidisciplinary team members, and patients are appropriately documented
- review discharge summaries, notes, and other communications written by junior colleagues, and provide feedback
- support colleagues who raise concerns about patients’ safety
- consider urgency of care, and work effectively to maximise patients’ access to health services
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- attend relevant clinical meetings regularly
- identify causes of inefficiency in the clinic review process, and potential solutions
- ensure all members of the multidisciplinary team are respectful of colleagues and interact appropriately and professionally
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:
- demonstrate the capacity to engage in the surveillance and monitoring of the health status of populations in the outpatient setting
- maintain good relationships with health agencies and services
- partner with organisations to address aspects of service provision that may be a risk to patients’ safety, such as overbookings, technology issues affecting efficiency, and clinic referral waitlists
- apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand common population health screening and prevention approaches
- identify tools required to improve quality of service provision, and advocate for these within the health care organisation