Entrustable Professional Activities

LG12: Clinic management

Learning Goal 12

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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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

confident
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

direction
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