Curriculum standards
Curriculum standards
Advanced Training in Respiratory Medicine
Entrustable Professional Activities
LG2: Team leadership
Team leadership
Lead and/or work collaboratively with a team of health professionals
This activity requires the ability to:
- prioritise workload
- manage multiple concurrent tasks
- articulate individual responsibilities, expertise, and accountability of team members
- understand the range of team members’ skills, expertise, and roles
- acquire and apply leadership techniques in daily practice
- collaborate with teams across multiple health care settings
- encourage and adopt insights from team members
- act as a role model
- conduct multidisciplinary case conferences
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:
- 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:
- provide support and motivate patients or populations and health professionals by effective communication
- demonstrate a transparent, consultative style by engaging patients, families, carers, relevant professionals, and/or the public in shared decision making
- demonstrate 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
- communicate adequately with patients, families, carers, 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:
- identify opportunities to improve care by participating 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
- supervise team members in the development and conduct of clinical audits, up to implementing changes based on findings and measuring the effect of such changes
- place patient and staff 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:
- promote commitment to high quality teaching within the team and with learners that are attached to the team
- regularly self-evaluate personal professional development practice, and implement changes based on the results
- actively seek feedback from supervisors and colleagues on their own performance
- identify personal gaps in skills and knowledge, and engage in self-directed learning
- maintain current knowledge of new technologies, health care priorities, and changes of patients’ expectations
- teach competently by imparting professional knowledge
- manage and monitor learners’ progress, providing regular assessments 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
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- ensure that any protocol for human research is approved by a human research ethics committee, in accordance with the national statement on ethical conduct in human research
- demonstrate the ability to conduct a basic research project
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand that patient participation in research is voluntary and based on an appropriate understanding about the purpose, methods, demands, risks, and potential benefits of the 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:
- demonstrate culturally safe relationships with professional colleagues and patients
- promote and advocate 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
- 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:
- demonstrate ability to effectively manage own workload and prioritise concurrent tasks
- promote a team culture of shared accountability for decisions and outcomes
- encourage open discussions of ethical and clinical concerns
- respect differences of multidisciplinary team members
- understand the ethics of resource allocation by aligning optimal patient and organisational care
- effectively consult with stakeholders, and respect alternative views
- acknowledge personal conflicts of interest and unconscious bias
- act collaboratively to resolve behavioural incidents and conflicts such as 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 and transparent decision making
- make decisions when faced with multiple and conflicting perspectives
- contribute 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
- recognise limits of practice
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- 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 in delivering patient centred care and/or population advice
- develop and lead effective multidisciplinary teams
- build effective relationships with multidisciplinary team members to achieve optimal outcomes
- ensure all members of the team are accountable for their individual practice
- actively promote, support, and advocate for improved wellbeing of colleagues and other health professionals
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 patient 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 on the delivery of health care
- advocate for 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 of the population, and mitigate barriers to access to care
- lead the development and use of organisational policies and procedures
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand methods used to allocate resources to provide high quality care
- demonstrate awareness of organisational policies and procedures