Curriculum standards
Curriculum standards
Advanced Training in Respiratory Medicine
Entrustable Professional Activities
LG4: Quality improvement
Quality improvement
Identify and address failures in health care delivery
This activity requires the ability to:
- identify, mitigate, and report actual and potential (‘near miss’) errors
- conduct and evaluate system improvement activities
- adhere to best practice guidelines
- use clinical audits to improve practice and outcomes
- contribute to the development of policies and protocols designed to protect patients and enhance health care
- monitor one’s own practice, and develop individual improvement plans
- demonstrate commitment to ensuring deliverable health care is safe, timely, patient-centred, effective, efficient, and equitable
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:
- regularly review patients or population health outcomes to identify opportunities for improvement in delivering appropriate care
- use standardised protocols / standard of care guidelines to adhere to best practice and ensure optimal outcomes where applicable
- demonstrate the ability to critically analyse relevant literature, and refer to evidence-based guidelines, and apply this to daily practice
- regularly monitor personal professional performance
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- contribute to processes on identified opportunities for practice improvement
- use local guidelines to assist patient care decision making
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- support patients to have access to, and use, high-quality, easy-to-understand information about health care
- obtain informed consent before undertaking any investigation, procedure, or therapy
- assist patients’ access to their health information, as well as complaint and feedback systems
- discuss with patients any safety and quality concerns they have relating to their care
- implement organisations’ open disclosure policy
- engage consumers in quality improvement activities
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate awareness of the evidence for consumer engagement and its contribution to quality improvement in health care
- apply knowledge of how health literacy might affect the way patients or populations gain access to, understand, and use health information
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:
- demonstrate safety skills including infection control, adverse event reporting, and effective clinical handover during escalation and between transitions of care
- participate in organisational quality and safety activities, including morbidity and mortality reviews, antimicrobial stewardship, review of clinical guidelines / action plans and protocols, root cause analysis, and clinical incident reviews
- use clinical audits and registries of data on patients’ experiences and outcomes, and learn from incidents and complaints to improve health care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate an understanding of a systematic approach to improving the quality and safety of health care
- participate in systems for surveillance and monitoring of adverse events and ‘near misses’, including reporting such events
- ensure that identified opportunities for improvement are raised and reported appropriately
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:
- translate quality improvement approaches and methods into practice
- supervise and manage the performance of junior colleagues in the delivery of safe, high-quality care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- work within organisational quality and safety systems for the delivery of clinical care
- participate in professional training in quality and safety to ensure a contemporary approach to safety system strategies
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
- participate in clinical research that aims to improve patient outcomes, where applicable
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
- demonstrate an understanding of the limitations of evidence and the challenges of applying research in daily practice
- present critical analysis of relevant literature at departmental journal club meetings
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- undertake professional development opportunities that address the impact of cultural bias on health outcomes
- apply frameworks and policies related to improving health care for Aboriginal and Torres Strait Islander and Māori peoples
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- communicate in a manner that is appropriate to patients’ language and cultural needs
- demonstrate commitment to improving cultural safety in your practice
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:
- contribute to developing an organisational culture that enables and prioritises patients’ safety and quality of care
- demonstrate professional values, including compassion, empathy, respect for diversity, integrity, honesty, and partnership to all patients and health professionals
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- comply with professional regulatory requirements and codes of conduct
- consider patients’ (including young people’s) / carers’ capacity for decision making and consent, involving a proxy decision maker appropriately
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:
- use decision-making support tools, such as guidelines, protocols, pathways, and reminders
- analyse and evaluate current care processes to improve health care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- access information and advice from other health practitioners to identify, evaluate, and improve patients’ care management
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:
- support multidisciplinary team activities to minimise risk of harm, and promote multidisciplinary and interdisciplinary education programs
- actively involve clinical pharmacists in the medication-use process
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate attitudes of respect and cooperation among members of different professional teams
- partner with clinicians and managers to ensure that patients receive appropriate care and information on their care
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:
- support the development, implementation, evaluation, and monitoring of governance processes
- maintain a dialogue with service managers about issues that affect patient care
- help shape an organisational culture that prioritises safety and quality through openness, honesty, learning, and quality improvement
- contribute to the development of policies and protocols designed to protect patients and enhance health care (including health promotion policies and protocols), such as the development of resources and interventions to support smoking and vaping cessation for young people and carers in hospital and in the community
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- contribute and adhere to relevant organisational policies and procedures