Curriculum standards

Ready to perform without supervision

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

The trainee will:

• demonstrate active listening, addressing patients’ concerns, with adequate opportunity to ask questions
• provide information to patients and their family or carers to enable fully informed decision-making for various diagnostic, therapeutic, and management options
• discuss sensitive issues related to fertility, including infertility and pregnancy risks enabling patients to make informed choices
• communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care, including in written correspondence, medical records and verbal communications

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
• develop 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, 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 behaviours through appropriate training
• obtain informed consent before undertaking any investigation or providing treatment (except in an emergency)
• 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 confused or agitated patients, 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:

• identify and set defined objectives for clinical teaching encounters
• solicit feedback on mutually agreed goals and demonstrate self-reflection towards own 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, requiring encouragement to do this more frequently
• deliver teaching considering learners’ level of training

Ready to perform without supervision

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

The trainee will:

• use appropriate search strategies to 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
• explain that routine care will continue if the participant decides not to participate in research

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’ beliefs and values, and demonstrate some understanding of 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’ cultures, and attentiveness to social determinants of health
• demonstrate an appreciation of the sensitivities for at least the most prevalent cultures in society
• 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 a proxy decision maker appropriately
• demonstrate 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:

• demonstrate applied knowledge and experience to identify patients’ problems, making logical, rational decisions, 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 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