Curriculum standards

Ready to perform without supervision

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

The trainee will:

• ensure patients are informed of any risks associated with their care, including investigations, procedures, and therapies
• obtain informed consent before undertaking any investigation, procedure, or therapy
• ensure that patients are informed about fees and charges
• assist patients to access 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 the organisation’s open disclosure policy, where appropriate
• engage consumers in quality improvement activities
• provide clear, safe, timely, and effective handover during escalation and between transitions of care

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
• provide information in a manner so that patients, families, and carers are fully informed when consenting to any procedures
• apply knowledge of how health literacy might affect the way patients or populations gain access to, understand, and use health information

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
• participate regularly in organisational quality and safety activities, including:
  • antimicrobial stewardship
  • audits
  • clinical incident reviews
  • corrective action preventive action plans
  • morbidity and mortality reviews
  • review of clinical guidelines and protocols
  • root cause analyses
• participate in systems for surveillance and monitoring of adverse events and near misses, including reporting such events
• use clinical audits and registries of data on patients’ experiences and outcomes, learnings 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 awareness of a systematic approach to improving the quality and safety of health care
• raise appropriate issues for review at morbidity and mortality meetings
• work within organisational quality and safety systems for the delivery of clinical care

Ready to perform without supervision

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

The trainee will:

• participate in quality and safety trainings, meetings, and activities to ensure a contemporary approach to safety system strategies

Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

• use opportunities to learn about safety and quality theory and systems

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
• present critical analysis of relevant literature at departmental journal club meetings
• 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

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
• demonstrate a commitment to improving cultural safety in own practice
• apply frameworks and policies related to improving health care for Māori and Aboriginal and Torres Strait Islander peoples

Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

• demonstrate commitment to improving cultural safety in own practice

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 and health professionals
• advocate for the safety of patients and staff using appropriate systems
• demonstrate accountability for errors by identifying possible system issues to improve, while contributing to an organisational “no blame” culture that prioritises patients’ safety and quality
• consider young people’s capacity for decision making and consent, involving a proxy decision maker where appropriate

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
• assist in shaping an organisational culture that prioritises safety and quality through openness, honesty, learning, and quality improvement
• consider patients’ decision-making capacity

Ready to perform without supervision

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

The trainee will:

• formulate and implement quality improvement strategies as a collaborative effort involving all key health professionals
• support multidisciplinary team activities to lower patients’ risk of harm, and promote multidisciplinary programs of education

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 patients receive appropriate care and information on their care

Ready to perform without supervision

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

The trainee will:

• participate in all applicable health care governance processes
• participate regularly in multidisciplinary meetings where quality and safety issues are standing agenda items, and where innovative ideas and projects for improving care are actively encouraged
• identify activities within systems to reduce errors, improve patient and population safety, and implement cost-effective change

Requires some supervision

Possible behaviours of a trainee who needs some supervision to perform this activity

The trainee may:

• comply with all relevant organisational policies and procedures