Curriculum standards
Curriculum standards
Advanced Training in Medical Oncology (Adult Medicine)
Entrustable Professional Activities
LG11: Clinic management
Clinic management
Manage an outpatient clinic
This activity requires the ability to:
- facilitate medical procedures and treatments
- facilitate clinic services, including appropriate resource allocation, and use of time and services (e.g. telehealth)
- measure quality improvement activities
- communicate with patients, other health professionals, and team members in an inclusive and supportive manner
- prepare appropriate and timely documentation, correspondence, and referrals to other health practitioners
- demonstrate problem-solving skills
- use public resources responsibly
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:
- 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
- maintain timely documentation on patients’ presentation, management, and progress, including creation of accurate and appropriately prioritised problem lists in clinical notes or as part of ambulatory care reviews
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of the importance of prevention, early detection, health maintenance, and chronic condition management
Communication
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 community health centres and consumer organisations
- link patients to specific community-based health programs and group education programs
- demonstrate compassion when dealing with clinical management
- use appropriate written and verbal communication with other health practitioners and administrators
- maintain privacy and confidentiality
- demonstrate compassion and empathy in responding to verbal and nonverbal cues and emotion while giving medical information
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- wherever practical, meet patients’ specific language and communication needs
- facilitate appropriate use of interpreter services and translated materials
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:
- 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
- ensure patients are informed about fees and charges
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
- recognise a systematic approach to improving the quality and safety of health care
- participate in organisational quality and safety activities, including clinical incident reviews
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:
- evaluate own professional practice
- demonstrate skills in educating junior colleagues
- contribute to the generation of knowledge
- maintain professional continuing education standards
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
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 or other valid authority 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
- identify up-to-date knowledge of availability of clinical trials relevant to patients
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
- refer to evidence-based guidelines to assist with decision making
Cultural safety
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 serving, and how to shape service to those people
- mitigate the influence of own culture and beliefs on interactions with patients and decision making
- adapt practice to improve patient engagement and health outcomes
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
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
- comply with the legal requirements of preparing and managing documentation
- respect the roles and expertise of other health professionals
- demonstrate awareness of financial and other conflicts of interest
- manage factors of time and workload in a professional manner:
- clinic schedule
- feasibility
- punctuality
- openly disclose and report errors
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- identify 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
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:
- 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
- triage referrals appropriately by assessing urgency of care required
- recognise the need to refer to other health professionals
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- identify the appropriate use of human resources, diagnostic interventions, therapeutic modalities, and health care facilities
- identify general principles for local modalities
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:
- 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
- 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
- support colleagues who raise concerns about patients’ safety
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- attend relevant clinical meetings regularly
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:
- demonstrate 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
- apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- identify common population health screening and prevention approaches