Curriculum standards

Ready to perform without supervision

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

The trainee will:

• educate patients about their condition and expected prognosis or trajectory
• encourage patients’ self-management through education to take greater responsibility for their care, and support problem solving
• communicate with multidisciplinary team members, and involve patients in the dialogue
• communicate with patients about their management plans and relevant transitions of care, and engage and support these parties in decision making
• write detailed and relevant medical record entries and comprehensive handover documents, including accurate clinical assessments and management plans
• initiate and maintain verbal communication with other health professionals as required
• provide support for patients’ psychological, spiritual, and/or emotional concerns

Requires some supervision

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

The trainee may:

• provide healthy lifestyle advice and information to patients on the importance of self-management
• work in partnership with patients, and motivate them to comply with agreed care plans
• communicate clearly with clinicians and other health professionals
• communicate accurately and in a timely manner to ensure continuity and quality of care, including during transitions of care settings and providers

Ready to perform without supervision

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

The trainee will:

• use innovative models of clinical care, including telehealth and digitally integrated support services
• review medicine use, and ensure patients understand safe medication administration to prevent errors
• support patients’ self-management by balancing between minimising risk and helping patients to become more independent
• participate in quality improvement processes impacting on patients’ abilities to undertake normal activities of daily living
• demonstrate understanding of the medicolegal context of written communications, as well as relevant consent requirements and processes for the release and exchange of information
• identify patients at risk of poor transitions of care, and identify strategies to mitigate this risk

Requires some supervision

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

The trainee may:

• participate in continuous quality improvement processes and clinical audits
• identify activities that may improve patients’ quality of life and experience of health care
• keep patient information secure, adhering to relevant privacy legislation
• ensure clinical handovers are complete and accurate

Ready to perform without supervision

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

The trainee will:

• educate patients to recognise and monitor their symptoms, and undertake strategies to assist their recovery
• contribute to the development of clinical pathways based on current evidence and guidelines
• integrate clinical education in handovers and transition of care meetings

Requires some supervision

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

The trainee may:

• use clinical practice guidelines for chronic diseases management
• provide opportunities to teach junior colleagues

Ready to perform without supervision

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

The trainee will:

• prepare reviews of literature based on patient encounters to present at journal club meetings
• search for and critically appraise evidence to resolve clinical areas of uncertainty

Requires some supervision

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

The trainee may:

• search literature using problem / intervention / comparison / outcome (PICO) format
• recognise appropriate use of review articles

Ready to perform without supervision

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

The trainee will:

• communicate with careful consideration to health literacy, language barriers, and culture, respecting patient choices
• recognise the timing, location, privacy, and appropriateness of sharing information with patients
• encourage patients from culturally and linguistically diverse backgrounds to join local networks to receive the support needed for long-term self-management

Requires some supervision

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

The trainee may:

• provide culturally safe medical care
• consider whether an interpreter is required

Ready to perform without supervision

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

The trainee will:

• disclose and share only contextually appropriate medical and personal information, consistent with privacy laws and confidentiality and professional guidelines
• use consent processes for the release and exchange of health information
• assess patients’ decision-making capacity, and appropriately identify and use alternative decision makers

Requires some supervision

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

The trainee may:

• share information between relevant service providers
• acknowledge and respect the contributing role of patients, their families, whānau, carers, and other health professionals in patient care

Ready to perform without supervision

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

The trainee will:

• ensure patient care occurs in the most appropriate facility or setting
• implement appropriate clinical care pathways in accordance with up-to-date clinical evidence
• recognise patients’ needs in terms of both internal resources and external support on long-term health care journeys

Requires some supervision

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

The trainee may:

• 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:

• coordinate whole-person care through all stages of the patients’ care journey
• use a multidisciplinary approach to manage patient care, showing respect for the roles and expertise of all involved health professionals and care providers
• develop collaborative relationships with patients, their families, whānau, carers, and other health professionals

Requires some supervision

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

The trainee may:

• participate in multidisciplinary team meetings
• recognise factors which may impact upon optimal transfer and continuity of care

Ready to perform without supervision

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

The trainee will:

• use health screening for early intervention
• help patients access relevant initiatives, supports, and services
• participate in government and local initiatives to reduce hospital admissions and improve patients’ quality of life

Requires some supervision

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

The trainee may:

• demonstrate awareness of government initiatives and services available for patients with cancer and their carers, and display knowledge of how to access them