Curriculum standards

Ready to perform without supervision

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

The trainee will:

• communicate openly, listen, and take patients’ concerns seriously, giving them adequate opportunity to ask questions
• provide information to patients and their family, whānau, or carers to enable them to make a fully informed decision from various diagnostic, therapeutic, and management options
• communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care

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
• communicate patients’ situations to colleagues, including senior clinicians
• demonstrate active listening skills

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 behaviour 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

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:

• set defined objectives for clinical teaching encounters, and solicit feedback on mutually agreed goals
• regularly reflect upon and self-evaluate 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:

• set clear goals and objectives for self-learning
• self-reflect 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:

• search for, compile, analyse, interpret, and evaluate information relevant to the research subject
• describe Good Clinical Practice in line with international directives for all aspects of the conduct of clinical trials
• recognise the role and limitations of clinical trials in regular practice
• identify the rapidly evolving landscape in basic scientific, translational, and clinical research
• identify relevant resources to access up-to-date evidence and guidelines
• manage patients on clinical trials according to Good Clinical Practice and other protocols
• identify and ethically enrol patients into clinical trials

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

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
• demonstrate cultural and linguistic sensitivity
• demonstrate effective and culturally competent communication and care for Māori and Aboriginal and Torres Strait Islander peoples, and members of other cultural groups
• engage professional interpreters, health advocates, or family or community members to assist in communication with patients as appropriate, and understand the potential limitations of each
• acknowledge patients’ identity, beliefs, and values, and demonstrate awareness of how these can impact their 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
• display an understanding of at least the most prevalent cultures in society, and an appreciation of their potential culturally based beliefs, values, and perspectives, while recognising that there is individual variance within cultural groups
• 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

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 their families, whānau, or carers in decision making
• not advance personal interest or professional agendas at the expense of patient or social welfare

Ready to perform without supervision

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

The trainee will:

• apply knowledge and experience to identify patients’ problems, making logical, rational decisions, and acting 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 the 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