Curriculum standards
Curriculum standards
Advanced Training in Medical Oncology (Adult Medicine)
Entrustable Professional Activities
LG4: Quality improvement
Quality improvement
Identify and address failures in health care delivery
This activity requires the ability to:
- identify and report actual and potential (near miss) errors
- perform and evaluate system improvement activities
- comply to best practice guidelines
- inspect clinical guidelines and outcomes
- enhance the development of policies and protocols designed to protect patients and enhance health care
- monitor own practice and develop individual improvement plans
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:
- regularly review patients’ or population health outcomes to identify opportunities for improvement in delivering appropriate care
- evaluate environmental and lifestyle health risks, and advocate for healthy lifestyle choices
- use standardised protocols and best available evidence to adhere to best practice
- regularly monitor personal professional performance
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- contribute to processes on identified opportunities for improvement
- recognise the importance of prevention and early detection of cancer
- use local guidelines to assist patient care decision making
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- support patients to have access to, and use, easy-to-understand, high-quality information about health care
- support patients to share decision making about their own health care, to the extent they choose
- assist patients’ access to their health information, as well as complaint and feedback systems
- respectfully discuss with patients any safety and quality concerns they have relating to their care, appropriately acting on these concerns
- implement the organisation’s open disclosure policy
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
- apply knowledge of how health literacy might affect the way patients or populations gain access to, understand, and use health information
- advocate for patients
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:
- demonstrate safety skills, including infection control, adverse event reporting, and effective clinical handover
- 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
- participate in systems for surveillance of adverse events and near misses, including the reporting of such events
- ensure that identified opportunities for improvement are raised and reported appropriately
- improve health care through the use of clinical audits and registries of data on patients’ experiences and outcomes, learnings from incidents, and complaints
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of a systematic approach to improving the quality and safety of health care
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:
- participate in professional training in quality and safety
- supervise and manage the performance of junior colleagues in the delivery of high-quality, safe care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- work within organisational quality and safety systems for the delivery of clinical care
- use opportunities to learn about safety and quality theory and systems
Research
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
- conducted in accordance with best Good Clinical Practice principles
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise 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
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- identify and address biases, such as those regarding gender identity, sexual orientation, and cultural and religious diversity, in personal and group decision making to prevent harmful impacts on patient outcomes
- use the expertise of culture-specific liaisons, such as Māori and Aboriginal and Torres Strait Islander peoples hospital liaison officers, to achieve best outcomes for patients and organisations
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- communicate effectively with patients from culturally and linguistically diverse backgrounds
- effectively assess, understand, and respect cultural factors that contribute to patient decision making and health care engagement
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:
- contribute to developing an organisational culture that enables and prioritises patients’ safety and quality of care
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
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:
- use decision-making support tools, such as guidelines, protocols, pathways, and reminders
- analyse and evaluate current care processes to improve health care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- access information and advice from other health practitioners to identify, evaluate, and improve patients’ management
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:
- formulate and implement quality improvement strategies, collaboratively involving all key health professionals
- support multidisciplinary team activities to lower patients’ risk of harm, and promote multidisciplinary programs of education
- actively involve clinical pharmacists in the medication-use process
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, especially where concerns regarding the quality of health care provision are raised
- partner with clinicians and managers to ensure patients receive appropriate care and information on their care
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:
- participate in all aspects of the development, implementation, evaluation, and monitoring of governance processes
- measure, analyse, and report a set of palliative care-specific process of care and outcome clinical indicators, and a set of generic safety indicators
- take part in designing and implementing organisational systems for:
- defining the scope of clinical practice
- performance monitoring and management
- clinical, and safety and quality education and training
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- maintain a dialogue with service managers about issues that affect patient care
- contribute to relevant organisational policies and procedures
- help shape an organisational culture that prioritises safety and quality through openness, honesty, learning, and quality improvement
- identify local and major international agencies with a role in cancer control, research, and/or treatment
- recognise legal issues relating to anticancer treatments, the institution and withdrawal of life support systems, and the Voluntary Assisted Dying Legislation across states, countries, and the Commonwealth