Curriculum standards

Ready to perform without supervision

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

The trainee will:

• write relevant and succinct medical record entries, including clinical assessments and management plans
• write comprehensive and accurate summaries of care, including discharge summaries, clinic letters, and transfer documentation
• initiate and maintain verbal communication with other health professionals when required
• communicate with patients about transitions of care, and engage and support these parties in decision making
• liaise with other agencies, including guardianship boards and schools
• engage and consult with child protection services
• lead the medical component of case conferences

Requires some supervision

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

The trainee may:

• communicate clearly with clinicians and other caregivers
• use standardised verbal and written templates to improve the reliability of information transfer and prevent errors and omissions
• communicate accurately and in a timely manner to ensure effective transitions between settings, and continuity and quality of care
• attend and contribute to interdisciplinary case conferences

Ready to perform without supervision

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

The trainee will:

• identify patients at risk of poor transitions of care, and mitigate risks where possible
• use electronic tools (where available) to securely store and transfer patient information
• use consent processes, including written consent if required, for the release and exchange of information
• demonstrate understanding of the medicolegal context of written communications

Requires some supervision

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

The trainee may:

• ensure that handover is complete, or work to mitigate risks if incomplete
• ensure all outstanding results or procedures are followed up by receiving units and clinicians
• keep patients’ information secure, adhering to relevant legislation regarding personal information and privacy

Ready to perform without supervision

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

The trainee will:

• integrate respectful clinical education in handover sessions and other transition of care meetings
• tailor clinical education to the level of the professional parties involved

Requires some supervision

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

The trainee may:

• take opportunities to teach junior colleagues during handover, as necessary

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 regarding patient preferences, and whether they are realistic and possible, respecting patient choices
• incorporate appropriate LGBTQIA+ safe language
• consider socioeconomic factors when deciding appropriate adult services for patients

Requires some supervision

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

The trainee may:

• include relevant information regarding patients’ cultural or ethnic background in handovers, and 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
• demonstrate understanding of the clinical, ethical, and legal rationale to disclose information
• share information about patients’ health care in a manner consistent with privacy law and professional guidelines on confidentiality, taking patient preferences into account
• demonstrate understanding of the additional complexity related to some types of information, such as genetic information, blood-borne-virus status, and LGBTQIA+ status, and seek appropriate advice about disclosure of such information
• interact in a collegiate and collaborative way with professional colleagues during transitions of care
• recognise the timing, location, privacy, and appropriateness of sharing information with patients

Requires some supervision

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

The trainee may:

• maintain respect for patients and other health professionals, including respecting privacy and confidentiality

Ready to perform without supervision

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

The trainee will:

• ensure patients’ care is in the most appropriate facility, setting, or provider
• use mental health legislation appropriately if transition to involuntary care status is required

Requires some supervision

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

The trainee may:

• use a structured approach to consider and prioritise patients’ and parent / carer issues
• 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:

• share the workload of transitions of care appropriately, including delegation
• demonstrate understanding of the medical governance of patient care, and the differing roles of team members
• show respect for the roles and expertise of other health professionals, and work effectively as a member of professional teams
• ensure that multidisciplinary teams provide the opportunity for patients’ and parent / carer engagement and participation when appropriate
• participate in shared care with specialist services as appropriate
• recognise the role of interagency collaboration, including across sectors, such as health, education, and justice
• work in multidisciplinary teams and with colleagues from a wide range of professional groups

Requires some supervision

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

The trainee may:

• recognise factors that impact the transfer of care, and help subsequent health professionals understand any issues that may influence self-management or continuity of care
• work to overcome the potential barriers to continuity of care, appreciating the role of handover in overcoming these barriers

Ready to perform without supervision

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

The trainee will:

• contribute to processes for managing risks, and identify strategies for improvement in transition of care
• engage in organisational processes to improve transitions of care, such as formal surveys or follow-up phone calls after hospital discharge

Requires some supervision

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

The trainee may:

• factor transport issues and costs to patients into arrangements for transferring patients to other settings