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 or carers to enable them to make fully informed decisions from various diagnostic, therapeutic, and management options
• develop and communicate management plans
• write clear and concise reports to advocate for patients
• negotiate the initial plan and any changes with patients, carers, and colleagues
• communicate with patients at different levels of development
• maintain the confidentiality of information obtained from patients
• communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care
• access and liaise with mental health providers, including hospital and community-based providers
• provide dietary counselling
• use motivational interviewing to achieve healthy behaviour change

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
• demonstrate active listening skills
• communicate patients’ situations to colleagues, including senior clinicians and allied health professionals
• discuss the indications, risks, benefits, and complications of investigations with patients before ordering investigations
• explain the results of investigations to patients

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 behaviours 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 investigations or management plans
• analyse adverse incidents and sentinel events to identify system failures and contributing factors

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
• evaluate the quality of processes through well-designed audits
• evaluate the quality and safety processes implemented within the workplace, and identify gaps in their structure

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
• demonstrate effective supervision skills and teaching methods that are adapted to the context of the training
• use appropriate guidelines, evidence sources, and decision support tools

Requires some supervision

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

The trainee may:

• set unclear goals and objectives for self-learning
• self-reflect infrequently
• deliver teaching considering learners’ level of training
• provide constructive feedback to junior colleagues to contribute to improvements in individuals’ skills

Ready to perform without supervision

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

The trainee will:

• search for, find, compile, analyse, interpret, and evaluate information relevant to the research subject
• evaluate the applicability of the results of clinical studies to the circumstances of individual patients, especially those with multiple comorbidities

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
• refer to evidence-based clinical guidelines and protocols on acutely unwell patients

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, and demonstrate cultural and linguistic sensitivity
• demonstrate effective and culturally safe communication and care for Aboriginal and Torres Strait Islander peoples, Māori, and members of other cultural groups
• use a professional interpreter, health advocate, or a family or community member to assist in communication with patients, and understand the potential limitations of each
• acknowledge patients’ beliefs and values, and how these might impact on health
• incorporate appropriate LGBTQIA+ safe language
• demonstrate awareness of patients’ views and preferences about any proposed investigation and the adverse outcomes they are most concerned about

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 openness and respect for patients’ different cultures and patients from the LGBTQIA+ community
• 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
• access and keep up to date with current legislation regarding mental health and mandatory reporting requirements
• hold information about patients in confidence, unless the release of information is required for the safety of patients or others, or by law or public interest
• identify relevant state and federal legislation, policies, procedures, and protocols in relation to suspected sexual assaults
• assess patients’ capacity for decision making, involving a proxy decision maker appropriately
• respect, where appropriate, patients’ decisions to refuse investigations, even if their decisions may not be appropriate or evidence based
• demonstrate awareness of complex issues related to genetic information obtained from investigations, and subsequent disclosure of such information

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 families 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
• recognise the need for escalation of care, and escalate to appropriate staff or services
• use care pathways effectively, including identifying reasons for variations in care
• recognise the limits to confidential care in the context of safety, electronic clinical records, and legislative requirements

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

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 outcomes for patients
• demonstrate awareness of colleagues in difficulty, and work within the appropriate structural systems to support them while maintaining patient safety
• outline local community services and processes
• recognise the contributions of different medical subspecialties and practitioners in the diagnosis, assessment, and treatment of health issues and complications
• recognise the role of other agencies and professionals in the evaluation and management of adolescent and young adult health issues
• work collaboratively with staff in the emergency department, intensive care, and other subspecialty inpatient and outpatient / community units

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 healthcare team
• liaise and collaborate with outside agencies
• demonstrate understanding of what parts of an investigation are provided by different doctors or health professionals

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 optimal cost-effective patient care to allow maximum benefit from the available resources
• collect and handle forensic samples, maintaining chain of evidence requirements
• outline relevant national, state, and federal government decision-making processes regarding clinical and support services for patients
• collaborate with colleagues to develop policies and protocols for the investigation and management of common medical problems
• collaborate with emergency medicine staff and other colleagues to develop policies and protocols for the assessment and management of adolescent and young adult patients

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 patients’ care
• understand the systems for the escalation of care for deteriorating patients