Curriculum standards

Ready to perform without supervision

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

The trainee will:

• refer patients to colleagues using recognised handover tools
• help patients navigate the healthcare system to improve access to care by collaboration with other services, such as outpatient services to which they are referred, community health centres, and consumer organisations
• communicate with patients who have concerns regarding the management of their condition
• provide education to patients, using appropriate resources as well as directing them to appropriate follow-up care

Requires some supervision

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

The trainee may:

• meet patients’ specific language and communication needs, wherever practical, facilitating the appropriate use of interpreter services and translated materials

Ready to perform without supervision

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

The trainee will:

• practice health care that maximises patient safety
• be aware of issues that are mandatory to report, and how to report them
• demonstrate an understanding of how to manage and respond to patients’ complaints
• adopt a systematic approach to the review and improvement of professional practice
• demonstrate an understanding of how to assist trainees in distress or those requiring performance management
• identify aspects of service provision that may be a risk to patients’ safety
• ensure that patients are informed about fees and charges if applicable

Requires some supervision

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

The trainee may:

• take reasonable steps to address issues if patients’ safety may be compromised
• demonstrate an understanding of a systematic approach to improving the quality and safety of health care
• participate in organisational quality and safety activities, including clinical incident reviews
• raise appropriate issues for review at morbidity and mortality meetings

Ready to perform without supervision

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

The trainee will:

• evaluate their own professional practice
• demonstrate learning behaviour and skills in educating junior colleagues
• maintain professional continuing education standards

Requires some supervision

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

The trainee may:

• recognise the limits of personal expertise, and involve other professionals as needed to contribute to patients’ care
• use information technology appropriately as a resource for modern medical practice

Ready to perform without supervision

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

The trainee will:

• obtain informed consent or other valid authority before involving patients in research
• inform patients about their rights, the purpose of the research, the procedures to be undergone, and the potential risks and benefits of participation before obtaining consent
• participate in quality improvement projects

Requires some supervision

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

The trainee may:

• allow patients to make informed and voluntary decisions to participate in research

Ready to perform without supervision

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

The trainee will:

• mitigate the influence of own culture and beliefs on interactions with patients and decision making
• challenge individual and systemic forms of discrimination within the emergency department and healthcare service
• adapt practice to improve patient engagement and health outcomes
• advocate for the provision of appropriate resources for culturally diverse and Aboriginal and Torres Strait Islander peoples and Māori within the emergency department, hospital, and community

Requires some supervision

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

The trainee may:

• acknowledge the social, economic, cultural, and behavioural factors influencing health, at both individual and population levels

Ready to perform without supervision

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

The trainee will:

• identify and respect the boundaries that define professional and therapeutic relationships
• respect the roles and expertise of other health professionals
• comply with the legal requirements of preparing and managing documentation
• demonstrate awareness of financial and other conflicts of interest

Requires some supervision

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

The trainee may:

• demonstrate an understanding of the responsibility to protect and advance the health and wellbeing of individuals and communities
• maintain the confidentiality of documentation, and store clinical notes appropriately
• use social media in a manner consistent with ethical and legal obligations

Ready to perform without supervision

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

The trainee will:

• integrate prevention, early detection, health maintenance, and chronic condition management, where relevant, into clinical practice
• work to achieve optimal and cost-effective patient care that allows maximum benefit from the available resources
• maintain minimum safe staffing levels recommended for an emergency department
• demonstrate understanding of the dynamics of patient flow through the emergency department, and factors and choke points that affect the department’s ability to provide quality care

Requires some supervision

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

The trainee may:

• demonstrate understanding of the appropriate use of human resources, diagnostic interventions, therapeutic modalities, and health facilities
• prioritise patients appropriately, balancing competing priorities

Ready to perform without supervision

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

The trainee will:

• demonstrate oversight of factors affecting patient flow through an emergency department
• manage emergency department staffing allocations to improve patient flow
• liaise with hospital stakeholders, such as the head of department or nursing manager, to discuss strategies on improving patient flow through the department
• conduct clinical encounters in a well-organised and time-efficient manner
• work effectively as a member of multidisciplinary teams or other professional groups
• document all important discussions with colleagues, multidisciplinary team members, and patients
• review discharge summaries, notes, and other communications written by junior colleagues
• support colleagues who raise concerns about patients’ safety

Requires some supervision

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

The trainee may:

• demonstrate some understanding of the challenges facing patient flow through the emergency department
• attend relevant clinical meetings regularly

Ready to perform without supervision

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

The trainee will:

• obtain consent for procedures on children who may be under the care of the state
• apply and document use of local mental health act policies and legal rulings when detaining children, including within a room, or with chemical or physical restraints
• maintain good relationships with health agencies and services
• apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
• demonstrate understanding of the role of clinical teams in the emergency department and in the field during mass casualty incidents
• manage the department when a disaster code (both internal and external) is activated
• contribute to the creation of tailored management plans, with a focus on complex patients with recurrent presentations

Requires some supervision

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

The trainee may:

• demonstrate awareness of local mental health act policies and legal rulings when detaining children, including within a room, or with chemical or physical restraints
• consistently apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
• demonstrate desire to build good relationships with health agencies and services