Curriculum standards

Ready to perform without supervision

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

The trainee will:

• practice shared decision making with patients, families, and carers
• implement the organisation’s open disclosure policy
• support patients, their families, whānau, and/or carers to have access to, and use, easy-to-understand, high-quality information regarding their child’s medical condition
• encourage patients to provide feedback and make complaints when appropriate, providing information on these processes and services

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

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
• respond holistically to patient complaints, including investigating and reviewing all relevant documentation
• perform incident reporting in line with local procedures
• participate in organisational quality and safety activities, including morbidity and mortality reviews, clinical incident reviews, root cause analyses, and corrective action preventative action plans
• participate in systems for surveillance and monitoring of adverse events and ‘near misses’, including reporting such events
• raise and appropriately report identified opportunities for improvement
• use clinical audits and registries of data on patients’ experiences and outcomes, learnings from incidents, and complaints to inform best practice in care

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
• respond to patient complaints

Ready to perform without supervision

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

The trainee will:

• translate quality improvement approaches and methods into practice
• participate in professional training in quality and safety to ensure a contemporary approach to safety system strategies
• 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

Ready to perform without supervision

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

The trainee will:

• confirm 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

Requires some supervision

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

The trainee may:

• demonstrate understanding 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

Ready to perform without supervision

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

The trainee will:

• undertake professional development opportunities that address the impact of cultural bias on health outcomes

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

Ready to perform without supervision

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

The trainee will:

• align improvement goals with the priorities of the organisation
• contribute to developing and maintaining an organisational culture that enables and prioritises patients’ safety and quality 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

Ready to perform without supervision

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

The trainee will:

• use and contribute to decision-making support tools, such as guidelines, protocols, pathways, and reminders
• analyse and evaluate current care processes to improve 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 care practitioners to identify, evaluate, and improve patients’ care management

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 as a collaborative effort, involving all key health professionals
• support multidisciplinary team activities to lower patients’ risk of harm, and promote interdisciplinary programs of education

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
• partner with clinicians and managers to ensure that patients receive appropriate care and information on their care

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
• 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
• measure, analyse, and report a set of specialty-specific process of care and outcome clinical indicators, and a set of generic safety indicators
• take part in the design and implementation of the organisational systems for:
  • clinical education and training
  • defining the scope of clinical practice
  • performance monitoring and management
  • 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