Curriculum standards
Curriculum standards
Advanced Training in Neonatal and Perinatal Medicine
Entrustable Professional Activities
LG5: Clinical assessment and management
Clinical reasoning in diagnosis and management
Clinically assess and provide management to sick and healthy neonates
This activity requires the ability to:
- identify and access sources of relevant information about patients
- obtain patient histories
- examine patients
- synthesise findings to develop provisional and differential diagnoses
- discuss findings with patients
- formulate management plans
- present findings to other health professionals
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:
- elicit accurate, systematic, and problem-focused medical histories, considering physical, psychosocial, and risk factors
- perform systematic physical examinations to establish the nature and extent of problems in sick and healthy neonates
- recognise the significance of maternal and fetal conditions on the health and developmental outcomes of the neonate
- assess the severity of problems, the likelihood of complications, and the nature and extent of potential clinical outcomes
- assess if patients’ current location (such as a regional unit, postnatal ward, or perinatal centre) can provide the appropriate level of care or if the patient needs to be transferred to another location
- synthesise findings on histories and physical examinations to develop provisional and differential diagnoses
- formulate patient-centred management plans
- use new technologies, including artificial intelligence (AI), that support clinical practice for safety and efficacy
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- elicit limited patient-centred histories
- perform targeted physical examinations
- recognise and correctly interpret abnormal findings
- synthesise pertinent information to direct clinical encounters and diagnostic categories
- develop appropriate management plans
Communication
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
- communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care
- use technology, such as AI, in development of written communication, where appropriate
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’ dispositions to colleagues, including senior clinicians
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:
- provide accurate, clear, complete, and timely documentation of clinical information in patients’ medical records
- demonstrate safety skills, including infection control, adverse event reporting, and effective clinical handover
- obtain informed consent before undertaking any investigation or providing treatment (except in an emergency)
- inform patients of the material risks associated with any part of proposed management plans
- recognise the value and pitfalls of using evolving technologies, such as AI, to aid clinical decision making
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
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:
- 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 and learn, appropriate to the setting
Research
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, collate, analyse, interpret, and evaluate information relevant to the research subject
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
- recognise the limitations of evidence and the challenges of applying research in clinical practice
Cultural safety
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 and 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 recognise the potential limitations of each
- acknowledge patients’ beliefs and values, and how these might impact on their health
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate respect for patients’ cultures, and attentiveness to social determinants of health
- appropriately access interpretive or culturally focused services
- recognise cultural sensitivities
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:
- demonstrate professional values, including compassion, empathy, respect for diversity, integrity, honesty, and partnership to all patients and colleagues
- hold information about patients in confidence, unless the release of information is required by law or public interest
- assess patients’ capacity for decision making, involving a proxy decision maker appropriately
- demonstrate awareness of medicolegal and social issues around child protection
- identify and manage families at high psychosocial risk, including taking full drug and alcohol histories
- identify strategies for the safe discharge and community support of families at high psychosocial risk
- identify ethical challenges with implementation of evolving technologies, including AI, into clinical practice
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
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 a holistic approach to health, considering comorbidity, risk, and uncertainty
- use the best available evidence for the most effective therapies and interventions to ensure quality care
- apply knowledge and experience to identify patients’ problems, making logical, rational decisions, and acting to achieve positive outcomes for patients
- use technology safely and ethically for aiding decisions, and where appropriate
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
- recognise personal limitations and seek help in an appropriate way when required
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:
- 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 patients’ safety
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
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 health promotion, disease prevention and control, screening, and reporting notifiable diseases
- aim to achieve the optimal cost-effective patient care to allow maximum benefit from the available resources
- demonstrate a collaborative approach to developing protocols, such as for the prevention and management of perinatal sepsis, hand washing, and infection control measures in clinical practice
- advocate and support infection control policies and practices in the neonatal unit
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