Curriculum standards

Ready to perform without supervision

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

The trainee will:

• help patients navigate the healthcare system to improve access to care by collaboration with other services, such as community health centres and consumer organisations
• incorporate appropriate LGBTQIA+ safe language, including gender affirming language
• link patients to specific community-based health programs and group education programs
• set up clear reporting lines and clinical parameters with junior doctors and nursing staff
• communicate goals of projects, and engage others as appropriate
• facilitate communication within meetings that respects values and engages all participants in decision making
• provide appropriate time frames for review, and communicate who is responsible for arranging further referrals or investigations
• communicate contingency plans for referring clinicians if initial plans do not provide the desired outcome
• check quality and accuracy of reports or documentation generated by others and technologies, including artificial intelligence-informed large language models

Requires some supervision

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

The trainee may:

• wherever practical, meet patients’ specific language and communication needs
• facilitate 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
• provide effective rostering of team members to ensure safe patient care
• adopt a systematic approach to the review and improvement of professional practice in the outpatient clinic setting
• identify aspects of service provision that may be a risk to patients’ safety
• ensure that patients are informed about fees and charges

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
• recognise a systematic approach to improving the quality and safety of health care
• participate in organisational quality and safety activities, including clinical incident reviews

Ready to perform without supervision

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

The trainee will:

• evaluate own professional practice
• demonstrate learning behaviour and skills in educating junior colleagues
• contribute to the generation of knowledge
• maintain professional continuing education standards
• constructively manage performance of individuals within teams
• recognise the key factors impacting successful adult education

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:

• explain principles of designing and leading clinical studies
• 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 informed consent

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:

• apply knowledge of the cultural needs of the community served, and how to shape service to those people
• mitigate the influence of bias on interactions with patients and decision making
• adapt practice to improve patient engagement and health outcomes
• identify and support patients’ access to clinical and non-clinical supports appropriate to the individual patient and their community, such as kaimahi hauora, Aboriginal health practitioners, and relevant non-government organisations

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, both at 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
• recognise 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
• demonstrate knowledge of the contemporary industrial rights and responsibilities of a team leader working with a healthcare team

Requires some supervision

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

The trainee may:

• recognise the responsibility to protect and advance the health and wellbeing of individuals and communities
• maintain the confidentiality of documentation, and store clinical notes appropriately
• ensure that the use of social media is 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 chronic condition management, early detection, health maintenance, and prevention, where relevant, into clinical practice
• work to achieve optimal and cost-effective patient care that allows maximum benefit from the available resources
• demonstrate efficient use of time in the planning of coordinated care for individual patients
• make appropriate use of sub-specialist consultation services, and integrate their advice into patient care
• implement methods to ensure patient care is appropriately monitored and reviewed, particularly in cases of diagnostic uncertainty
• recognise own limitations and seek guidance from other clinicians, when required, in an appropriate way

Requires some supervision

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

The trainee may:

• explain the appropriate use of human resources, diagnostic interventions, therapeutic modalities, and health care facilities
• inadequately consult with senior colleagues

Ready to perform without supervision

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

The trainee will:

• prepare for and conduct clinical encounters in a well-organised and time-efficient manner
• work effectively as a member of multidisciplinary teams or other professional groups
• work autonomously but in collaboration with other local healthcare providers
• be aware of the roles of other healthcare providers in the ambulatory care setting
• ensure that all important discussions with colleagues, multidisciplinary team members, and patients are appropriately documented
• 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:

• 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:

• demonstrate capacity to engage in the surveillance and monitoring of the health status of populations in the outpatient setting
• maintain good relationships with health agencies and services
• review and develop strategies to address supply / demand mismatch and access blocks
• apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs, such as virtual care and satellite clinics to rural health services
• support patients’ access to receiving service and care in their community setting, such as access to culturally appropriate care and telehealth
• recognise the limitations of virtual care (such as telehealth) and strategies to mitigate these, and the circumstances in which it may not be an advisable alternative
• discharge patients appropriately to avoid expanding clinic waiting lists
• use public resources responsibly
• be familiar with institutional support frameworks and options when advocating for patients or disadvantaged populations

Requires some supervision

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

The trainee may:

• comprehend common population health screening and prevention approaches