Curriculum standards
Curriculum standards
Advanced Training in Paediatric Rehabilitation Medicine
Entrustable Professional Activities
LG12: Clinic management
Clinic management
Manage an outpatient clinic
This activity requires the ability to:
- direct medical consultations, procedures, and treatments
- lead a multidisciplinary team
- oversee quality improvement activities
- communicate with patients, families, whānau, and/or carers
- liaise with other health professionals and team members
- demonstrate problem-solving skills
- use public resources responsibly
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:
- identify and effectively address current clinical concerns, as well as longer-term clinical objectives, as appropriate to patients’ context
- evaluate environmental and lifestyle health risks, and advocate for healthy lifestyle choices
- create accurate and appropriately prioritised problem lists in clinical notes or as part of an ambulatory care review
- update documentation in a time frame appropriate to the clinical situation of patients
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise the importance of prevention, early detection, and health maintenance
Communication
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 and disability system to improve access to care by collaboration with other services, such as community healthcare and therapy providers
- link patients to specific community-based programs
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
- facilitate appropriate use of interpreter services and translated materials
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:
- practice health care that maximises patient safety
- 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
- inform patients about billing 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
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:
- 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
Research
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
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
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- acknowledge the cultural needs of patients, families, and the community
- mitigate the influence of one’s own culture and beliefs on interactions with patients and decision making
- adapt practice to improve patient engagement, health, and rehabilitation outcomes
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
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:
- 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:
- 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
- use social media consistently with ethical and legal obligations
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:
- integrate prevention, early detection, health maintenance, and chronic condition management into clinical practice
- work to achieve optimal and cost-effective patient care that allows maximum benefit from the available resources
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise the appropriate use of diagnostic interventions, therapeutic modalities, and specialised clinical services
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:
- 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
- document all important discussions with colleagues, multidisciplinary team members, and patients appropriately
- review discharge summaries, notes, and other communications written by junior colleagues
- support colleagues who raise concerns about patients or team management
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- attend relevant clinical meetings regularly
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:
- demonstrate capacity to engage in the surveillance and monitoring of the health status of populations in the outpatient setting
- maintain good relationships with health and disability agencies and services
- apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise common population health screening and prevention approaches