Entrustable Professional Activities

LG13: Public health advocacy

Learning Goal 13

Public health advocacy

Advocate effectively with diverse decision makers, communities, and stakeholders to prevent, promote, and protect the public's health

This activity requires the ability to:

  • maintain active horizon scanning and critical reflection to identify issues with public health ramifications for populations or population subgroups that present an opportunity for advocacy
  • undertake review of available evidence, including critical analysis of original work and credible review documents
  • describe the intended or desired changes
  • assess the feasibility and impact of planned advocacy
  • determine the systems that the issue(s) exist within, and identify key decision makers and audiences
  • understand the knowledge or perception of the key audiences, their source(s) of information, and intended message objectives
  • define the goals of the advocacy (SMART goals)
  • build a base of credibility, and be transparent, professional, and communicate clearly
  • define targeted, values-based messages for each audience, and determine the most effective communication channels for message delivery
  • influence through established relationships
  • mobilise external pressure when required
  • establish a timeline and responsible party for each activity
  • evaluate whether objectives have been reached
  • write reports and/or reflections to aid future advocacy

Professional practice framework domain

Medical expertise

confident
Ready to perform without supervision

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

The trainee will:

  • use evidence-based principles of practice to identify advocacy opportunities and potential solutions
  • apply medical knowledge to assess the impact and potential outcomes of current and emerging issues
  • identify the determinants of health of the population, and mitigate barriers to access to care
  • translate public health perspectives between people with different expertise, such as clinical, research, and government staff

direction
Requires some supervision

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

The trainee may:

  • demonstrate knowledge of current and emerging population health issues
  • demonstrate understanding of individual (patient) versus population-focused advocacy
  • assess the spectrum of problems to be addressed

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • communicate effectively with a broad range of audiences, including writing and editing
  • demonstrate a transparent, consultative style by engaging stakeholders, including government, communities, non-governmental organisations (NGOs), and others
  • collaborate across groups and identify shared understandings and core needs and goals to increase the efficiency and effectiveness of collaborations
  • work with stakeholders, other health professionals, and intersectoral colleagues to resolve conflict that may arise when planning and aligning goals
  • demonstrate rapport with people at all levels by tailoring messages to different stakeholders, using values-based messaging or other approaches
  • present limitations and uncertainty honestly when communicating findings to others
  • demonstrate excellent writing and word processing skills
  • use clear, concise language appropriate to the target audience
  • use email and other written correspondence effectively
  • produce effective proposals, submissions, and articles on public health issues
  • deliver presentations in a variety of settings

direction
Requires some supervision

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

The trainee may:

  • recognise different communications approaches for different audiences and situations
  • develop presentation skills, with supervision, using available tools
  • develop media skills, with supervision, using available tools
  • respect the roles of team members
  • use clear, concise language
  • be able to identify contextual factors that will frame communication, such as anger

Quality and safety

confident
Ready to perform without supervision

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

The trainee will:

  • place safety and quality of care first in all actions and decision making
  • demonstrate the ability to prioritise professional duties effectively and appropriately when faced with multiple issues and problems
  • ensure the safety of people and communities impacted by the advocacy issue, including their confidentiality and cultural considerations
  • co-design, implement, and use methods to check benefits and harms as experienced by populations at the heart of advocacy issues
  • maintain personal health and wellbeing and recognise the importance of self-care in the workplace

direction
Requires some supervision

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

The trainee may:

  • participate in audits and other activities that affect the quality and safety of health care
  • participate in multidisciplinary collaboration to provide effective health services and operational change
  • use current and emerging information resources where available
  • develop reflective practice using available tools

Teaching and learning

confident
Ready to perform without supervision

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

The trainee will:

  • regularly self-evaluate personal professional practice, and implement changes based on the results
  • actively seek feedback from supervisors and colleagues on their own performance, and implement active processes to maintain and improve performance
  • identify personal gaps in skills and knowledge related to public health advocacy, and engage in self-directed learning
  • maintain up-to-date knowledge of new technologies, health priorities, and changes in population health needs

direction
Requires some supervision

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

The trainee may:

  • accept feedback constructively, and change behaviour in response
  • recognise the limits of personal knowledge and expertise, and involve other health professionals and supervisors for advice and support as needed

Research

confident
Ready to perform without supervision

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

The trainee will:

  • establish interdisciplinary collaborations
  • engage with Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua) for research input and to respect self-determination
  • advocate for effective research, including research funding
  • critically and systematically review relevant literature, taking account of levels of evidence to clearly define issues and potential solutions

Cultural competency

confident
Ready to perform without supervision

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

The trainee will:

  • demonstrate culturally competent relationships with professional colleagues, communities, and advocacy targets, such as government
  • take steps to minimise unconscious bias, including the impact of gender, religion, cultural beliefs, and socioeconomic background
  • identify and apply the values and needs of potential health promotion partners, including Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua)
  • co-design advocacy initiatives with affected communities, including Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua)
  • demonstrate respect for diversity and differences

direction
Requires some supervision

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

The trainee may:

  • demonstrate awareness of cultural diversity, unconscious bias, prejudice, and racism in all its forms, including pervasive, systemic, and sinuous and overt racism, and other forms of discrimination

Ethics and professional behaviour

confident
Ready to perform without supervision

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

The trainee will:

  • promote a team culture of shared accountability for decisions and outcomes
  • encourage open discussion of ethical concerns
  • respect differences of multidisciplinary team members
  • demonstrate an understanding of the ethics of resource allocation
  • effectively consult with stakeholders, achieving a balance of alternative views
  • acknowledge personal conflicts of interest, unconscious bias, and other types of bias, such as homophobia, transphobia, and sexism
  • work in partnership with Aboriginal and Torres Strait Islander peoples and Māori (tangata whenua), including their political governance structures
  • identify and appropriately respond to relevant ethical issues arising for groups, organisations, communities, and populations
  • show respect for knowledge and expertise of colleagues

direction
Requires some supervision

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

The trainee may:

  • understand and support ethical principles in decision making
  • maintain standards of medical practice by recognising the health of populations as a primary responsibility
  • respect the roles and expertise of other health professionals
  • work effectively as a member of a team

Judgement and decision making

confident
Ready to perform without supervision

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

The trainee will:

  • use objective processes to identify issues for advocacy action
  • make decisions when faced with multiple and conflicting perspectives
  • ensure public health medical input to organisational decision making
  • adopt a systems approach to analysing information from a variety of spheres to develop and undertake advocacy action

direction
Requires some supervision

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

The trainee may:

  • monitor current and emerging public health issues, including for impacts on equity and the health and wellbeing of population subgroups
  • interpret appropriate data and evidence for decision making

Leadership, management, and teamwork

confident
Ready to perform without supervision

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

The trainee will:

  • identify, prioritise, and develop plans of action for advocacy on issues of importance to public health, especially those that are inequitably experienced
  • visualise a ‘better’ future, inspire with this vision, and consider the steps, resources, structures, and systems that will help achieve this for effective advocacy action
  • develop and lead effective multidisciplinary teams by facilitating effective and collaborative relationships in and between teams
  • ensure all team members are accountable for their individual practice
  • facilitate and manage meetings, and contribute to good decision-making processes and information and knowledge sharing
  • represent organisations such as state or territory public health units or reference groups and state and national bodies to undertake public health advocacy

direction
Requires some supervision

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

The trainee may:

  • understand the range of personal and other team members’ skills, expertise, and roles
  • participate effectively and appropriately in multidisciplinary teams
  • seek out and respect the perspectives of multidisciplinary team members when making decisions

Health policy, systems, and advocacy

confident
Ready to perform without supervision

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

The trainee will:

  • identify the key elements of an effective public health advocacy campaign
  • identify key channels and mechanisms to conduct effective public health advocacy
  • use the media effectively
  • use negotiation skills effectively
  • take account of the perspectives of different sectors, organisations, cultural groups, and populations involved
  • influence the policy and practices of other sectors / organisations to promote, protect, and improve the health of the population
  • engage in appropriate consultation with stakeholders on the delivery of health care
  • advocate for resources and support for healthcare teams to achieve organisational priorities
  • influence the development of organisational policies and procedures to optimise health outcomes
  • remove self-interest from solutions to health advocacy issues
  • demonstrate understanding of public health legislation and regulations and relevant legislation in other sectors, including human rights commitments such as the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) and the United Nations Convention on the Rights of the Child (UNCRC)
  • demonstrate understanding of human rights commitments to Aboriginal and Torres Strait Islander peoples and treaty obligations to Māori (tangata whenua)

direction
Requires some supervision

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

The trainee may:

  • communicate with stakeholders within the organisation about population health
  • understand methods used to allocate resources to provide high-quality population health care
  • promote the development and use of organisational policies and procedures
  • undertake media and advocacy training