Curriculum standards

Ready to perform without supervision

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

The trainee will:

• encourage patients’ self-management through education to take greater responsibility for their care, and support problem solving
• encourage patients’ access to self-monitoring devices and assistive technologies
• communicate with multidisciplinary team members, and involve patients in that dialogue
• negotiate realistic treatment goals, and determine and explain the expected prognoses and outcomes
• employ communication strategies appropriate for younger patients or those with cognitive difficulties
• explain the situation to patients in a sensitive and supportive manner, avoiding jargon and confirming their understanding
• determine the level of health literacy of individual patients and their level of understanding of agreed care decisions

Requires some supervision

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

The trainee may:

• provide healthy lifestyle advice and information to patients on the importance of self-management
• work in partnership with patients, and motivate them to comply with agreed care plans
• demonstrate communication skills to sufficiently support the function of multidisciplinary teams
• if possible, determine patients’ understanding of their diseases and what they perceive as the most desirable goals of care
• triage patients requiring urgent care

Ready to perform without supervision

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

The trainee will:

• use innovative models of chronic disease care, using telehealth and digitally integrated support services
• review medicine use and ensure patients understand safe medication administration to prevent errors
• support patients’ self-management by balancing between minimising risk and helping patients to become more independent
• participate in quality improvement processes impacting on patients’ abilities to undertake normal activities of daily living
• identify evidence-based practice gaps using clinical indicators, and implement changes to improve patients’ outcomes
• coordinate and encourage innovation, and objectively evaluate improvement initiatives for outcomes and sustainability
• analyse adverse incidents and sentinel events to identify system failures and contributing factors

Requires some supervision

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

The trainee may:

• participate in continuous quality improvement processes and clinical audits on chronic disease management
• identify activities that may improve patients’ quality of life
• evaluate the quality and safety processes implemented within the workplace, and identify gaps in their structure

Ready to perform without supervision

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

The trainee will:

• contribute to the development of clinical pathways for chronic diseases management and comorbidities, including people living and aging with HIV, based on current clinical guidelines
• educate patients to recognise and monitor their symptoms, and undertake strategies to assist their recovery
• mentor and train others to enhance team effectiveness
• provide constructive feedback to junior colleagues to contribute to improvements in individuals’ skills
• seek guidance and feedback from healthcare teams to reflect on encounters and improve future patients’ care

Requires some supervision

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

The trainee may:

• use clinical practice guidelines for chronic diseases management
• contribute to team education, including education for junior colleagues

Ready to perform without supervision

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

The trainee will:

• prepare reviews of literature on patients' encounters to present at journal club meetings
• search for and critically appraise evidence to resolve clinical areas of uncertainty
• evaluate the value of treatments in terms of relative and absolute benefits, cost, potential patient harm, and feasibility
• evaluate the applicability of the results of clinical studies to the circumstances of individual patients, especially those with multiple comorbidities
• specify research evidence to the needs of individual patients

Requires some supervision

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

The trainee may:

• search literature using problem / intervention / comparison / outcome (PICO) format
• recognise appropriate use of review articles
• use information from credible sources to aid in decision making
• refer to evidence-based clinical guidelines and protocols on acutely unwell patients
• demonstrate an understanding of the limitations of the evidence and the challenges of applying research in daily practice

Ready to perform without supervision

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

The trainee will:

• encourage patients from culturally and linguistically diverse backgrounds to join local networks to receive the support needed for long-term self-management
• negotiate health care decisions in a culturally appropriate way by considering variation in family structures, cultures, religion, or belief systems, particularly in the priority groups seen in sexual health medicine
• integrate culturally appropriate care of Aboriginal and Torres Strait Islander peoples and Māori into patients’ management
• consider cultural, ethical, and religious values and beliefs in leading multidisciplinary teams

Requires some supervision

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

The trainee may:

• provide culturally safe chronic disease management
• practise cultural competency appropriate for the community serviced
• proactively identify barriers to care access

Ready to perform without supervision

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

The trainee will:

• share information about patients’ health care, consistent with privacy laws and confidentiality and professional guidelines
• use consent processes for the release and exchange of health information
• assess patients’ decision-making capacity, and appropriately identify and use alternative decision makers
• consider the consequences of delivering treatment that is deemed futile, directing to other care as appropriate
• facilitate interactions within multidisciplinary teams respecting values, encouraging involvement, and engaging all participants in decision making
• demonstrate critical reflection on personal beliefs and attitudes, including how these may affect patient care and health care policy

Requires some supervision

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

The trainee may:

• share information between relevant service providers
• acknowledge and respect the contribution of health professionals involved in patients’ care
• communicate medical management plans as part of multidisciplinary plans
• establish, where possible, patients’ wishes and preferences about care
• contribute to building a productive culture within teams

Ready to perform without supervision

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

The trainee will:

• implement stepped care pathways in the management of chronic diseases and disabilities
• recognise patients’ needs in terms of both internal resources and external support on long-term health care journeys
• recognise the need for escalation of care, and escalate to appropriate staff or services
• integrate evidence related to questions of diagnosis, therapy, prognosis, risks, and cause into clinical decision making

Requires some supervision

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

The trainee may:

• recognise personal limitations and seek help in an appropriate way when required
• involve additional staff to assist in a timely fashion when required

Ready to perform without supervision

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

The trainee will:

• coordinate whole-person care through involvement in all stages of patients’ care journeys
• use a multidisciplinary approach across services to manage patients with chronic diseases and disabilities
• develop collaborative relationships with patients, families, carers, and a range of health professionals
• work collaboratively with staff in the emergency department, intensive care, and other subspecialty inpatient units when relevant

Requires some supervision

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

The trainee may:

• participate in multidisciplinary care for patients with chronic diseases and disabilities, including organisational and community care, on a continuing basis, appropriate to patients’ context
• encourage an environment of openness and respect to lead effective teams

Ready to perform without supervision

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

The trainee will:

• use health screening for early intervention and chronic diseases management
• assess alternative models of care delivery to patients with chronic diseases and disabilities
• participate in government initiatives for chronic disease management to reduce hospital admissions and improve patients’ quality of life
• help patients access initiatives and services for patients with chronic diseases and disabilities
• use a considered and rational approach to the responsible use of resources, balancing costs against outcomes
• prioritise patients’ care based on need, and consider available resources
• demonstrate understanding of the social determinants of sexual health and wellbeing, such as financial impact, stable housing, education and literacy, transport, and accessibility
• collaborate with other specialist colleagues to develop policies and protocols for areas of need

Requires some supervision

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

The trainee may:

• demonstrate awareness of government initiatives and services available for patients with chronic diseases and disabilities, and display knowledge of how to access them
• understand the systems for the escalation of care for deteriorating patients
• understand the role of clinician leadership and advocacy in appraising and redesigning systems of care that lead to better patient outcomes