Nephrology curriculum standards

Ready to perform without supervision

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

The trainee will:

• identify opportunities to improve care by participating in surveillance and monitoring of adverse events and near misses
• identify activities within systems to reduce errors, improve patient and population safety, and
• place safety and quality of care first in all decision making

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 patients’ care
• participate in multidisciplinary collaboration to provide effective health services and operational change
• use information resources and electronic medical record technology where available

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
• identify personal gaps in skills and knowledge, and engage in self-directed learning
• maintain current knowledge of new technologies, health care priorities and changes of patients’ expectations
• teach competently by imparting professional knowledge
• manage and monitor learner progress, providing regular assessment and feedback

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 expertise, and involve other health professionals as needed
• demonstrate basic skills in facilitating colleagues’ learning

Ready to perform without supervision

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

The trainee will:

• ensure that any protocol for human research is approved by a human research ethics committee, in accordance with the national statement on ethical conduct in human research

Requires some supervision

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

The trainee may:

• understand that patient participation in research is voluntary and based on an appropriate understanding about the purpose, methods, demands, risks, and potential benefits of the research

Ready to perform without supervision

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

The trainee will:

• demonstrate culturally safe relationships with professional colleagues and patients
• demonstrate respect for diversity and difference
• take steps to minimise unconscious bias, including the impact of gender, religion, cultural beliefs, and socioeconomic background on decision making

Requires some supervision

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

The trainee may:

• demonstrate awareness of cultural diversity and unconscious bias
• work effectively and respectfully with people from different cultural backgrounds

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 discussions of ethical and clinical concerns
• respect differences of multidisciplinary team members
• understand the ethics of resource allocation by aligning optimal patients and organisational care
• effectively consult with stakeholders to achieve a balance of alternative views
• acknowledge personal conflicts of interest and unconscious bias
• act collaboratively to resolve behavioural incidents and conflicts such as harassment and bullying

Requires some supervision

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

The trainee may:

• support ethical principles in clinical decision making
• maintain standards of medical practice by recognising the health interests of patients or populations as primary responsibilities
• respect the roles and expertise of other health professionals
• work effectively as a member of a team
• promote team values of honesty, discipline, and commitment to continuous improvement
• demonstrate understanding of the negative impact of workplace conflict

Ready to perform without supervision

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

The trainee will:

• evaluate health services and clarify expectations to support systematic and transparent decision making
• make decisions when faced with multiple and conflicting perspectives
• ensure medical input to organisational decision making
• adopt a systematic approach to analysing information from a variety of specialties to make decisions that benefit health care delivery

Requires some supervision

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

The trainee may:

• monitor services and provide appropriate advice
• review new health care interventions and resources
• interpret appropriate data and evidence for decision making

Ready to perform without supervision

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

The trainee will:

• combine team members’ skills and expertise in delivering patient care and/or population advice
• develop and lead effective multidisciplinary teams by developing and implementing strategies to motivate others
• build effective relationships with multidisciplinary team members to achieve optimal outcomes
• ensure all members of the team are accountable for their individual practice

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
• acknowledge and respect the contribution of all health professionals involved in patient care
• participate effectively and appropriately in multidisciplinary teams
• seek out and respect the perspectives of multidisciplinary team members when making decisions

Ready to perform without supervision

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

The trainee will:

• engage in appropriate consultation with stakeholders on the delivery of health care
• advocate for the resources and support for health care teams to achieve organisational priorities
• influence the development of organisational policies and procedures to optimise health outcomes
• identify the determinants of health of the population, and mitigate barriers to access to care
• promote the development and use of organisational policies and procedures
• remove self-interest from solutions to health advocacy issues

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 health care delivery
• understand methods used to allocate resources to provide high quality care
• promote the development and use of organisational policies and procedures