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:

• support patients to have access to, and use, high-quality, easy-to-understand information about health care
• collaborate with patients, families, and/or carers to develop goals of care
• support patients to share decision making about their own health care, to the extent they choose
• assist patients’ access to their health information, as well as complaint and feedback systems
• discuss with patients any safety and quality concerns they have relating to their care
• implement organisations’ open disclosure policy

Requires some supervision

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

The trainee may:

• demonstrate awareness of the evidence for consumer engagement and its contribution to quality improvement in health care
• apply knowledge of how health literacy might affect the way patients or populations gain access to, understand, and use health information

Ready to perform without supervision

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

The trainee will:

• demonstrate safety skills including infection control, adverse event reporting, and effective clinical handover
• participate in organisational quality and safety activities, including morbidity and mortality reviews and clinical incident reviews
• participate in systems for surveillance and monitoring of clinical quality indicators, particularly key performance indicators, as well as adverse events and near misses, including reporting such events
• ensure that identified opportunities for improvement are raised and reported appropriately
• use data from clinical audits and patient-reported experience measures (PREMs), patient-reported outcome measures (PROMs), and clinical outcomes, and learn from incidents and complaints to improve health care

Requires some supervision

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

The trainee may:

• demonstrate understanding of a systematic approach to improving the quality and safety of health care

Ready to perform without supervision

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

The trainee will:

• translate quality improvement approaches and methods into practice
• participate in professional training in quality and safety to ensure a contemporary approach to safety system strategies
• supervise and manage the performance of junior colleagues in the delivery of safe, high-quality care

Requires some supervision

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

The trainee may:

• work within organisational quality and safety systems for the delivery of clinical care
• use opportunities to learn about safety and quality theory and systems

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
• complete training in Good Clinical Practice (GCP) prior to undertaking any clinical 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:

• undertake professional development opportunities that address the impact of cultural bias on health outcomes

Requires some supervision

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

The trainee may:

• communicate effectively with patients from culturally and linguistically diverse backgrounds

Ready to perform without supervision

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

The trainee will:

• align improvement goals with the priorities of the organisation
• contribute to developing an organisational culture that enables and prioritises patients’ safety and quality of care

Requires some supervision

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

The trainee may:

• comply with professional regulatory requirements and codes of conduct

Ready to perform without supervision

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

The trainee will:

• use decision-making support tools, such as guidelines, protocols, pathways, and reminders
• analyse and evaluate current care processes to improve health care

Requires some supervision

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

The trainee may:

• access information and advice from other health care practitioners to identify, evaluate, and improve patients’ care management

Ready to perform without supervision

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

The trainee will:

• formulate and implement quality improvement strategies as a collaborative effort involving all key health professionals
• support multidisciplinary team activities to lower patients’ risk of harm, and promote multidisciplinary programs of education
• actively involve clinical pharmacists in the medication use process

Requires some supervision

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

The trainee may:

• demonstrate attitudes of respect and cooperation among members of different professional teams
• partner with clinicians and managers to ensure that patients receive appropriate care and information on their care

Ready to perform without supervision

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

The trainee will:

• use a risk management framework to assess and address risks identified in the organisation
• participate in all aspects of the development, implementation, evaluation, and monitoring of governance processes
• participate regularly in multidisciplinary meetings where quality and safety issues are standing agenda items
• encourage the development of innovative ideas and projects for improving care
• measure, analyse, and report a set of specialty-specific process of care and outcome clinical indicators, as well as a set of generic safety indicators
• take part in the design and implementation of the organisational systems for:
  • defining the scope of clinical practice
  • performance monitoring and management
  • clinical, and safety and quality education and training

Requires some supervision

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

The trainee may:

• maintain a dialogue with service managers about issues that affect patients’ care
• contribute to relevant organisational policies and procedures
• help shape an organisational culture that prioritises safety and quality through openness, honesty, learning, and quality improvement