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:

• encourage patients’, families and/or carers self-management through education to take greater responsibility for their care, and supporting problem solving
• encourage patients’ access to self-monitoring devices and assistive technologies
• communicate with multidisciplinary team members, and involve patients in that dialogue
• support patients’ choices of therapy

• PCH

  • assess growth and ensure appropriate management to aid growth in paediatric patients

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

Ready to perform without supervision

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

The trainee will:

maintain up-to-date certification
• use innovative models of chronic disease care, utilising 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 become more independent
• participate in quality improvement processes examining issues impacting on patients’ ability to undertake normal activities of daily living
• conduct kidney biopsies based on current guidelines

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
• obtain consent for kidney biopsies

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 based on current clinical guidelines
• educate patients to recognise and monitor their symptoms, and undertake strategies to assist their recovery
• educate junior medical officers and staff about appropriate management of CKD

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

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 the evidence to resolve clinical areas of uncertainty

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

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

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

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 law and professional guidelines about confidentiality
• use consent processes for the release and exchange of health information
• assess patients’ decision-making capacities, identifying and using alternative decision makers when needed
• discuss advanced care planning with patients, families and/or carers

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

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
• consider patient context and available resources when investigating glomerulonephritis

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
• liaise with multidisciplinary kidney services and provide appropriate advice

Ready to perform without supervision

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

The trainee will:

• involve the kidney multidisciplinary team, including:
  • dietitians
  • nurse practitioners/clinical nurse specialists, with roles such as CKD, supportive care, anaemia access, and transplant
  • pharmacists
  • psychologists
  • social workers
• develop collaborative relationships with patients, families and/or carers, and a range of health professionals
• coordinate whole-person care through involvement in all stages of patients’ care journeys
• manage and escalate open disclosure

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 patient context
• organise the day-to-day management of a haemodialysis unit

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 healthcare delivery to patients with chronic diseases and disabilities
• participate in government initiatives for chronic diseases management to reduce hospital admissions and to improve patients’ quality of life
• help patients access initiatives and services for patients with chronic diseases and disabilities
• recognise and apply local/national and international kidney guidelines, such as CARI and KDIGO

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 knowledge of how to access them
• identify barriers to accessing good dialysis care in the health care and social services systems
• document dialysis prescriptions as per local standards and ANZDATA