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:

• use an appropriate communication strategy and modalities for communication, such as email, face-to-face, or phone calls
• elicit patients’ views, concerns, and preferences, promoting rapport
• provide information to patients in plain language, avoiding jargon, acronyms, and complex medical terms, and using interpreters or translators where possible
• encourage questions, and answer them thoroughly
• ask patients to share their thoughts or to explain the management plan in their own words, to verify understanding
• convey information considerately and sensitively to patients, seeking clarification if unsure of how best to proceed
• treat children and young people respectfully, and listen to their views
• recognise the role of family and/or carers and guardians and, when appropriate, encourage young patients to involve their family and/or carers or guardians in decisions about their care

• PCH

  • reconcile differing opinions from carers or family members

Requires some supervision

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

The trainee may:

• select appropriate modes of communication
• engage patients in discussions, avoiding the use of jargon
• check patients’ understandings of information
• adapt communication styles in response to patients’ age, developmental level, and cognitive, physical, cultural, socioeconomic, and situational factors
• collaborate with patient liaison officers as required

Ready to perform without supervision

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

The trainee will:

• discuss patients’ conditions and available management options with them, including their potential benefits and harms
• provide information to patients in a way they can understand before asking for their consent
• consider young people’s capacity for decision making and consent
• recognise and take precautions in areas where patients may be vulnerable, such as issues of child protection, self-harm, or elder abuse
• participate in processes to manage patients’ complaints
• openly discuss with patients, family and/or carers about any incident(s) that resulted in harm to that patient

Requires some supervision

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

The trainee may:

• inform patients of the material risks associated with the proposed management plan
• treat information about patients as confidential

Ready to perform without supervision

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

The trainee will:

• discuss the aetiology of diseases and explain the purpose, nature, and extent of the assessment to be conducted
• obtain informed consent or other valid authority before involving patients in teaching
• use language patients can understand when involving them in teaching

Requires some supervision

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

The trainee may:

• respond appropriately to information sourced by patients, and to patients’ knowledge regarding their condition

Ready to perform without supervision

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

The trainee will:

• provide information to patients that is based on guidelines issued by the National Health and Medical Research Council and/or Health Research Council of New Zealand
• provide information to patients in a way they can understand before asking for their consent to participate in research
• obtain informed consent or other valid authority before involving patients in research

Requires some supervision

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

The trainee may:

• refer to evidence-based clinical guidelines
• 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:

• demonstrate effective and culturally competent communication with Aboriginal and Torres Strait Islander and Māori peoples
• effectively communicate with members of other cultural groups by meeting patients’ specific language, cultural, and communication needs
• use qualified language interpreters or cultural interpreters to help meet patients’ communication needs when necessary
• provide plain language, culturally appropriate written materials to patients when possible
• respect patients’ cultural views and develop management plans which incorporate these views where possible

Requires some supervision

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

The trainee may:

• identify when to use interpreters
• allow enough time for communication across linguistic and cultural barriers

Ready to perform without supervision

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

The trainee will:

• encourage and support patients to be well informed about their health and to use this information wisely when they are making decisions
• encourage and support patients and, when relevant, their families and/or carers, in caring for themselves and managing their health
• demonstrate respectful professional relationships with patients
• prioritise honesty, patients’ welfare, and community benefit above self interest
• demonstrate a high standard of personal conduct, consistent with professional and community expectations
• support patients’ rights to seek second opinions

Requires some supervision

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

The trainee may:

• respect the preferences of patients
• communicate appropriately, consistent with the context, and respect patients’ needs and preferences
• maximise patient autonomy and support their decision making
• avoid sexual, intimate, and/or financial relationships with patients
• demonstrate a caring attitude towards patients
• respect patients, including protecting their rights to privacy and confidentiality
• behave equitably towards all, irrespective of gender, age, culture, ethnicity, socioeconomic status, sexual preferences, beliefs, contribution to society, illness-related behaviours or the illness itself
• use social media ethically and according to legal obligations to protect patients’ confidentiality and privacy

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 team members involved in patients’ care, and with patients, families and/or carers
• discuss medical assessments, treatment plans, and investigations with patients and primary care teams, working collaboratively with them
• discuss patient care needs with healthcare team members to align them with the appropriate resources
• facilitate an environment where all team members feel they can contribute, and their opinion is valued
• communicate accurately and succinctly, and motivate others on the healthcare team

Requires some supervision

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

The trainee may:

• answer questions from team members
• summarise, clarify, and communicate responsibilities of health care team members
• keep health care team members focused on patient outcomes

Ready to perform without supervision

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

The trainee will:

• help patients navigate the healthcare system by working in collaboration with other services, such as community health centres and consumer organisations

Requires some supervision

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

The trainee may:

• communicate with and involve other health professionals as appropriate