Gastroenterology curriculum standards

Ready to perform without supervision

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

The trainee will:

• select appropriate strategy and modality for communication (e.g. face-to-face, email, or phone calls)
• use chosen communication modalities in a professional and ethical manner, considering confidentiality and medicolegal implications (e.g. confidentiality and information security of electronic communication)
• ensure appropriate documentation of all communications with and/or regarding patients with other health professionals, such as ensuring phone calls, texts, and emails are captured in medicolegal notes
• elicit patients’ views, concerns, and preferences, promoting rapport
• provide information to patients in plain language, avoiding jargon, acronyms, and complex medical terms
• 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, and seek clarification if unsure of how best to proceed
• treat children and young people respectfully, and listen to their views
• recognise the role of family or carers and, when appropriate, encourage patients to involve their family or carers in decisions about their care

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’ understanding of information
• adapt communication style 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 with patients their condition and the available management options, including their potential benefits and harms
• provide information to patients in a way they can understand before asking for consent
• consider young people’s capacity for decision making and consent
• recognise and take precautions where patients may be vulnerable, such as issues of child protection, self-harm, or elder abuse
• participate in processes to manage patients’ complaints

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 proposed management plans
• 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 assessments to be conducted
• obtain informed consent or other valid authority before involving patients 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 NZ
• 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:

• demonstrate an understanding of the limitations of the evidence, and the challenges of applying research in daily practice
• refer to evidence-based clinical guidelines

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
• when necessary, use qualified language interpreters or cultural interpreters to help to meet patients’ communication needs
• provide plain language and culturally appropriate written materials to patients when 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 or carers, in caring for themselves and managing their health
• demonstrate respectful professional relationships with patients
• prioritise honesty, patient welfare, and community benefit above self-interest
• develop 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, social and economic 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 health care team members involved in patients’ care, and with patients, families and carers
• discuss medical assessments, treatment plans, and investigations with patients and primary care teams, and work collaboratively with them
• discuss patients’ care needs with health care team members to align them with the appropriate resources
• facilitate an environment in which all team members feel they can contribute and their opinion is valued
• communicate accurately and succinctly, and motivate others on the health care 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:

• collaborate with other services, such as community health centres and consumer organisations, to help patients navigate the healthcare system

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