Rehabilitation medicine curriculum standards (adult)
Rehabilitation medicine curriculum standards (adult)
Entrustable Professional Activities
EPA 9: Clinic management
EPA 9
Clinic management
Manage an outpatients clinic
This activity requires the ability to:
- manage medical procedures and treatments
- manage clinic services
- oversee quality improvement activities
- communicate with patients
- liaise with other health professionals and team members
- demonstrate problem-solving skills
- responsibly use public resources
Professional practice framework domain
Medical expertise
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- effectively identify and address current clinical concerns, as well as longer-term clinical objectives, as appropriate to patient context
- evaluate environmental and lifestyle health risks, and advocate for healthy lifestyle choices
- create an accurate and appropriately prioritised problem list in the clinical notes or as part of an ambulatory care review
- update documentation in a time frame appropriate to the clinical situation of patients
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate understanding of the importance of prevention, early detection, health maintenance, and chronic condition management
Communication
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 to improve access to care by collaborating with other services, such as community health centres and consumer organisations
- link patients to specific community-based health programs and group education programs
- use telehealth and digitally integrated support services to enable patients' access to care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- wherever practical, meet patients' specific language and communication needs
- facilitate appropriate use of interpreter services and translated materials
Quality and safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- practice health care that maximises patient safety
- adopt a systematic approach to the review and improvement of professional practice in the outpatient clinic settings
- identify aspects of service provision that may be a risk to patients' safety
- ensure that patients are informed about fees and charges
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- take reasonable steps to address issues if patients' safety may be compromised
- understand a systematic approach to improving the quality and safety of health care
- participate in organisational quality and safety activities, including clinical incident reviews
Teaching and learning
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- evaluate their own professional practice
- demonstrate learning behaviour and skills in educating junior colleagues
- contribute to the generation of knowledge
- maintain professional continuing education standards
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- recognise the limits of personal expertise, and involve other professionals to contribute to patients’ care as needed
- use information technology appropriately as a resource for modern medical practice
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- obtain informed consent or other valid authority before involving patients in research
- inform patients about their rights, the purpose of the research, the procedures to be undergone, and the potential risks and benefits of participation before obtaining consent
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
- consult current research on investigations
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- apply knowledge of the cultural needs of the community and how to shape service to those people
- mitigate the influence of own culture and beliefs on interactions with patients and decision making
- adapt practice to improve patients’ engagement and health care outcomes
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- acknowledge the social, economic, cultural, and behavioural factors influencing health, both at individual and population levels
Ethics and professional behaviour
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- identify and respect boundaries that define professional and therapeutic relationships
- respect the roles and expertise of other health professionals
- comply with the legal requirements of preparing and managing documentation
- demonstrate awareness of financial and other conflicts of interest
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand the responsibility to protect and advance the health and wellbeing of individuals and communities
- maintain the confidentiality of documentation, and store clinical notes appropriately
- ensure the use of social media is consistent with ethical and legal obligations
Judgement and decision making
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- identify local services available to support clinic patients
- integrate prevention, early detection, health maintenance, and chronic condition management into clinical practice, where relevant
- work to achieve optimal and cost-effective patient care that allows maximum benefit from available resources
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand the appropriate use of human resources, diagnostic interventions, therapeutic modalities, and health care facilities
Leadership, management, and teamwork
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- prepare for and conduct clinical encounters in a well-organised and efficient manner
- identify and manage patients who have special requirements, including sedation, mobility/transport, or consent from next of kin/person responsible
- work effectively as a member of multidisciplinary teams or other professional groups
- ensure all important discussions with colleagues, multidisciplinary team members, and patients are appropriately documented
- review discharge summaries, notes, and other communications written by junior colleagues
- support colleagues who raise concerns about patient safety
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- attend relevant clinical meetings regularly
Health policy, systems, and advocacy
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- demonstrate capacity to engage in the surveillance and monitoring of the health status of populations in the outpatient setting
- maintain good relationships with health agencies and services
- apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- understand common population health screening and prevention approaches