Entrustable Professional Activities

LG2: Team leadership

Learning Goal 2

Team leadership

Lead a team of health professionals

This activity requires the ability to:

  • prioritise workload
  • manage multiple concurrent tasks
  • articulate individual responsibilities, expertise, and accountability of team members
  • understand the range of team members’ skills, expertise, and roles
  • acquire and apply leadership techniques in daily practice
  • collaborate with and motivate team members
  • encourage and adopt insights from team members
  • act as a role model.

Professional practice framework domain

Medical expertise

confident
Ready to perform without supervision

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

The trainee will:

  • synthesise information with other disciplines to develop optimal, goal-centred plans for patients
  • use evidence-based care to meet the needs of patients or populations
  • assess and effectively manage clinical risk in various scenarios
  • demonstrate clinical competence and skills by effectively supporting team members

direction
Requires some supervision

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

The trainee may:

  • demonstrate adequate knowledge of health care issues by interpreting complex information
  • assess the spectrum of problems to be addressed
  • apply medical knowledge to assess the impact and clinical outcomes of management decisions
  • provide coordinated and quality health care for populations or patients as a member of a multidisciplinary team

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • provide support and motivate patients or populations and health professionals by effective communication
  • demonstrate a transparent, consultative style by engaging patients, families, carers, relevant professionals, and/or the public in shared decision making
  • work with patients, families, carers, and other health professionals to resolve conflict that may arise when planning and aligning goals
  • demonstrate rapport with people at all levels by tailoring messages to different stakeholders
  • recognise the cognitive, mental and social impact of illness on patients and their family members and carers and demonstrate appropriate empathy in all aspects of communication.

direction
Requires some supervision

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

The trainee may:

  • communicate adequately with colleagues
  • communicate adequately with patients, families, carers, and/or the public
  • respect the roles of team members

Quality and safety

confident
Ready to perform without supervision

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

The trainee will:

  • identify opportunities to improve care by participating in surveillance and monitoring of adverse events and ‘near misses’
  • identify and participate in activities within systems to reduce errors, improve patient and population safety, and cost-effectiveness
  • place safety and quality of care first in all decision making

direction
Requires some supervision

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

The trainee may:

  • participate in audits and other activities that affect the quality and safety of patients’ care
  • participate in interdisciplinary collaboration to provide effective health services and operational change
  • use information resources and electronic medical record technology where available

Teaching and learning

confident
Ready to perform without supervision

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

The trainee will:

  • regularly self-evaluate personal professional practice, and implement changes based on the results
  • actively seek feedback from supervisors and colleagues on their own performance
  • identify personal gaps in skills and knowledge, and engage in self-directed learning
  • maintain current knowledge of new technologies, health care priorities and changes of patients’ expectations
  • teach competently by imparting professional knowledge
  • manage and monitor learner progress, providing regular assessment and feedback

direction
Requires some supervision

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

The trainee may:

  • accept feedback constructively, and change behaviour in response
  • recognise the limits of personal expertise, and involve other health professionals as needed
  • demonstrate basic skills in facilitating colleagues’ learning

Cultural safety

confident
Ready to perform without supervision

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

The trainee will:

  • demonstrate culturally competent relationships with professional colleagues and patients
  • demonstrate respect for diversity and difference
  • take steps to minimise unconscious bias, including the impact of gender, religion, cultural beliefs, and socioeconomic background on decision making

direction
Requires some supervision

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

The trainee may:

  • demonstrate awareness of cultural diversity and unconscious bias
  • work effectively and respectfully with people from different cultural backgrounds

Ethics and professional behaviour

confident
Ready to perform without supervision

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

The trainee will:

  • promote a team culture of shared accountability for decisions and outcomes
  • encourage open discussion of ethical and clinical concerns
  • respect differences of multidisciplinary team members
  • understand the ethics of resource allocation by aligning optimal patients and organisational care
  • effectively consult with stakeholders, achieving a balance of alternative views
  • acknowledge personal conflicts of interest and unconscious bias
  • act collaboratively to resolve behavioural incidents and conflicts such as harassment and bullying

direction
Requires some supervision

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

The trainee may:

  • support ethical principles in clinical decision making
  • maintain standards of medical practice by recognising the health interests of patients or populations as primary responsibilities
  • respect the roles and expertise of other health professionals
  • work effectively as a member of a team
  • promote team values of honesty, discipline, and commitment to continuous improvement
  • demonstrate understanding of the negative impact of workplace conflict

Judgement and decision making

confident
Ready to perform without supervision

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

The trainee will:

  • evaluate health services and clarify expectations to support systematic, transparent decision making
  • make decisions when faced with multiple and conflicting perspectives
  • ensure medical input to organisational decision making
  • adopt a systematic approach to analysing information from a variety of specialties to make decisions that benefit health care delivery

direction
Requires some supervision

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

The trainee may:

  • monitor services and provide appropriate advice
  • review new health care interventions and resources
  • interpret appropriate data and evidence for decision making

Leadership, management, and teamwork

confident
Ready to perform without supervision

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

The trainee will:

  • combine team members' skills and expertise in delivering patient care and/or population advice
  • develop and lead effective multidisciplinary teams by developing and implementing strategies to motivate others
  • build effective relationships with multidisciplinary team members to achieve optimal outcomes
  • ensure all members of the team are accountable for their individual practice
  • empower self and promote culture among colleagues to maintain psychological wellbeing, efficient workload management and distribution, and healthy work-life balance
  • identify struggling junior medical officers, and take appropriate steps to resolve issues and escalate as appropriate

direction
Requires some supervision

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

The trainee may:

  • understand the range of personal and other team members’ skills, expertise, and roles
  • acknowledge and respect the contribution of all health professionals involved in patients’ care
  • participate effectively and appropriately in multidisciplinary teams
  • seek out and respect the perspectives of multidisciplinary team members when making decisions

Health policy, systems, and advocacy

confident
Ready to perform without supervision

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

The trainee will:

  • engage in appropriate consultation with stakeholders on the delivery of health care
  • advocate for the resources and support for health care teams to achieve organisational priorities
  • remove self-interest from solutions to health advocacy issues
  • influence the development of organisational policies and procedures to optimise health outcomes
  • identify the determinants of health of the population, and mitigate barriers to access to care

direction
Requires some supervision

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

The trainee may:

  • communicate with stakeholders within the organisation about health care delivery
  • understand methods used to allocate resources to provide high-quality care
  • promote the development and use of organisational policies and procedures