Curriculum standards
Curriculum standards
Advanced Training in Respiratory Medicine
Entrustable Professional Activities
LG5: Clinical assessment and management
Clinical assessment and management
Clinically assess and manage the ongoing care of patients
This activity requires the ability to:
- identify and access sources of relevant information about patients
- obtain patient histories
- examine patients
- synthesise findings to develop provisional and differential diagnoses
- discuss findings with patients, families, and/or carers
- generate a management plan
- present findings to other health professionals.
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:
- elicit an accurate, organised, and problem-focused medical history considering physical, psychosocial, and risk factors
- perform a full physical examination to establish the nature and extent of problems
- synthesise and interpret findings from the history and examination to devise the most likely provisional diagnoses via reasonable differential diagnoses
- assess the severity of problems, the likelihood of complications, and clinical outcomes
- develop management plans based on relevant guidelines, and consider the balance of benefit and harm by taking patients’ personal set of circumstances into account
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- take patient-centred histories, considering psychosocial factors
- perform accurate physical examinations
- recognise and correctly interpret abnormal findings
- synthesise pertinent information to direct the clinical encounter and diagnostic categories
- develop appropriate management plans
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- communicate openly, listen, and take patients’ concerns seriously, giving them adequate opportunity to ask questions
- provide information to patients and their family or carers to enable them to make fully informed decisions from various diagnostic, therapeutic, and management options
- communicate clearly, effectively, respectfully, and promptly with other health professionals involved in patients’ care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- anticipate, read, and respond to verbal and nonverbal cues
- demonstrate active listening skills
- communicate patients’ situations to colleagues, including senior clinicians
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:
- demonstrate safety skills, including infection control, adverse event reporting, and effective clinical handover
- recognise and effectively deal with aggressive and violent patient behaviours through appropriate training
- obtain informed consent before undertaking any investigation or providing treatment (except in an emergency)
- ensure patients are informed of the material risks associated with any part of proposed management plans
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- perform hand hygiene, and take infection control precautions at appropriate moments
- take precaution against assaults from confused or agitated patients, ensuring appropriate care of patients
- document history and physical examination findings, and synthesise with clarity and completeness
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:
- set defined objectives for clinical teaching encounters, and solicit feedback on mutually agreed goals
- regularly reflect upon and self-evaluate professional development
- obtain informed consent before involving patients in teaching activities
- turn clinical activities into an opportunity to teach, appropriate to the setting
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- deliver teaching considering learners’ level of training
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- search for, find, compile, analyse, interpret, and evaluate information relevant to the research subject
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- refer to guidelines and medical literature to assist in clinical assessments when required
- demonstrate an understanding of the limitations of evidence and the challenges of applying research in daily practice
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- use plain-language patient education materials, and demonstrate cultural and linguistical sensitivity
- demonstrate effective and culturally competent communication and care for Aboriginal and Torres Strait Islander and Māori peoples, and members of other cultural groups
- use a professional interpreter, health advocate, or a family or community member to assist in communication with patients, and understand the potential limitations of each
- acknowledge patients’ beliefs and values, and how these might impact on health
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- display respect for patients’ cultures, and attentiveness to social determinants of health
- display an understanding of at least the most prevalent cultures in society, and an appreciation of their sensitivities
- appropriately access interpretive or culturally focused services
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:
- demonstrate professional values, including compassion, empathy, respect for diversity, integrity, honesty, and partnership to all patients
- hold information about patients in confidence, unless the release of information is required by law or public interest
- assess patients’ capacity for decision making, involving proxy decision makers appropriately
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate professional conduct, honesty, and integrity
- consider patients’ decision-making capacity
- identify patients’ preferences regarding management and the role of families in decision making
- not advance personal interest or professional agendas at the expense of patient or social welfare
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:
- apply knowledge and experience to identify patients’ problems, making logical, rational decisions, and acting to achieve positive outcomes for patients
- use a holistic approach to health considering comorbidity, uncertainty, and risk
- use the best available evidence for the most effective therapies and interventions to ensure quality care
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate clinical reasoning by gathering focused information relevant to patients’ care
- recognise personal limitations, and seek help in an appropriate way when required
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:
- work effectively as a member of multidisciplinary teams to achieve the best health outcome for patients
- demonstrate awareness of colleagues in difficulty, and work within the appropriate structural systems to support them while maintaining patient safety
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- share relevant information with members of the health care team
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:
- participate in health promotion, disease prevention and control, screening, and reporting notifiable diseases
- aim to achieve the optimal cost-effective patient care to allow maximum benefit from the available resources
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- identify and navigate components of the healthcare system relevant to patients’ care
- identify and access relevant community resources to support patient care