Entrustable Professional Activities

LG11: Clinic management and procedures

Learning Goal 11

Clinic management

Manage an outpatient clinic and plan, prepare for, perform, and provide aftercare for important practical procedures

This activity requires the ability to:

  • manage medical procedures and treatments
  • ensure appropriate procedures are selected in partnership with patients, their families, and/or carers
  • obtain informed consent
  • manage clinic services
  • oversee quality improvement activities
  • communicate with patients, their families, and/or carers
  • liaise with other health professionals and team members
  • demonstrate problem-solving skills
  • responsibly use public resources

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:

  • effectively identify and address current clinical concerns, as well as longer-term clinical objectives, as appropriate to patients’ 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 timeframe appropriate to the clinical situation of patients
  • select procedures by assessing patient-specific factors, risks, benefits, and alternatives
  • confidently and consistently perform a range of common procedures
  • perform inpatient consultation of sleep problems in children who have complex syndrome or multisystem involvement, and devise management plans

direction
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
  • assess patients and identify indications for procedures
  • perform a range of common procedures
  • check for allergies and adverse reactions
  • consider risks and complications of procedures

Communication

confident
Ready to perform without supervision

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

The trainee will:

  • help patients and their families navigate the healthcare system to improve access to care by collaboration with other services, such as community health centres and consumer organisations
  • link patients and their parents or carers to specific community-based health programs and group education programs
  • accurately document procedures in clinical notes, including informed consent, procedures requested and performed, reasons for procedures, medicines given, aseptic technique, and aftercare
  • explain procedures clearly to patients, families, or carers, including reasons for procedures, potential alternatives, and possible risks, to facilitate informed choices

direction
Requires some supervision

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

The trainee may:

  • wherever practical, meet patients’ specific communication and language needs
  • facilitate appropriate use of interpreter services and translated materials

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:

  • practice health care that maximises patient safety
  • adopt a systematic approach to the review and improvement of professional practice in the outpatient clinic setting
  • identify aspects of service provision that may be a risk to patients’ safety

direction
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

confident
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
  • refer to and/or be familiar with relevant published procedural guidelines prior to undertaking procedures
  • organise or participate in in-service training on new technology

direction
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 as needed to contribute to patients’ care
  • use information technology appropriately as a resource for modern medical practice
  • participate in continued professional development

Research

confident
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 and their parents or carers about their rights, the purpose of the research, the procedures to be undergone, and the potential risks and benefits of participation before obtaining consent

direction
Requires some supervision

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

The trainee may:

  • allow patients to make informed and voluntary decisions to participate in research

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:

  • apply knowledge of the cultural needs of the community serving, 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 patient engagement and health outcomes

direction
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

confident
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 the 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
  • understand institution / department protocols and ethical practices and guidelines around performing procedures
  • if required to perform procedures, do so in accordance with institution / department protocols and ethical practices and guidelines

direction
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 that the use of social media is consistent with ethical and legal obligations

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:

  • integrate prevention, early detection, health maintenance, and chronic condition management, where relevant, into clinical practice
  • work to achieve optimal and cost-effective patient care that allows maximum benefit from the available resources
  • understand institution / department protocols and ethical practices and guidelines around performing procedures
  • identify roles and optimal timings for diagnostic procedures
  • critically appraise information from assessments and evaluations of risks and benefits to prioritise patients on a waiting list

direction
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
  • prioritise which patients receive procedures first (if there is a waiting list)
  • assess personal skill level, and seek help with procedures when appropriate
  • use tools and guidelines to support 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:

  • prepare for and conduct clinical encounters in a well-organised and time-efficient manner
  • work effectively as a member of multidisciplinary teams or other professional groups
  • ensure that all important discussions with colleagues, multidisciplinary team members, and patients are appropriately documented
  • review discharge summaries, notes, and other communications written by colleagues
  • support colleagues who raise concerns about patients’ safety
  • explain critical steps, anticipated events, and equipment requirements to teams on planned procedures
  • provide staff with clear aftercare instructions, and explain how to recognise possible complications

direction
Requires some supervision

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

The trainee may:

  • attend relevant clinical meetings regularly
  • ensure all relevant team members are aware that a procedure is occurring

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:

  • demonstrate the 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

direction
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