Curriculum standards

Ready to perform without supervision

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

The trainee will:

• communicate effectively and respectfully with clinical and administrative staff to optimise clinic function
• communicate effectively and in a timely manner with outside agencies, health professionals, and other involved parties, such as GPs, pharmacists, psychologists, legal practitioners, and courts, in accordance with patients’ consent and clinical needs
• assist patients as they navigate the services required for substance use and addiction disorders

Requires some supervision

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

The trainee may:

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

Ready to perform without supervision

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

The trainee will:

• communicate escalation processes to junior staff
• identify and address risks that emerge, such as non-attendances, intoxicated presentations, challenging behaviours, and risk of harm to self and others, including in the context of family violence, driving, near miss, and actual adverse events
• manage adequate governance processes in place around medication prescribing
• manage governance arrangements with involved pharmacists regarding prescriber and pharmacist communications and medication management
• manage clear processes for raising patient safety issues

Requires some supervision

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

The trainee may:

• describe escalation processes
• address issues of compromised patient safety by taking reasonable steps
• demonstrate a systematic approach to improving the quality and safety of health care
• participate in organisational quality and safety activities, including clinical incident reviews
• use health record systems in accordance with regulations
• 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 health service

Ready to perform without supervision

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

The trainee will:

• facilitate adequate supervision and teaching arrangements in clinics
• engage patients in teaching and learning opportunities with consent
• evaluate their own professional practice
• demonstrate skills and behaviours in teaching and learning when educating junior colleagues
• role model destigmatising attitudes and behaviours when teaching other health professionals

Requires some supervision

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

The trainee may:

• provide teaching and supervision to junior medical staff
• provide teaching to other health professionals, including nurses, pharmacists, and doctors from other specialties

Ready to perform without supervision

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

The trainee will:

• refer research involving patients to relevant human research ethics committees for approval
• obtain informed consent or other valid authority before involving patients in research
• inform patients about their rights, the purpose of the research, the interventions proposed, and the potential risks and benefits of participation before obtaining consent
• contribute to the generation of knowledge

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

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 being served in order to shape services that meet its needs
• design and conduct services to ensure culturally safe responses for Aboriginal and Torres Strait Islander people and Māori, and members of other cultural groups
• recognise personal bias when interacting with patients and decision making
• use professional interpreters, health advocates, or family or community members to assist in communication with patients
• use plain language patient education materials, demonstrating cultural and linguistic sensitivity

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
• engage with patients in a culturally appropriate way to a variable extent
• use interpreters where required

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
• enact sensitive consenting processes for patients engaging in care
• respect the roles and expertise of other health professionals
• comply with the legal requirements of preparing and managing documentation

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
• use social media ethically and according to legal obligations

Ready to perform without supervision

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

The trainee will:

• demonstrate awareness of financial and other conflicts of interest
• work effectively 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:

• use human resources, diagnostic interventions, therapeutic modalities, and health care facilities appropriately

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
• document discussions with colleagues, multidisciplinary team members, and patients
• review discharge summaries, notes, and other communications written by junior colleagues
• support colleagues who raise concerns about patients’ 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, with variable degrees of leadership demonstrated

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 clinical outcomes in the outpatient setting
• describe the health service patterns of the community being served
• maintain collaborative relationships with health agencies and services, including Aboriginal and Torres Strait Islander and Māori services, to enable the best coordination of care for patients
• apply the principles of efficient and equitable allocation of resources to meet individual, community, and national health needs
• understand billing requirements for outpatient clinic assessments where relevant
• manage adequate systems for treatment escalation or transfer of care to non-government organisations or primary care to ensure continuity of care
• advocate Aboriginal and Torres Strait Islander and Māori communities for appropriate care

Requires some supervision

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

The trainee may:

• describe broad principles around patterns of community service need