At the early registrar level it is expected that a prevocational doctor will have acquired the skills, knowledge and behaviours to demonstrate efficient communication skills (handover & ISBAR).
This task describes a number of activities, as below, where proficiency should be achievable by the end of PGY3. The doctor is encouraged to download the key clinical task guidelines and seek the support of his/her supervisor for feedback on performance.
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Related Competencies:
Understand both personal and collective responsibility within the team to ensure the safety of patients
Perform effective handover in a structured format, e.g. team member to team member, or hospital to GP, to ensure patient safety and continuity of care
Recognise and respond appropriately to graded assertiveness
Attend to clarity, structure and appropriate content for specific correspondence, e.g. handover notes and investigation requests
Participate in clinical handover in a manner that ensures patient safety and continuity of care
Consider, and allow for, the impact of social, economic and political factors, as well as culture, ethnicity, sexuality, disability and spirituality, on patient illness and health
Make well-reasoned diagnosis for common problems with assistance from senior clinician
Synthesise clinical information to generate a graded problem list, containing appropriate provisional diagnoses as part of the clinical reasoning process
Recognise common symptoms and signs
Seek help when unsure
Demonstrate flexibility and ability to adapt to change
Explain clinical reasoning to current health team using concise language and a structured approach
Identify key issues on which to advocate for the patient to ensure their immediate clinical care and requirements are achieved
Implement the ISBAR approach of identification, description of case, clinical background, assessment and recommendation for discussion
Recognise when advice and guidance is required in development of management plans
Contribute fully in handover of patients within unit
Present common cases effectively to senior medical staff and other health professionals
Recognise when a patient is dying and implement an appropriate care plan
Deal with common (presenting) symptoms and signs and common conditions. See extracts from:
Collaborate effectively with other specialist teams involved in the patient’s care
Use graded assertiveness where appropriate
Identify any gaps between management plan and patient wishes
Recognise when a management plan is failing and, where appropriate, seek senior input to devise an alternative plan
Plan the order of an operating list and discuss with consultant
Lead handover of patients within unit
Present complex cases effectively to senior medical staff and other health professionals