At the early registrar level it is expected that a prevocational doctor displays professional behaviour at work.
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. Updated key clinical tasks will be available soon for download.
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Related Competencies:
Establish respectful good working relationships with team members and other healthcare professionals
Recognise the roles and responsibilities of other professionals within the healthcare team; respect and listen to their concerns about the patient
Resolve simple conflict with another team member to the satisfaction of both
Awareness and respect of differences, misunderstandings and limitations with other team members
Accept responsibility for own roles and tasks
Provide clear and accurate information to patients for common procedures in the unit and most commonly prescribed medications
Is courteous and compassionate to all patients, without discrimination, regardless of a patient’s chosen lifestyle, e.g. discuss options, offer choices
Following any error in clinical reasoning, reflect on own clinical reasoning process and learn from mistake
Recognise personal limitations and ensure appropriate supervision
Work well with others to gain respect and trust
Recognise discrimination, sexual harassment and bullying issues and know the hospital response requirements
Prioritise own workload to fit time available
Awareness of the stresses of clinical practice an how this can affect you as an individual
Participate and demonstrate leadership in patient safety and quality improvement activities
Practise hand hygiene, noting standard precautions, transmission-based precautions, personal protective equipment and aseptic technique
Know and work within hospital, state and government policies and legislation relating to prescribing. Make use of guidelines and standard documents, e.g. National Inpatient Medication Chart
Seek help when unsure
Adhere to medical codes of practice and model professional behaviours including honesty, integrity, commitment, compassion, respect and altruism
Recognise and accept responsibility for ethical issues as they relate to patients within the clinical unit
Recognise that it is inappropriate to practise when impaired, e.g. fatigue, ill health, alcohol, medications
Balance the demands of personal life and work
Apply confidentiality codes relating to the educational environment
Attend unit or morbidity/mortality meetings. Identify any personal knowledge, skills or behaviour changes required
Seek opportunities for feedback to reflect on and learn from clinical practice
Participate in research, quality improvement and clinical audit activities where possible
Reflect on and learn from own observations of clinical practice
Undertake training through a combination of simulation and direct supervision
Work harmoniously within a team and resolve simple team conflicts
Participate in shared decision-making activity involving patients, families and relevant health professionals, such as development of a care plan noting reference to open disclosure in ‘Communication’ section
Communicate effectively within multidisciplinary teams, reflecting an understanding of, and respect for, different health professional perspectives
Note and understand the Enduring Power of Attorney and the Advanced Care Directives
Take into account the impact of history and experience of Indigenous Australians/Maori people, and their spirituality and relationship with the land
Able to explain processes of diagnostic reasoning
Has awareness and acknowledges errors or omissions in own decision making
Know the hospital protocols for managing disruptive behaviours including bullying, discrimination sexual harassment
Contribute actively within a committee structure
Recognise when a patient is dying and implement an appropriate care plan
Identify medical errors or adverse events and implement the appropriate clinical protocols to manage them
Acknowledge ethical complexity of clinical practice, and follow professional and ethical codes (Australian Medical Council and Medical Council New Zealand)
Monitor own health and fitness and seek medical help when appropriate
Mitigate personal health risks of medical practice, e.g. fatigue, stress
Provide constructive, timely and specific feedback to interns based on observation of a junior’s performance, encouraging them to reflect on their own learning
Assist with a research trial being undertaken in the organisation that may lead to presentation or publication
Contribute to unit morbidity/mortality meetings
Use current evidence-based resources in own learning, in communicating with patients and in making decisions about the care of patients
Attend training sessions undertaken by other members of the multi-disciplinary team
Identify issues that impede teamwork and suggest actions; after discussion with Unit Head, assist with implementation
Collaborate effectively with other specialist teams involved in the patient’s care
Set an appropriate tone for any communication with patients and their families, peers and colleagues
Communicate clearly and compassionately when breaking bad news or discussing difficult topics (deterioration, poor prognosis, resuscitation and end-of-life issues)
Contribute to continuing education of patient support network and community groups
Contribute to the hospital’s work on prioritised health issues
Counsel patients appropriately on the benefits and risks of screening and health promotion activities
Acknowledge the potential impact of cultural differences in the acceptance of treatment for common conditions and work within those parameters
Identify own knowledge gaps in relation to different community groups, their histories and specific health issues and undertake self-directed learning
Recognise when a management plan is failing and, where appropriate, seek senior input to devise an alternative plan
Recognise instances of uncertainty and conflicting values, and able to alleviate their potential impact
Demonstrate ways to handle discrimination, bullying and sexual harassment that discourage inappropriate behaviour
Remain calm under pressure
Able to discuss the structure and function of healthcare systems applicable to specialty and country
Have ongoing awareness of gaps in own knowledge and address these
Liaise with legal and statutory authorities, including mandatory reporting, where applicable
Provide evidence or attend court to support a colleague
Prepare police reports, or reports for community advocate/guardian, that have been appropriately reviewed by hospital management’s legal advisors
Recognise signs of a colleague in difficulty and respond with empathy
Deal with ethical uncertainty and conflicting values; maintain ethical standards
Use a range of resources in educational planning
Identify areas of improvement in teaching/ learning activities and work with Unit Head/ Director of Surgery to implement change
Use multi-disciplinary team meetings as teaching and educational opportunities
Identify personal learning objectives using a learning plan
Able to assess advanced Essential Surgical Skills constructs (competent with basic and intermediate) both for use in current position as well as for surgical education and training (SET) application – career pathway
Competent with intermediate and many of the advanced Essential Surgical Skills constructs
Accept a hospital committee role, as member of the medical team or as trainee representative