At the early registrar level it is expected that a prevocational doctor will have acquired the skills, knowledge and behaviours to competently perform basic procedures/operations.
This task describes a number of experiences 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:
Establish respectful good working relationships with team members and other healthcare professionals
Respond positively to requests for help from team, as needed
Understand both personal and collective responsibility within the team to ensure the safety of patients
Can explain indications, contraindications and risks involved in decision making regarding common procedures
Respond positively to direction
Identify hazards within the clinical environment; ensure they are reported and then acted upon
Practise hand hygiene, noting standard precautions, transmission-based precautions, personal protective equipment and aseptic technique
Assist with training of medical students in clinical examination and simple skills
Seek opportunities for feedback to reflect on and learn from clinical practice
Reflect on own skills and personal attributes when investigating a range of career options
Undertake training through a combination of simulation and direct supervision
Perform some generic elementary technical skills
Recognise issues that impede teamwork and suggest/implement actions to improve it
Support new unit (team) members
Identify potential areas for communication breakdown and take action to avoid problems of miscommunication
Select appropriate procedures, with involvement of senior clinicians and the patient
Recognise stressful situations and know when to ask for help
Accept opportunities for increased autonomy and patient responsibility under direction of supervisor
Specify peri-operative management of anticoagulants and antiplatelet agents and recognise prescription and/or administration errors
Understand recommendations for user-applied labelling of injectable medicines, fluids and lines
Critically reflect on own performance and make an accurate assessment of this
Lead the training of junior doctors in clinical examination and teaching of simple skills using a teaching plan
Provide constructive, timely and specific feedback to interns based on observation of a junior’s performance, encouraging them to reflect on their own learning
Attend training sessions undertaken by other members of the multi-disciplinary team
Perform generic elementary technical skills
Able to coach or supervise juniors, as required by the clinical task
Encourage participation of all team members and allocate appropriate tasks to junior members
Use graded assertiveness where appropriate
Able to explain decision making while performing a simple procedure
Demonstrate ways to handle discrimination, bullying and sexual harassment that discourage inappropriate behaviour
Demonstrate appropriate self-awareness and insight
Be aware of risks associated with common conditions and procedures and implement steps to predict or mitigate them
Aware of the College Code of Conduct and its implications for surgical practice
Identify personal learning objectives using a learning plan
Able to demonstrate that basic essential surgical skills constructs are well established
Able to teach basic Essential Surgical Skills constructs to juniors and supervise their clinical application established
Competent with intermediate and many of the advanced Essential Surgical Skills constructs