Consolidation

Capability 

Theme 

Consolidation Level Competencies 

Communicate effectively with patients and families 

Patient-centred communication 

Consistently communicate effectively, respectfully and empathically with patients, families and carers 

Communication where there are language barriers 

Adapt style and utilise resources to effectively communicate with patients where there are language barriers 

Navigating challenging conversations 

Effectively and clearly communicate in challenging situations, including where there is uncertainty 

Shared decision making 

Counsel patients on the benefits and harms of diagnostic and management options to support shared decision-making 

Therapeutic relationship 

Establish and maintain therapeutic relationships that can navigate differences of opinion 

Navigating transference and countertransference 

Identify and manage transference and countertransference   

Practice culturally respectful, responsive and safe communication 

Communicating with Aboriginal and Torres Strait Islander Peoples 

Demonstrate culture responsiveness by appropriate communication, interaction and rapport building with Aboriginal and Torres Strait Islander Peoples, including when diverse perspectives, contexts and historical events may have an impact 

Communicating with Culturally and Linguistically Diverse peoples 

Integrate the cultural experience of the patient to demonstrate culturally safe and effective communication with patients and families 

Communicate relevant information efficiently to others involved in a patients care 

Team communication and handover 

Effectively and efficiently communicate with the care team in a manner that helps others frame their care of the patient 

Communication with others in the practice 

Effectively and constructively communicate with others in the practice to achieve optimal outcomes 

Capability 

Theme 

Consolidation Level Competencies 

Provide person-centred and comprehensive care, using a biopsychosocial approach   

Person-centred approach 

Acknowledge and respect patients’ experiences and perspectives and integrate these into care 

Comprehensive care with continuity 

Provide comprehensive care for a wide range of conditions and utilise the opportunities of continuity of care 

Strengths based approaches with Aboriginal and Torres Strait Islander Peoples 

Integrate the cultural strengths, needs, and appropriate resources for Aboriginal and Torres Strait Islander Peoples to enable the delivery of person-centred care 

Trauma-informed 

Start applying trauma-informed care principles into clinical practice by creating a safe, supportive environment, actively listening to patients, and recognising the impact of trauma on their health 

Conduct consultations to effectively facilitate care  

Consultation management 

Demonstrate a structured approach to consultations including negotiating and prioritising agendas and health issues to optimise the consultation potential 

Apply expert medical knowledge and skills in assessing and diagnosing conditions 

Clinical information gathering 

Efficiently obtain relevant history, perform a focused examination and considering the general practice context, the appropriate investigations to inform care 

Diagnostic reasoning 

Demonstrate proficiency in clinical problem solving with the ability to adapt reasoning based on emerging information and priorities 

Manage the full range of presentations including providing first contact access 

Urgent, emergent, time sensitive care 

Have a structured, rational approach to assessment that prospectively assesses deterioration risk to anticipate and manage urgent and emergent conditions, including provision of advanced life support 

Management planning 

Develop management and follow up procedures, referral, appropriate review and safety netting 

Prescribing 

Undertake rational, safe prescribing and medication monitoring 

Procedures 

Safely undertake procedures appropriate to context and skill levels 

Manage uncertainty and assess undifferentiated presentations    

Management of uncertainty 

Manage uncertainty and complexity with appropriate safety-netting and use of time as a diagnostic aid 

Assessment and management of undifferentiated presentations 

Assess and manage a wide range of presentations with appropriate safety-netting 

Promote health and deliver preventive care 

Promoting health and wellbeing 

Integrate understanding of stages of change and harm minimisation into evidence informed personalised preventive care 

Health education and health literacy 

Anticipate potential health knowledge needs and prospectively provide relevant information 

Aboriginal and Torres Strait Islander Peoples 

Integrate preventative healthcare with Aboriginal and Torres Strait Islander Peoples by understanding the importance of self-determination and community-led approaches 

Public health 

Appropriately notify and/or intervene regarding public health risks 

Capability 

Theme 

Consolidation Level Competencies 

Advocate for access to care 

Advocate for individual patients 

Facilitate access to care for individuals 

Addressing health inequality and inequity 

Identify and address causes of systemic disadvantage that impact local community health and access to care 

Aboriginal and Torres Strait Islander Health 

Apply knowledge of health inequities to provide patient-centred, strengths based and culturally safe care to Aboriginal and Torres Strait Islander Peoples and communities 

Systemic causes of inequity, including discrimination and racism 

Identify advocacy opportunities to address systemic healthcare barriers that are relevant to the general practice context and participate when feasible and reasonable 

Coordinate care and lead healthcare teams 

Working within a multi-disciplinary team 

Collaborate with health care teams to provide effective, efficient patient-centred care 

Aboriginal and Torres Strait Islander Health 

Work collaboratively with Aboriginal and Torres Strait Islander health experts within the healthcare team 

Responsibly steward healthcare system utilisation 

Rational use of Australian healthcare system 

Utilise healthcare resources judiciously and maintain compliance with program guidelines 

Promote practice quality, safety and viability 

Technology 

Use eHealth systems and technology tools to support patient care taking into consideration their benefits and risks 

Practice systems 

Effectively use the full range of practice systems in general practice to provide safe quality care 

Near misses and adverse events (including critical incidents) 

Analyse individual and system factors that contributed to near misses and adverse events (including critical incidents) and identify mitigating initiatives 

Quality improvement initiatives 

Participate in and generate new quality improvement initiatives 

General practice as a business 

Understand the general practice environment and the essentials of business that influence practice viability 

Safe workplaces 

Address issues that are impacting on the physical, mental and cultural safety of the general practice work environment 

Capability 

Theme 

Consolidation Level Competencies 

Behave in a professional and ethical way 

Professional behaviour 

Conduct oneself professionally and identify and address risks to professional conduct by oneself and others    

Therapeutic boundaries 

Identify threats to therapeutic boundaries and manage these professionally 

Ethical issues 

Have a strong understanding of medical ethics in the general practice context and the skills to address challenges to ethical behaviour 

Practice self-care 

Self-care 

Practice self-care whilst working and identify available supports relevant to the GP context 

Engage in reflective practice and ongoing learning    

Feedback and learning 

Develop processes and relationships that provide ongoing feedback on performance including peer benchmarking. Undertake professional development and make effective changes to practice based on feedback 

Reflective practice 

Regularly engage in reflective practice during consultations, adapt as needed in real time, and describe influence on future practice 

Understand own professional competency 

Self-evaluation to enhance care provision 

Effectively judge the quality of the care one provides, and institute measures to improve one’s own practice 

Cultural competency 

Demonstrate awareness and critical reflection of personal values, beliefs, attitudes and power differentials in delivering safe care 

Meet legal and duty of care responsibilities 

Legal obligations 

Recognise, manage and seek help for complex legal issues in general practice including where there are issues around capacity for consent or conflicting duties of care 

Medical records and reports 

Compile information from clinical records to write a factual synthesis for a medicolegal report 

Capability 

Theme 

Consolidation Level Competencies 

Integrate best available scientific evidence into practice 

Critical appraisal and integration of evidence 

Access, appraise and integrate clinical guidelines and other research evidence into clinical decisions 

Support learning and improvement through education, mentoring, and engagement with research 

Educator and mentor 

Participate in mentoring, support, constructive feedback and effective education for junior doctors and colleagues 

Research literacy 

Demonstrate a basic understanding of common research methods used in the general practice context and the research questions they can answer 

Research engagement 

Identify research participation opportunities in general practice.  Identify populations who are underrepresented in research relevant to general practice 

Aboriginal and Torres Strait Islander Health Research 

Identify opportunities to integrate culturally safe and strengths-based research principles into primary care and recognise gaps where further research can strengthen Aboriginal and Torres Strait Islander health outcomes