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Milestone competencies
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Capability
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Theme
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Entry
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Foundation
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Consolidation
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Fellowship
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Advocate for access to care
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Advocate for individual patients
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Identify barriers to healthcare for patients
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Recognise potential approaches to addressing barriers to healthcare for patients
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Facilitate access to care for individuals
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Use innovative approaches to overcome obstacles to care for individuals
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Addressing health inequality and inequity
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Identify the determinants that contribute to poorer health outcomes in population groups
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Identify culturally appropriate health services to support individuals from specific population groups to optimise health
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Identify and address causes of systemic disadvantage that impact local community health and access to care
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Identify strategies to improve health equality and equity in the local community
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Aboriginal and Torres Strait Islander Health
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Identify some factors contributing to the health inequities experienced by Aboriginal and Torres Strait Islander Peoples
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Understand the key social, colonial, historical and systemic factors contributing the health inequities experienced by Aboriginal and Torres Strait Islander Peoples
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Apply knowledge of health inequities to provide patient-centred, strengths based and culturally safe care to Aboriginal and Torres Strait Islander Peoples and communities.
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Identify opportunities for engaging with Aboriginal and Torres Strait Islander health organisations and health leaders that are progressing health equity and support their efforts to inform policy development and health system reform
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Systemic causes of inequity, including discrimination and racism
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Recognise that there are systemic healthcare barriers that discriminate against specific population groups resulting in health inequity
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Identify potential approaches to addressing systemic healthcare barriers
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Identify advocacy opportunities to address systemic healthcare barriers that are relevant to the general practice context and participate when feasible and reasonable
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Advocate for systemic changes to optimise health outcomes
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Coordinate care and lead healthcare teams
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Working within a multi-disciplinary team
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Work respectfully and collaborate effectively with colleagues in healthcare teams
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Identify patient care needs and coordinate care with relevant team members
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Collaborate with health care teams to provide effective, efficient patient-centred care
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Lead collaborative healthcare teams providing continuity, and efficient, effective care respectful of patient preferences
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Aboriginal and Torres Strait Islander Health
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Recognize and respect the unique knowledge and perspectives of identified Aboriginal and Torres Strait Islander health experts including Aboriginal and Torres Strait Islander health practitioners/ workers/ liaison officers, nurses, psychologists, specialists other culturally relevant allied health experts
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Identify opportunities for Aboriginal and Torres Strait Islander health experts to be part of the healthcare team
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Work collaboratively with Aboriginal and Torres Strait Islander health experts within the healthcare team.
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Provide opportunities to elevate Aboriginal and Torres Strait Islander health expertise to strengthen culturally informed and responsive care that improves health outcomes
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Responsibly steward healthcare system utilisation
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Rational use of Australian healthcare system
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Understand the Australian healthcare system structure and the concept of resource limitations
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Use the healthcare system in the context of general practice and rationally use resources
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Utilise healthcare resources judiciously and maintain compliance with program guidelines
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Utilise health system resources responsibly, effectively and efficiently
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Promote practice quality, safety and viability
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Technology
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Understand that effective use of technology and eHealth systems can optimise patient care
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Use eHealth systems appropriately in the delivery of patient care
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Use eHealth systems and technology tools to support patient care taking into consideration their benefits and risks
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Use developing technology and eHealth systems in practice to optimise patient care
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Practice systems
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Understand systems-based approaches to safe quality care
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Utilise core practice systems in general practice to provide safe quality care
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Effectively use the full range of practice systems in general practice to provide safe quality care
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Contribute to identifying and implementing improvements in practice systems
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Near misses and adverse events (including critical incidents)
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Identify, report and debrief with a supervisor after near misses and adverse events (including critical incidents)
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Identify and discuss with supervisor, near misses and adverse events (including critical incidents) in the general practice context
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Analyse individual and system factors that contributed to near misses and adverse events (including critical incidents) and identify mitigating initiatives
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Participate in or lead review of near misses and adverse events (including critical incidents) and support quality clinical governance in own practice
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Quality improvement initiatives
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Understand the principles of quality improvement
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Understand how quality improvement principles can be applied in general practice
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Participate in and generate new quality improvement initiatives
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Identify and lead quality improvement initiatives
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General practice as a business
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Recognise key differences between the business elements of general practice and hospitals
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Recognise the value of clinical services provided and how that contributes to the practice as a business
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Understand the general practice environment and the essentials of business that influence practice viability
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Understand the basis of the management of a general practice as an ethical, legal and viable business
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Safe workplaces
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Identify issues that can arise in ensuring physical, mental and cultural safety of the work environment as it applies to staff as well as patients
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Participate in ensuring the general practice work environment is physically, mentally and culturally safe and supported
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Address issues that are impacting on the physical, mental and cultural safety of the general practice work environment
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Actively promote a work environment that is physically, mentally and culturally safe and supportive, which facilitates clinical safety
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