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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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Behave in a professional and ethical way
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Professional behaviour
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Integrate professional codes of conduct into practice
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Integrate professional codes of conduct into practice in the general practice setting
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Conduct oneself professionally and identify and address risks to professional conduct by oneself and others
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Be an exemplar of professional behaviour and consistently follow professional codes of conduct in practice and reflect on own adherence. Understand own role as part of a collective to follow expected professional standards
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Therapeutic boundaries
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Recognise and respect therapeutic boundaries, seeking assistance when needed
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Recognise threats to therapeutic boundaries and know how to access support in maintaining therapeutic boundaries
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Identify threats to therapeutic boundaries and manage these professionally
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Identify potential threats to therapeutic boundaries and take preventive measures to preserve therapeutic boundaries
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Ethical issues
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A strong commitment to ethical practice, including seeking advice from senior colleagues when needed
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Understand key ethical issues in the general practice context
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Have a strong understanding of medical ethics in the general practice context and the skills to address challenges to ethical behaviour
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Understand and navigate complexities in ethical practice to achieve a high level of ethical practice
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Practice self-care
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Self-care
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Recognise the importance of self-care
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Recognise the importance of personal health and wellbeing and practice self-care in the GP context and identify strategies to achieve this, including seeking professional advice when needed
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Practice self-care whilst working and identify available supports relevant to the GP context
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Develop and implement plans to enhance personal wellbeing to allow for optimal professional performance and support colleagues in practicing self-care
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Engage in reflective practice and ongoing learning
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Feedback and learning
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Seek feedback with a willingness to change, identify learning needs and address these
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Seek, engage and respond to feedback on performance. Identify learning needs, and access resources and support to address those in the general practice context
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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
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Foster environments that encourage feedback and participate in professional development relevant to current and future practice
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Reflective practice
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Engage in reflective practice during interactions, demonstrating self-awareness
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Engage in reflective practice during consultations and engage in dialogue about own performance
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Regularly engage in reflective practice during consultations, adapt as needed in real time, and describe influence on future practice
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Proactively engage in reflective practice and utilise it to continually improve
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Understand own professional competency
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Self-evaluation to enhance care provision
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Identify professional limitations and seek appropriate help as required
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Identify professional limitations and seek appropriate help as required in the general practice context
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Effectively judge the quality of the care one provides, and institute measures to improve one’s own practice
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Have strategies to identify quality practice in unfamiliar environments and be able to judge one's own provision of care in any setting
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Cultural competency
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Understand that a clinician’s cultural lens impacts on patient care and respect different cultural perspectives
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Understand and use basic strategies to manage the impact of your cultural lens and privilege on patient care, in the context of general practice
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Demonstrate awareness and critical reflection of personal values, beliefs, attitudes and power differentials in delivering safe care
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Undertake regular critical reflection on own practice and utilise insights to continually improve cultural safety of patient care
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Meet legal and duty of care responsibilities
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Legal obligations
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Respect and understand key legal principles such as privacy, confidentiality, certification, duty-of-care and informed consent
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Understand and respect duty-of-care and legal responsibilities in the general practice context
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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
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Manage complex legal issues in practice
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Medical records and reports
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Maintain accurate and thorough clinical records
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Provide and/or access resources to support provision of accurate medico-legal documentation
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Compile information from clinical records to write a factual synthesis for a medicolegal report
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Synthesise clinical information for accurate medicolegal reports which may include providing a professional opinion
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