Clinical Competency Rubric

5. Preventive and population health

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Table of contents

Last revised: 04 Mar 2024

This competency is about the provision of general practice care and service that supports economically rational and effective use of the healthcare system. Issues related to public health are identified and managed. The determinants of health and disease are identified both on the individual and community level. Disease prevention and health promotion activities are included in the consultation.

Required knowledge

Australian healthcare system
Preventive health, health promotion theory and practice
Community and patient resources
Access and equity in the context of the patient and the setting
Professional resources and guidelines

Required attitudes

Collegiality
Professionalism

Required skills

Communication skills
Networking
Multidisciplinary teamwork

Skills focus: Health-promotion, community resources, public health issues, screening and prevention

Criteria

Implements screening and prevention strategies to improve outcomes for individuals at risk of common causes of morbidity and mortality
Uses planned and opportunistic approaches to provide screening, preventative care and health-promotion activities
Coordinates a team-based approach
Demonstrates understanding of available services in the local community
Current and emerging public health risks are managed appropriately
Educates patients and families in disease management and health-promotion skills
Identifies opportunities to effect positive change through health education and promotion
Uses appropriate strategies to motivate and assist patients in maintaining health behaviours

Performance lists

Criteria (competent at level of Fellowship)	Performs consistently at the standard expected
Implements screening and prevention strategies to improve outcomes for individuals at risk of common causes of morbidity and mortality	Identifies specific risk factors for priority diseases Engages in age and risk-appropriate screening Follows recognised guidelines for preventive and screening activities (RACGP Red book) Recall systems are used (cervical smears, vaccinations etc)
Uses planned and opportunistic approaches to provide screening, preventative care and health-promotion activities	Incorporates disease prevention and health promotion in the ongoing care of patients Provides opportunistic and appropriate immunisation Provides targeted vaccinations appropriate to the patient and the population
Coordinates a team-based approach	Appropriate referrals are considered and discussed Involves other health care practitioners in the care of the patient
Demonstrates understanding of available services in the local community	Discusses the local services with the patient and their family Assists the individual patient in negotiating obstacles to the care that they need within the community for eg aged care referrals Actively engages with local health care teams
Current and emerging public health risks are managed appropriately	Identifies and manages issues of public health concern Implements vaccination programs Is up to date with disease trends Is up to date with guidelines regarding screening and prevention Makes appropriate notifications to the state or territory Department of Health Assists with contact-tracing
Educates patients and families in disease management and health-promotion skills	Uses the consultation to provide education to the patient Discusses modifiable risk factors Provides advice on lifestyle modification Opportunistically checks immunisation status
Identifies opportunities to effect positive change through health education and promotion	Provides actionable advice on lifestyle modification Discusses return-to-work Provides information about risk of injury or illness during travel Undertakes harm minimisation discussion with patients with substance addictions
Uses appropriate strategies to motivate and assist patients in maintaining health behaviours	Identifies the patient’s stage of change Assess the level of health literacy Provides information about risks of not changing Acknowledges the patient’s perspective
Aboriginal and Torres Strait Islander health context Uses evidence-based preventive and population health approaches to reduce health inequalities in Aboriginal and Torres Strait Islander communities Identifies health-delivery strategies to reduce inequities and enhance self determination
Rural health context Develops and delivers health-promotion activities in the community to address identified risks Establishes and sustains health-education and health-promotion networks Implements strategies to minimise obstacles to accessing care Works effectively with government and non-government organisations and the community to optimise health service provision Manages public health risks according to various guidelines

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