Clinical Competency Rubric

6. Professionalism

Clinical Competency Rubric
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6.1 Professional knowledge, behaviour and attitudes

This requires knowledge of ethical principles, as well as duty-of-care and maintenance of appropriate therapeutic boundaries. The ability to appropriately review potential and actual critical incidents in order to manage consequences and reduce future risk is also an important consideration in this domain. The response to scrutiny of own professional behaviour, being open to feedback and demonstrating a willingness to change is included.

6.2 Learning and professional development.

Being able to respond appropriately to feedback as an educational dialogue, demonstrating the ability to reflect on performance, and identifying personal learning needs are important components of this competency. Using critical appraisal skills, actively participating in clinical audits, and demonstrating a commitment to ongoing professional development all form part of this domain of assessment.

Required knowledge

  • Knowledge of own scope of safe practice
  • Ethical principles in medicine
  • Legislation relevant to general practice

Required attitudes

  • Empathy
  • Collegiality
  • Self-awareness
  • Professionalism
  • Commitment to learning and development
  • Commitment to contribute to improving the evidence base for general practice research
  • Respect for patient autonomy
  • Commitment to self/family care

Required skills

  • Reflective practice

Skills focus: Professional knowledge, attitudes and behaviours

6.1 Professional knowledge, behaviour and attitudes

CS4.1.1 Adherence to relevant codes and standards of ethical and professional behaviour
CS4.1.2 Duty of care is maintained
CS4.1.4 Critical incidents and potential critical incidents are identified and managed

6.2 Learning and professional development

CS4.2.1 Professional knowledge and skills are reviewed and developed
CS4.2.2 Reflection and self-appraisal are undertaken regularly

Criteria:

  1. Encourages scrutiny of professional behaviour, is open to feedback and demonstrates a willingness to change
  2. ​Exhibits high standards of moral and ethical behaviour towards patients, families and colleagues (including an awareness of appropriate doctor/patient boundaries)
  3. Appropriately manages ethical dilemmas that arise
  4. Identifies and manages clinical situations where there are obstacles to provision of duty of care
  5. Implements strategies to review potential and actual critical incidents to manage consequences and reduce future risk
  6. Personal health issues are identified and managed by accessing professional support as needed
  7. Judges the weight of evidence, using critical appraisal skills and an understanding of basic statistical terms, to inform decision-making
  8. Shows a commitment to professional development through reflection on performance and the identification of personal learning needs
  9. Attends and participates in all learning and assessment activities of an educational program
  10. Actively engages in feedback as a dialogue, discussing performance and setting own goals for professional development
  11. Personally participates in audits and quality improvement activities and uses these to evaluate and suggest improvements in personal and practice performance


6.1 Performance lists

Criteria (competent at level of Fellowship) Performs consistently at the standard expected
  1. Encourages scrutiny of professional behaviour, is open to feedback and demonstrates a willingness to change
  • Seeks feedback and engages in dialogue about professional behaviour
  1. Exhibits high standards of moral and ethical behaviour towards patients, families and colleagues including an awareness of appropriate doctor/patient boundaries
  • Respects patient-doctor boundaries
  • Maintains confidentiality
  • Recognises professional limitations
  • Respects the patient’s culture and values
  • Care of the patient is the primary concern
  • Practicing medicine safely at all times
  • Shows honesty at all times
  • Takes responsibility for own actions
  1. Appropriately manages ethical dilemmas that arise
  • Aware of own values and belief systems and how these may have an impact on patient care
  • Considers multiple perspectives and options available to facilitate a decision
  1. Identify and manage clinical situations where there are obstacles to provision of duty of care
  • Understands issues involved in contact tracing for communicable disease where the patient wishes to remain anonymous
  • Able to manage expectations of workplace stakeholders when dealing with workers compensation injuries
  • Describes how the requirements of Mandatory reporting can impact on the provision of care . Reviews of fitness to drive and is aware that this could impact on patient care or the therapeutic relationship
  1. Implements strategies to review potential and actual critical incidents to manage consequences and reduce future risk
  • Recognising what has happened
  • Acting immediately to rectify the problem, if possible, including seeking any necessary help and advice
  • Explaining to the patient as promptly and fully as possible what has happened and the anticipated short-term and long-term consequences
  • Acknowledging any patient distress and providing appropriate support Complying with any relevant policies, procedures and reporting requirements, subject to advice from your medical indemnity insurer
  • Reviewing adverse events and implementing changes to reduce the risk of recurrence
  • Reporting adverse events to the relevant authority, as necessary
  1. Personal health issues are identified and managed by accessing professional support as needed
  • Identifies physical/psychological impairment which may impact wellbeing or ability to manage responsibilities, and ensures that a robust management plan is developed

6.2 Performance lists

Criteria (competent at level of Fellowship) Performs consistently at the standard expected
  1. Judges the weight of evidence, using critical appraisal skills and an understanding of basic statistical terms, to inform decision-making
  • Uses critical appraisal skills in determining whether resources are applicable to a particular patient
  1. Shows a commitment to professional development through reflection on performance and the identification of personal learning needs
  • Reflects on clinical skills and knowledge in order to engage in a process of continuous learning
  • Reflection and self-appraisal are undertaken regularly
  • Appraise and review response to constructive feedback
  • Participating regularly in activities that maintain and further develop knowledge, skills and performance
  • Regularly reviewing continuing medical education and continuing professional development activities to ensure that they are consistent with those recommended the relevant professional
  • organisation and regulatory authorities
  1. Attends and participates in all learning and assessment activities of an educational program
  • Attends learning activities as required by the program
  • Actively participates in learning activities
  • Actively participates in assessment activities
  1. Actively engages in feedback as a dialogue, discussing performance and setting own goals for professional development
  • Actively seeks feedback
  • Contributes to feedback by reflecting on performance
  • Identifies areas of improvement
  1. Personally participates in audits and quality improvement activities and uses these to evaluate and suggest improvements in personal and practice performance
  • Undertakes a clinical audit
Aboriginal and Torres Strait Islander health context
  1. Develop strategies to promote a culturally safe practice environment
  2. Integrate knowledge of history of government policies and consequent health impacts into delivery of care
  3. Advocate for and use policies and initiatives that promote equity in healthcare
  
Rural health context
  1. Effectively manage any conflicts between personal and professional roles
  2. Effectively communicate limits of role boundaries to patients, staff and community members
  3.  Regularly review and implement plans to meet professional learning and support needs
  4.  Support and mentor colleagues in managing professional isolation
  

 
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Related documents

  Clinical-Competency-Rubric (PDF 0.39 MB)

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