Clinical Competency Rubric 2022

5. Preventive and population health

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

  1. Implements screening and prevention strategies to improve outcomes for individuals at risk of common causes of morbidity and mortality
  2. Uses planned and opportunistic approaches to provide screening, preventative care and health promotion activities
  3. Coordinates a team-based approach
  4. Demonstrates understanding of available services in the local community
  5. Current and emerging public health risks are managed appropriately
  6. Educates patients and families in disease management and health promotion skills
  7. Identifies opportunities to effect positive change through health education and promotion
  8. 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
  1. 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)
  1. 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
  1. Coordinates a team-based approach
  • Appropriate referrals are considered and discussed
  • Involves other health care practitioners in the care of the patient
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. Use evidence-based preventive and population health approaches to reduce health inequalities in Aboriginal and Torres Strait Islander communities 
  2. Identify health delivery strategies to reduce inequities and enhance self determination
 
Rural health context
  1. Develop and deliver health promotion activities in the community to address identified risks
  2. Establish and sustain health education and promotion networks
  3. Implement strategies to minimise obstacles to accessing care
  4. Work effectively with government and nongovernment organisations and the community to optimise health service provision
  5. Manage public health risks according to various guidelines
 
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Related documents

  Clinical-Competency-Rubric (PDF 0.39 MB)

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