Clinical Competency Rubric 2022

9. Managing uncertainty

Ongoing undifferentiated conditions can cause considerable anxiety for patients, their families and the GP. There is a need for a structured, evidence-based approach in order to minimise risk from health and economic perspectives. Undifferentiated conditions are often associated with uncertainty and ambiguity, and present management challenges for the clinician. Clinical decision-making around choices of investigations need to be rational and balance the potential risks of both over and under investigating and management, against the benefits in the context of the individual

Criteria

  1. Manages the uncertainty of ongoing undifferentiated conditions
  2. Addresses problems that present early and/or in an undifferentiated way by integrating all the available information to help generate differential diagnoses
  3. Recognises when to act and when to defer doing so and uses time as a diagnostic tool


Performance lists

Criteria (competent at level of Fellowship) Performs consistently at the standard expected
  1. Manages the uncertainty of ongoing undifferentiated conditions
  • Excludes serious or red flag conditions
  • Formulates a management plan in the absence of a diagnosis
  • Refrains from treatment whenever this is applicable (watchful waiting)
  • Makes rational and evidence-based choices of investigations
  • Arranges appropriate review
  1. Addresses problems that present early and/or in an undifferentiated way by integrating all the available information to help generate differential diagnoses
  • Discusses key and differentiating features of symptoms and uses this to sort them into likely diagnoses
  • ​Gathers information appropriately targeted to the most likely diagnosis
  • Considers the temporal course including the duration of the symptoms and pattern of symptoms
  • Demonstrates the use of a safe diagnostic strategy
  1. Recognises when to act and when to defer doing so and uses time as a diagnostic tool
  • Avoids intervention when no clinical justification
  • Arranges appropriate review
  • Aware of normal course of disease

 
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Related documents

  Clinical-Competency-Rubric (PDF 0.39 MB)

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