Patient orientation



  Entry Foundation Consolidation Fellowship
Deliver culturally safe care Identify own cultural bias and cultural lens Explain how own cultural lens may impact consultations Work effectively with Aboriginal and Torres Strait Islander health practitioners/workers and liaison officers, and with Aboriginal and Torres Strait Islander peoples Integrate cultural perspectives, beliefs and impacts of historical events into provision of culturally safe care to Aboriginal and Torres Strait Islander peoples
  Respectfully identify Aboriginal and Torres Strait Islander peoples and barriers to self-identification Demonstrate a culturally safe approach to consultations with Aboriginal and Torres Strait Islander peoples Consider cultural beliefs, practices and preferences when referring individuals to other healthcare providers Integrate cultural perspectives and beliefs into provision of culturally safe care in all cross-cultural consultations
  Demonstrate cultural awareness in consultations with Aboriginal and Torres Strait Islander peoples Demonstrate a culturally safe approach to all cross-cultural consultations    
  Provide opportunities for Aboriginal and Torres Strait Islander health practitioners/workers and liaison officers to join the healthcare team      
  Use cultural awareness and respectful interest in all cross-cultural consultations      
Provide person-centred and comprehensive care, using a biopsychosocial approach Demonstrate holistic person-centred care, applying a biopsychosocial approach Identify and address a patient’s agenda and priorities Identify and address barriers to effective therapeutic relationships Acknowledge patients’ experiences and perspectives and integrate these into management plans
  Identify individuals who may require gender-concordant care   Identify psychological, social and cultural factors that may impact presentation and management of acute and chronic health conditions  
Manage consultations and communicate effectively with patients, families and carers Communicate effectively with patients, families and carers to take a history and explain common diagnoses and management Establish a therapeutic relationship in routine encounters using effective communication Structure consultations to optimise engagement, efficiency and time management Establish a therapeutic relationship and use situational awareness in patient encounters that are challenging
  Identify and address barriers to communication Match modality of communication to patient needs, health literacy and context Negotiate the agenda for the consultation, clarify expectations and verify understanding Proactively use resources to minimise communication barriers
  Demonstrate empathy and compassion and use language and nonverbal behaviour to establish rapport   Communicate effectively with and incorporate views of family, carers and substitute decision-makers appropriately to improve care Effectively prioritise and set reasonable expectations for the consultation.
        Use shared decision-making to align patient, family and carer values, goals and preferences to develop a personalised plan
        Explain relevant evidence to patients to support informed decisions
Collaborate and coordinate care (within healthcare teams and with other professional stakeholders) Work respectfully and communicate effectively with colleagues in healthcare teams   Document organised diagnostic and therapeutic reasoning in clinical notes to facilitate quality continuity of care Provide continuity and effectively collaborate with healthcare teams to lead and coordinate recommendations
  Identify barriers to healthcare and advocate to optimise access   Advocate for patients to access the care needed to optimise health outcomes  
      Provide timely and appropriate referrals  
      Use eHealth systems, such as clinical software, telehealth or other digital health technologies, appropriately to optimise patient care  
Identify and manage uncertainty and acute and undifferentiated presentations (across the lifespan and appropriate to context) Undertake assessments to identify red flags and acute common conditions Identify red flags and undertake safe initial management of serious health conditions. Request assistance with appropriate urgency Demonstrate a structured and rational approach to assessment to identify and initiate management of common urgent and emergent conditions Manage urgent and emergent situations and coordinate appropriate diagnostic strategies
  Formulate safe and evidence-based management plans, seeking timely help from colleagues Articulate and prioritise clinical questions and elicit patient preferences to guide evidence-based care Demonstrate high-level clinical problem-solving, with ability to prioritise clinical issues and identify appropriate diagnostic strategies Reappraise diagnoses over time to minimise clinical reasoning errors
  Obtain informed consent for common procedures and investigations Communicate effectively with patients and carers in emergency situations, including provision of adequate information to enable informed consent Safely undertake procedures appropriate to context and skill levels Appropriately manage patients with complex acute conditions
  Safely undertake procedures under appropriate supervision Identify situations where capacity to consent may be impaired and gain consent through appropriate process Interpret and synthesise complex clinical assessment and diagnostic information to reach high probability diagnoses Manage uncertainty and ongoing undifferentiated conditions
  Demonstrate safe prescribing for common presentations Prioritise patient comfort, alleviating pain and distress Organise appropriate follow-up  
  Outline the clinical presentations that indicate a need for acute resuscitation   Identify clinical deterioration and escalate care appropriately  
  Demonstrate contemporary practice of basic life support   Demonstrate principles of contemporary practice of advanced life support  
  Recognise common health issues that may impact public health   Manage uncertainty with appropriate safety-netting and use of time as a diagnostic aid  
      Appropriately notify and/or intervene regarding emerging public health risks  
Manage individuals with chronic and complex conditions, providing continuity of care (across the lifespan and appropriate to context) Demonstrate knowledge of management and complications of high prevalence chronic conditions Undertake early detection of chronic disease to reduce impacts Provide holistic and rational chronic disease management Deliver appropriate surveillance of chronic conditions and impacts of comorbidities
  Formulate basic management plans for common chronic conditions Access appropriate guidelines and assessment tools to develop and implement management plans Develop person-centred management plans with collaborative goals of care and self-management Adapt communication strategies and provide appropriate resources to optimise self-management
  Identify factors that impact variability in progression and presentation of chronic conditions Prescribe safely, including management of polypharmacy Identify impacts on individuals and their carers and provide support and education to optimise wellbeing and promote self care Provide continuity and establish appropriate models and goals of care with patients and their families
      Undertake rational, safe prescribing and medication monitoring  
Promote health and deliver preventive care (across the lifespan and appropriate to context) Identify individuals with risk factors for common preventable conditions and opportunities to promote wellness   Provide evidence-based health promotion and access to screening, using recall systems Integrate understanding of stages of change and harm minimisation into patient care
  Provide information to promote health, including lifestyle modification     Use a range of strategies and resources to provide health education about normal life stages