Perform basic procedures operations

At the early registrar level it is expected that a prevocational doctor will have acquired the skills, knowledge and behaviours to lead a ward round.

This task describes a number of activities, as below, where proficiency should be achievable by the end of PGY3. The doctor is encouraged to download the Key Clinical Task guidelines and seek the support of his/her supervisor for feedback on performance.

  • Is punctual, knows patients, aware of current issues and manages ward round allowing for patient workload
  • Demonstrates systematic approach to assessing patients
  • Develops good rapport with patients and relatives
  • Works well & communicates effectively with team members to provide clear instructions
  • Lead consultants, junior doctors, students
  • Discusses management plan effectively with consultant ; able to share this with patient
  • Teaches when appropriate (could be after ward round)
  • Delegates tasks, reviews notes
  • Supervises juniors including review of patients later in the day
  • PGY 1
  • PGY 2
  • PGY 3

  • Collaboration and teamwork

    • Establish respectful good working relationships with team members and other healthcare professionals
    • Respond positively to requests for help from team, as needed
    • Understand both personal and collective responsibility within the team to ensure the safety of patients

  • Judgement and clinical decision making

    • Can explain indications, contraindications and risks involved in decision making regarding common procedures
  • Leadership and management
    • Respond positively to direction
    • Identify hazards within the clinical environment; ensure they are reported and then acted upon
  • Medical expertise
    • Practise hand hygiene, noting standard precautions, transmission-based precautions, personal protective equipment and aseptic technique

  • Scholarship and teaching

    • Assist with training of medical students in clinical examination and simple skills
    • Seek opportunities for feedback to reflect on and learn from clinical practice
    • Reflect on own skills and personal attributes when investigating a range of career options

  • Technical expertise

    • Undertake training through a combination of simulation and direct supervision
    • Perform some generic elementary technical skills

  • Collaboration and teamwork

    • Recognise issues that impede teamwork and suggest/implement actions to improve it
    • Support new unit (team) members
  • Communication
    • Identify potential areas for communication breakdown and take action to avoid problems of miscommunication

  • Judgement and clinical decision making

    • Select appropriate procedures, with involvement of senior clinicians and the patient
  • Leadership and management
    • Recognise stressful situations and know when to ask for help
    • Accept opportunities for increased autonomy and patient responsibility under direction of supervisor
  • Medical expertise
    • Specify peri-operative management of anticoagulants and antiplatelet agents and recognise prescription and/or administration errors
    • Understand recommendations for user-applied labelling of injectable medicines, fluids and lines
  • Professionalism
    • Critically reflect on own performance and make an accurate assessment of this

  • Scholarship and teaching

    • Lead the training of junior doctors in clinical examination and teaching of simple skills using a teaching plan
    • Provide constructive, timely and specific feedback to interns based on observation of a junior’s performance, encouraging them to reflect on their own learning

  • Technical expertise

    • Attend training sessions undertaken by other members of the multi-disciplinary team
    • Perform generic elementary technical skills

  • Collaboration and teamwork

    • Able to coach or supervise juniors, as required by the clinical task
    • Encourage participation of all team members and allocate appropriate tasks to junior members
  • Communication
    • Use graded assertiveness where appropriate

  • Judgement and clinical decision making

    • Able to explain decision making while performing a simple procedure
  • Leadership and management
    • Demonstrate ways to handle discrimination, bullying and sexual harassment that discourage inappropriate behaviour
    • Demonstrate appropriate self-awareness and insight
  • Medical expertise
    • Be aware of risks associated with common conditions and procedures and implement steps to predict or mitigate them
  • Professionalism

  • Scholarship and teaching

    • Identify personal learning objectives using a learning plan

  • Technical expertise

    • Able to demonstrate that basic essential surgical skills constructs are well established
    • Able to teach basic Essential Surgical Skills constructs to juniors and supervise their clinical application established
    • Competent with intermediate and many of the advanced Essential Surgical Skills constructs