Transition to Practice (MEDS90025)

As a Scientist and Scholar:

• Theme: Clinician Scientist (Knowledge). Apply biomedical sciences knowledge to explain the underlying mechanisms of patient presentation, response to care, and rationale for initial and ongoing management.
• Theme: Clinician Scientist (Skills). Propose a scientifically supported rationale for the entire patient course, including presentation, differential diagnosis, illness trajectory, initial and ongoing management and response to care across the age spectrum.
• Theme: Clinician Researcher (Skills) Apply the key principles of evidence-based medicine to clinical judgements and collaborative decision making, recognising the individual patient and the heath system and community context.

As a Medical Practitioner:

• Theme: Partnership with Patient (Knowledge). Appraise the elements required to establish ongoing therapeutic relationships with patients and their families and carers, that encompass shared decision-making and tailoring of treatment goals and management plans to their individual preferences and circumstances.
• Theme: Partnership with Patient (Skills). Demonstrate skilful interactions with patients, their families and carers, to establish ongoing therapeutic relationships, creating tailored mutually acceptable treatment goals and management plans being mindful of the patient's individual rights, circumstances and preferences in all health contexts.
• Theme: Patient Assessment (Knowledge). Construct tailored initial and ongoing patient focused assessments, including investigations, in all health contexts integrating knowledge of patient focused care, illness trajectories, biomedical sciences, and determinants of health.
• Theme: Patient Assessment (Skills). Select and perform appropriate and accurate initial and ongoing patient focused assessments, including gathering of information from relevant sources and demonstrating adaptations for differing physiological, psychosocial, cultural contexts and illness trajectories.
• Theme: Clinical Reasoning (Knowledge). Use clinical reasoning to develop approaches to synthesise information from initial and ongoing clinical assessment findings, population level data and patient context to formulate the differential diagnoses and inform the management plan for patients across the age spectrum.
• Theme: Clinical Reasoning (Skills). Synthesise information obtained from initial and ongoing clinical assessment findings, collateral information and investigations, best medical evidence, population level data and patient contexts, to construct and refine a coherent differential diagnosis and inform the management plan for the individual.
• Theme: Patient Management (Knowledge). Appraise the key principles of initial and ongoing management of common and serious conditions and presentations across the age spectrum including health maintenance, health promotion and disease prevention, management and advance care plans
• Theme: Patient Management (Skills). Implement initial tailored management plans based on patient assessment findings, revising these plans for ongoing management through the monitoring of patient responses, in all healthcare contexts with consideration of collaborative care and ensuring patient safety, confidentiality, and privacy.

As a Health Advocate:

• Theme: Determinants of Health (Knowledge). Evaluate how diverse global, systemic, social and individual factors contribute to health status and health inequities within patient populations.
• Theme: Determinants of Health (Skills). Advocate for better local and global health outcomes with individual patients, or patient groups, by application of the principles of equity, diversity and sustainability within their health experiences.
• Theme: First Nations Health (Knowledge). Critically analyse the Australian healthcare system's (including health care services, organisations, governing and accreditation bodies) impact on First Nations peoples' clinical presentations, service delivery and health advancement, and develop strategies for addressing inequities at a systemic level.
• Theme: First Nations Health (Skills). Apply nuanced understanding of cultural safety and develop strategies for addressing inequities at individual through to systemic levels.
• Theme: Health Care System (Knowledge). Evaluate the strengths and weaknesses of the coordination and continuity of care that contribute to a culture of safety and improvement in the Australian health care system.
• Theme: Health Care System (Skills). Employ a structured approach to improving key elements of patient safety by actively engaging in, complying with and contributing to system improvement activities within hospital and community settings.

As a Professional and Leader:

• Theme: Professional Practitioner (Knowledge). Apply the core ethical, moral and medicolegal principles and processes for professional scenarios and experiences, and critically appraise factors such as personal behaviours, interactions with others, systems and practices that impact on outcomes for self, patients and colleagues.
• Theme: Professional Practitioner (Skills). Consistently display professional behaviour encompassing reliability, appropriate interactions with others, willingness to accept and respond to feedback, and personal behaviours in line with relevant codes of conduct and scope of practice.
• Theme: Collaborative Practitioner (Knowledge). Appraise the leadership and teamwork principles that support collaborative intra- and interprofessional practice, recognising the unique contributions of other health care professionals to improve patient and population health outcomes.
• Theme: Collaborative Practitioner (Skills). Participate effectively and respectfully as a leader and/or member of intra- and interprofessional healthcare and learning teams to contribute to better patient outcomes whilst sharing their learning with their peers and colleagues from all professions and disciplines.
• Theme: Reflective Practitioner (Knowledge). Articulate the principles and value of reflective practice for clinical practice and professional development, being aware of one's capabilities and how to seek further advice, for performance improvement.
• Theme: Reflective Practitioner (Skills). Demonstrate engagement in feedback, assessment and continuing professional development opportunities to generate learning plans and continually improve knowledge, skills and attitudes recognising one's own limits and when to seek further advice.