RACS competencies Flashcards
What are the nine RACS competencies?
Collaboration Communication Health advocacy Judgement - clinical decision making management and leadership medical expertise professionalism scholar and teacher technical expertise
Describe the six key aspects of collaboration
- Collaborate with other professionals in the selection and use of various types of treatments assessing and weighing the indications and contraindications associated with each type
- Effectively work with other health professionals to minimise inter professional conflict and maximise patient care
- Demonstrate a respectful attitude towards other colleagues and members of inter professional teams
- Develop a care plan for a patient in collaboration with members of an interdisciplinary team
- Recognise the need to refer patients to other professionals
- Initiate the resolution of misunderstandings or disputes
Describe the four key points of communication
- Develop rapport, trust and ethical therapeutic relationships with patients and families
- Accurately elicit and synthesis relevant information from patients, families, colleagues and other professionals
- Accurately convey relevant information and explanations to patients and families, colleagues and other professionals
- Develop a common understanding (with patients, families, colleagues and other professionals) on issues, problems and plans
How can you develop rapport, trust and ethical therapeutic relationships with patients and families?
- By establishing positive therapeutic relationships with patients and their families
- Respecting patient’s confidentiality, privacy and autonomy
- Respecting patient diversity and difference (including gender, age, religion and culture
What relevant information must you elicit and synthesise from patients and families?
Information about a health condition and also a patients beliefs, concerns, expectations and illness experience. Identify when a patient is likely to interpret information as bad news and adjust communication accordingly.
How may you accurately convey relevant information and explanations to patients and families, colleagues and other professionals?
Communicate information to patients and their facility about procedures, potentialities, and risks associated with surgery in ways that encourage tier participation in decision making
Communicate with the patient and their family the treatment options, potentials, complications, and risks associated with the use of drugs
Appropriately adjust the way they communicate with patents to accommodate cultural and linguistic differences
How may you develop a common understanding with patients, families, colleagues and other professionals on issues, problems and plans?
Discuss relevant information with patients (and their family) in ways that encourage their participation in informed decision making
Encourage patients to discuss and question
Effectively identify and explore problems to be addressed from a patient encounter
What are the six key points of health advocacy?
Respond to individual patient health needs
Promote health maintenance of patients
Respond to the health needs of the community
Promote health maintenance of colleagues
Look after their own health
Advocate for improvements in health care
How may you respond to individual patient health needs?
Indentify the health needs of an individual patient
How may you promote health maintenance of patients?
Advise patients and their families on ways to maintain or improve their health
How might you respond to the health needs of the community?
Describe the health needs in the communities that they serve
Identify opportunities for advocacy and health promotion and respond appropriately
Identify the determinants of health in the populations including barriers to access to care and resources.
Identify marginalised and vulnerable populations and respond appropriately
How may you promote health maintenance among colleagues?
Describe the ethical and professional issues inherent to working in teamss
How will you look after your own health?
Take responsibility to ensure that when they are on dutue, or on call, that they are at the optimal level of performance.
Advocate for improvements in health care
Identify points of influence in the health care system and its structures
Describe the role of the medical profession in advocating collectively for health and patient safety
Advocate for improved resources in the environment where they are employed
Summarise the three domains of judgement
Provide compassionate patient centred care
Perform a complete and appropriate assessment of a patient
Organise diagnositc testing, imaging and consultation as appropriate
How might you provide compassionate patient centred care?
- Recognise symptoms, diagnose and mange common problems in their area of expertise
- Manage critically ill patient
- Manage complexity and uncertainty
- Effectively mange complications
- Plan and where necessary implement a risk management plan
- Be sensitive to physical , social, cultural and psychological needs
- Use preventative and therapeutic interventions effectively
- Effectively mange the care of patients with severe and acute trauma including multi system trauma
What are the components of a complete and appropriate assessment of a patient
History, examination, well reasoned diagnosis
Effectively and efficiently examine the patient
What are the factors to consider in organising diagnostic testing, imaging and consultation?
Select medically appropriate tools and monitoring techniques in a cost effective and useful manner.
Appraise andinterpret radiographic investigations against patient’s needs including plain radiographs, ultrasound, angiography, CT and MRI
Critically evaluate the advantages and disadvantages of different investigative modalities
What are the four key aspects of management?
- Allocate finite healthcare resources appropriately
- Manage and lead clinical teams
- Manage their practice and career effectively
- Serve in administration and leadership roles as appropriate
How will you allocate finite healthcare resources appropriately?
Effectively use resources to balance patient care and systemic demands
Identify and differentiate between systemic demands and patient needs
Apply a wide rand of information to prioritise needs and demands
How best will you manage clinical teams?
By being respectful to the different kinds of knowledge and expertise which contribute to the effective functioning of a clinical team
Communicate with and coordinate surgical teasm to achieve an optimal surgical environment
How will you manage your practice and career effectively?
Use time management skills appropriately
Maintain accurate and up to date patient records
How might you serve in administration?
Plan relevant elements of health care delivery e.g. work schedules
Chair or participate effectively in committees, meet ins etc
What three domains of medical expertise must you master?
Basic sciences (inc genetics, neonatal genetics, plus the usual) pre, intra, and postoperative care and assessment in particular DVT prophylaxis, fluid and electroplyes, wound care, haemostats Apply clinical knowledge in practice to recognise and solve real life problems in particular the treatment of pain (pathophysiology, psychosocial, analgesics, pain relief.
What are the four domains of professionalism?
Commitment to patients, profession, community through ethical practice
-accountability
recognise and respond to issues ethical and otherwise
-consistently apply ethical principals
-acknowledge limitations
-manage patients in a culturally appropriate manner
-mange appropriate relations with patients
Recognise medico-legal issues - apply national law
Commitments to paitents, profession and community through participation in profession-led regulation
Peer review
acknowledge and learn from mistakes
engage in critical reflection
Manage medical indemnity and risk (conflicts of interest, be able to define the standards of informed consent, summarise key issues in relation to liability and negligence)
describe standards of informed consent
c
Recognise the principles and limits of patient confidentiality
c
What are the four domains of scholar and teacher?
- Assume responsibility for own ongoing learning
- critically evaluate medical information and it’s sources, and apply appropriately to practice decisions
Facilitate the learning of patients, families trainees and other health professionals and the community
Contribute to the development, dissemination, application and translation of new medical knowledge and practices
THERE IS WAY MORE ON THIS
What are the seven key points of technical expertise?
consistently demonstrate sound surgical skills
demonstrate procedural knowledge and technical skill at a level appropriate to their level of experience
demonstrate manual dexterity required to carry out procedures
adapt their skills in the context of each patient each procedure
maintain skills and learn new skills
approach and carry out procedures with due attention to safety of patent, self and others
analyse their own clinic performance for continuous improvement
What are the five domains of RACS
- Cognitive (acqusition and use of knowledge to recognise and solve real-life problems
- Integrative - appraisal of investigative data against patient needs in clinical reasoning, mange complexity and uncertainty, application of scientific knowledge in practice
- Psychomotor - procedural knowledge, technical skill, manual dexterity and adaptability
- Relational - the ability to communicate effective, accountability, works with others, consultative, resolving
- affective/moral - self awareness, ethical, critically reflective, responsible, healthy, safe
