Core Competencies

Question 1

How to deal with a problematic colleage

Answer 1

SPIES

S- Seek information- what is the problem
P- Patient safety- critical that this is assessed
I- Initiative- can you do any thing yourself to improve this
E- Escalate- Involve other colleagues as needed
S- Support the individual

Question 2

Communication in crisis

Answer 2

Closed loop communication
Graded assertiveness- express, advocate, assert
SBAR
Avoid mitigating language (ie. Lets intubate not we might need to think about intubation)
Below 10 (sterile cockpit, below 10,000 rule)
Reasons for failure- noise, hierarchy, jargon, cognitive load/ focus

Question 3

Manage a colleague who may be about to make a drug error, how would you approach this

Answer 3

Probe- What is the dose supposed to be again?
Alert- Can we recheck the dose on that to make sure its correct
Challenge- That is the wrong dose, we need to check this again
Emergency- STOP, do not give that drug, it is the wrong dose.

Question 4

RACS core competencies

Answer 4

Collaboration and team work
Communication
Cultural competence and cultural safety
Health advocacy
Judgement and clinical decision making
Leadership and management
Medical expertise
Professionalism
Scholarship and teaching
Technical expertise

Question 5

Collaboration and teamwork

Answer 5

inclusive team member
Shared understanding through discussion and documentation
Wilingess to seek and offer seconda opinions
Support conflict resolution

Question 6

Communication

Answer 6

Communicated effectively in culturally competent manner with patients, families/ whanau, carers, colleagues to facilitate provision of high quality care

Question 7

Cultural competency and cultural safety

Answer 7

Promotes cultural competence/ safety across whole health system to achieve equitable healthcare for Maori
Fosters safe and respectful environment for all patients , families and carers with diverse values, beliefs traditions, cultural backgrounds.
Promotes inclusive and safe workplace for colleagues and team members

Question 8

Health advocacy

Answer 8

Responds to health needs and expectations of patients, families and carers
Responded to health needs of communities by supporting EDM to improve wider health outcomes (Social determinants of health)
Promoted cultural competence to improve health outcomes in broader community
Cares with compassion and respect for patient’s right
Commitment to sustainability of healthcare system
Care for wellbeing of colleagues

Question 9

Judgement and clinical decision making

Answer 9

Informed and timely decisions re: assessment, diagnosis, pre-operative assessment, surgical management and post operative care.
Understands that surgery is not always the best option,
Plans ahead and anticipated consequences
Weighs up and communicates pros and cons

Question 10

Leadership and management

Answer 10

Identified when to lead, manage or take direction
Sets and amintains standards
Supports others, respects all members of staff
Matches resource to demand
Encourages leadership across all levels of team

Question 11

Medical Expertise

Answer 11

Demonstrates medical skills and expertise
Monitors and evaluates patient care
Demonstrates patient centered approach to quality risk and safety

Question 12

Professionalism

Answer 12

Awareness and insight
Observes ethics and probity (strong moral principles, honest and decency)
Respectful and culturally competent manner to colleagues and team
Maintain personal health and wellbeing
“Ethical billing practices”

Question 13

Scholarship and teaching

Answer 13

Learning ie. continued professional developemtn
“creation, dissemination, applications and trasnlation of medical knownledge to improve patient outcomes.

1. Lifelong learning
2. Teaching supervision and assesment
3. Research to improve surgical practice

Question 14

Technical Expertise

Answer 14

Safely and effective performs appropriate surgical procedures for optimal patient outcomes.
- Operate within defined scope of practice
- Maintains technical skills