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NATIONAL TERM DESCRIPTION TEMPLATE
Term Descriptions are designed to provide important information to junior doctors regarding a particular rotation. They are
best regarded as a clinical job description and should contain information regarding the:
 Casemix and workload,
 Roles & Responsibilities,
 Supervision arrangements,
 Contact Details,
 Weekly timetable, and
 Learning objectives.
The Term Description may be supplemented by additional information such as Clinical Protocols which are term specific. Term
Supervisors should have considerable input into the content of the Term Description and they are responsible for approving the
content. In determining learning objectives, Supervisors should refer to the Australian Curriculum Framework for Junior Doctors
(ACFJD). The Term Description is a crucial component of Orientation to the Term however it should also be referred to during
the Mid Term Appraisal and End of Term Assessment processes with the junior doctor.
TERM NAME: Highlight here to enter text
FACILITY:Highlight here to enter text
TERM SUPERVISOR:Highlight here to enter text
SIGNATURE:Highlight here to enter text
CLINICAL TEAM:
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Include contact details of all relevant
team members
ACCREDITED TERM FOR
(numbers and core/elective):
PGY1:
PGY2:
OVERVIEW OF UNIT OR
SERVICE
DURATION OF TERM (in weeks):
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Include outline of the role of the unit,
range of clinical services provided, case
mix etc.
For information on the ACF please go to: http://www.cpmec.org.au/Page/acfjd-project
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REQUIREMENTS FOR
COMMENCING THE TERM:
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Identify the knowledge or skills required
by the JMO before commencing the
Term and how the term supervisor will
determine competency
ORIENTATION:
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Include detail regarding the
arrangements for Orientation to the
Term, including who is responsible for
providing the Term Orientation and any
additional resource documents such as
clinical policies and guidelines required
as reference material for the junior
doctor.
JUNIOR DOCTOR’S CLINICAL
RESPONSIBILITIES AND TASKS:
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List routine duties and responsibilities
including clinical handover
SUPERVISION:
IN HOURS: Highlight here to enter text
Identify staff members with
responsibility for Junior Doctor
Supervision and the mechanisms for
contacting them, including after hours.
Contact details provided should be
specific for that Term.
AFTER HOURS: Highlight here to enter text
For information on the ACF please go to: http://www.cpmec.org.au/Page/acfjd-project
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STANDARD TERM OBJECTIVES:
The Term Supervisor should identify the
knowledge, skills and experience that
the junior doctor should expect to
acquire during the Term. This should
include reference to the ACFJD. The
Term objectives should be used as a
basis of the mid and end of Term
assessments.
CLINICAL MANAGEMENT:
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COMMUNICATION:
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PROFESSIONALISM:
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INDIVIDUALISED LEARNING OBJECTIVES
Supervisors should discuss specific learning requirements with the JMO and develop individual learning objectives with the JMO
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For information on the ACF please go to: http://www.cpmec.org.au/Page/acfjd-project
3
INSERT TIMETABLE (the timetable should include term specific education opportunities, Facility wide education opportunities e.g JMO
education sessions, ward rounds, theatre sessions (where relevant), inpatient time, outpatient clinics etc. It is not intended to be a roster but
rather a guide to the activities that the JMO should participate in during the week)
AM
PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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For information on the ACF please go to: http://www.cpmec.org.au/Page/acfjd-project
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Identifies the key health issues and
Specifies and can justify the hierarchy of
Preparation and administration of IV
medication, injections & fluids
in the community
Prescribes pain therapies to match the Arterial puncture in an adult
patient’s analgesia requirements
Blood culture (peripheral)
Fluid, electrolyte & blood product
IV infusion including the prescription of
Clinical Management Infection control
Practices correct hand-washing & asepticmanagement
fluids
techniques
Identifies the indications for, & risks of, fluid IV infusion of blood & blood products
Patient Assessment
Uses methods to minimise transmission of& electrolyte therapy & blood products
Injection of local anaesthetic to skin
infection between patients
Recognises and manages the clinical Subcutaneous injection
Patient identification
Follows the stages of a verification Rationally prescribes antimicrobial / antiviralconsequences of fluid electrolyte imbalance in a Intramuscular injection
patient
Perform & interpret and ECG
process to ensure the correct identification oftherapy for common conditions
Radiation safety
Develops, implements, evaluates and Perform & interpret peak flow
a patient
Complies with the organisation’s Minimise the risk associated with exposure tomaintains an individualised patient management Urethral catheterisation in adult females
procedures
for
avoiding
patientradiological investigations or procedures toplan for fluid, electrolyte or blood product use & males
patient or self
Maintains a clinically relevant patient Airway care including bag mask ventilation
misidentification
Rationally
requests
radiologicalmanagement plan of fluid, electrolyte and bloodwith simple adjuncts such as pharyngeal
Confirms with relevant others the correct
investigations & procedures
product use
airway
identification of a patient
Regularly evaluates his / her ordering ofSubacute care
NG & feeding tube insertion
History & Examination
Identifies patients suitable for & refers to
Gynaecological speculum and pelvic
Recognises how patients present withradiological investigations & procedures
aged care, rehabilitation or palliative careexamination
common acute and chronic problems andMedication safety
Identifies the medications most commonlyprograms
Surgical knots & simple suture insertion
conditions
Identifies common risks in older and complex Corneal & other superficial foreign body
Undertakes a comprehensive & focussedinvolved in prescribing and administration errors
Prescribes, calculates and administers allpatients e.g. falls risk and cognitive decline
removal
history
medications
safely
mindful
of
their
risk
profile
Ambulatory
&
community
care
Plaster cast/splint limb immobilisation
Performs a comprehensive examination of
Routinely reports medication errors and near
Identifies and arranges ambulatory and
all systems
Elicits symptoms & signs relevant to themisses in accordance with local requirements community care services appropriate for each
patient
Clinical Symptoms,
presenting problem or condition
Acute & Emergency Care
Discharge planning
Problem formulation
Recognises when patients are ready for Problems &
Synthesises clinical information to
discharge
Conditions
generate a ranked problem list containingAssessment
Recognises the abnormal physiology and
Facilitates timely and effective discharge
appropriate provisional diagnoses as part of
clinical manifestations of critical illness
planning
the clinical reasoning process
Common Symptoms & Signs
Discriminates between the possible Recognises & effectively assesses acutely ill,End of Life Care
Arranges appropriate support for dying
differential diagnoses relevant to a patient’sdeteriorating or dying patients
Initiates resuscitation when clinicallypatients
Fever
presenting problems or conditions
Dehydration
Regularly re-evaluates the patientindicated whilst continuing full assessment of the Takes account of legislation regarding
patient
Enduring Power of Attorney and Advanced Care Loss of Consciousness
problem list
Prioritisation
Planning
Syncope
Investigations
Applies the principles of triage & medical
Headache
Judiciously selects, requests and is able
Skills & Procedures
Toothache
to justify investigations in the context ofprioritisation
Identifies patients requiring immediate
Upper airway obstruction
particular patient presentation
Chest pain
Follows up & interprets investigationresuscitation and when to call for help e.g. CodeDecision-making
Explains the indications, contraindications & Breathlessness
results appropriately to guide patientBlue / MET
Basic Life Support
risks for common procedures
Cough
management
Implements basic airway management,
Selects appropriate procedures with Back pain
Identifies & provides relevant & succinct
ventilatory and circulatory support
involvement of senior clinicians and the patient
Nausea & Vomiting
information when ordering investigations
Effectively uses semi-automatic and Considers personal limitations and ensures Jaundice
Referral & consultation
appropriate supervision
Abdominal pain
Identifies & provides relevant & succinctautomatic defibrillators
Advanced Life Support
Informed consent
Gastrointestinal bleeding
information
Applies the criteria for referral or Identifies the indications for advanced airway Applies the principles of informed consent in Constipation
day to day clinical practice
Diarrhoea
consultation relevant to a particular problem ormanagement
Recognises malignant arrhythmias, uses Identifies the circumstances that require Dysuria / or frequent micturition
condition
Collaborates with other healthresuscitation/drug protocols and manualinformed consent to be obtained by a more Oliguria & anuria
defibrillation
senior clinician
Pain & bleeding in early pregnancy
professionals in patient assessment
Participates in decision-making about and Provides a full explanation of procedures to Agitation
debriefing after cessation of resuscitation
patients considering factors affecting the Depression
Safe Patient Care
Acute patient transfer
capacity to give informed consent such as
Identifies when patient transfer is required language, age & mental state
Common Clinical Problems and Conditions
Systems
Identifies and manages risks prior to andPerformance of procedures
Works in ways which acknowledge the
Ensures appropriate supervision is available
Non-specific febrile illness
complex interaction between the healthcareduring patient transfer
Identifies the patient appropriately
Sepsis
environment, doctor & patient
Prepares and positions the patient Shock
Uses mechanisms that minimise error e.g.Patient Management
appropriately
Anaphylaxis
checklists, clinical pathways
Recognises the indications for local, regional Envenomation
Participates in continuous qualityManagement Options
Identifies and is able to justify the patientor general anaesthesia
Diabetes mellitus and direct complications
improvement e.g. clinical audit
management options for common problems and Arranges appropriate equipment
Thyroid disorders
Risk & prevention
Arranges appropriate support staff and Electrolyte disturbances
Identifies the main sources of error & riskconditions
Implements and evaluates a managementdefines their roles
Malnutrition
in the workplace
Provides appropriate analgesia and/or Obesity
which may contribute to patient & staff risk plan relevant to the patient following discussion
premedication
Red painful eye
Explains and reports potential risks towith a senior clinician
Inpatient
Management
Performs procedure in a safe and competent Cerebrovascular disorders
patients and staff
Reviews the patient and their response tomanner using aseptic technique
Meningitis
Adverse events & near misses
Identifies and manages common Seizure disorders
Describes examples of the harm causedtreatment on a regular basis
Therapeutics
complications
Delirium
by errors & system failures
Takes account of the actions and
Interprets results & evaluates outcomes of Common skin rashes & infections
Documents & reports adverse events in
interactions,
indications,
monitoringtreatment
Burns
accordance with local incident reporting
requirements, contraindications & potential
Provides appropriate aftercare & arranges Fractures
systems
follow-up
Minor Trauma
Recognises & uses existing systems toadverse effects of each medication used
Involves nurses, pharmacists and allied
Multiple Trauma
manage adverse events & near misses
health professionals appropriately in medication
Osteoarthritis
Public health
Rheumatoid arthritis
Skills & Procedures
Knows pathways for reporting notifiablemanagement
Evaluates the outcomes of medication
Gout
diseases & which conditions are notifiable
Septic arthritis
Acts in accordance with the managementtherapy
Venepuncture
Hypertension
plan for a disease outbreak
IV cannulation
Pain management
Heart failure
LINKING TO THE ACFJD (someopportunities
info needsfortodisease
go here)
and injury preventiontherapies and options for pain control
For information on the ACF please go to: http://www.cpmec.org.au/Page/acfjd-project
5
Ischaemic heart disease
Cardiac arrhythmias
Thromboembolic disease
Limb ischaemia
Leg ulcers
Oral infections
Periodontal disease
Asthma
Respiratory infection
Chronic Obstructive Pulmonary Disease
Obstructive sleep apnoea
Liver disease
Acute abdomen
Renal failure
Pyelonephritis & UTIs
Urinary incontinence & retention
Menstrual disorders
Sexually Transmitted Infections
Anaemia
Bruising & Bleeding
Management of anticoagulation
Cognitive or physical disability
Substance abuse & dependence
Psychosis
Depression
Anxiety
Deliberate self-harm & suicidal behaviours
Paracetamol overdose
Benzodiazepine & opioid overdose
Common malignancies
Chemotherapy & radiotherapy side effects
The sick child
Child abuse
Domestic violence
Dementia
Functional decline or impairment
Fall, especially in the elderly
Elder abuse
Poisoning/overdose
Advocates for healthy lifestyles & explains Incorporates teaching into clinical work
Uses appropriate clarity, structure and
environmental lifestyle risks to health
Evaluates & responds to feedback on owncontent for specific correspondence e.g.
Uses a non-judgemental approach toteaching
referrals, investigation requests, GP letters
patients & his/her lifestyle choices (e.g.Supervision, Assessment & Feedback
Accurately documents drug prescription,
discusses options; offers choice)
Seeks out personal supervision & iscalculations and administration
Evaluates the positive & negative aspects ofresponsive to feedback
Electronic
health screening and prevention when making
Seeks out and participates in personal Uses electronic resources in patient care
healthcare decisions
feedback and assessment processes
e.g. to obtain results, populate discharge
Healthcare resources
Provides effective supervision by usingsummaries, access medicines information
Identifies the potential impact of resourcerecognised techniques & skills (availability,
Complies with policies, regarding
constraint on patient care
orientation,
learning
opportunities, roleinformation
technology
privacy
e.g.
Uses finite healthcare resources wisely tomodelling, delegation)
passwords, e-mail & internet, social media
achieve the best outcomes
Adapts level of supervision to the learner’sHealth Records
Works in ways that acknowledge thecompetence & confidence
Complies
with
legal/institutional
complexities & competing demands of the
Provides constructive, timely and specificrequirements for health records
healthcare system
feedback based on observation of performance
Uses the health record to ensure
Escalates performance issues wherecontinuity of care
Professional Behaviour
appropriate
Provides accurate documentation for
patient care
Professional responsibility
Evidence-based practice
Behaves in ways which acknowledge the Communication
Applies the principles of evidence-based
professional responsibilities relevant to his/her
practice and hierarchy of evidence
health care role
Uses best available evidence in clinical
Patient Interaction
Maintains an appropriate standard of
decision-making
professional practice and works within personal
Critically appraises evidence and
Context
capabilities
information
Arranges an appropriate environment for
Reflects on personal experiences, actions &
Handover
communication, e.g. privacy, no interruptions &
decision-making
Demonstrates features of clinical handover
uses effective strategies to deal with busy or
Acts as a role model of professional
that ensure patient safety & continuity of care
difficult environments
behaviour
Performs effective handover in a
Uses principles of good communication to
Time management
structured format e.g. team member to team
ensure effective healthcare relationships
Prioritises workload to maximise patient
member, hospital to GP, in order to ensure
Uses effective strategies to deal with the
outcomes & health service function
patient safety & continuity of care
difficult or vulnerable patient
Demonstrates punctuality
Respect
Personal well-being
Working in Teams
Treats patients courteously & respectfully,
Is aware of, & optimises personal health &
showing awareness & sensitivity to different
well-being
Team structure
backgrounds
Behaves in ways to mitigate the personal
Identifies & works effectively as part of
Maintains privacy & confidentiality
health risks of medical practice e.g. fatigue,
the healthcare team, to ensure best patient
Provides clear & honest information to
stress
care
patients & respects their treatment choices
Behaves in ways which mitigate the potential
Includes the patient & carers in the team
Providing information
risk to others from your own health status e.g.
decision making process where appropriate
Professionalism
Applies the principles of good
infection
Uses graded assertiveness when
communication (e.g. verbal & non-verbal) &
Ethical
practice
appropriate
Doctor & Society
communicates with patients & carers in ways
Behaves in ways that acknowledge the
Respects the roles and responsibilities of
they understand
ethical
complexity
of
practice
&
follows
multidisciplinary team members
Access to healthcare
Uses interpreters for non-English speaking
Team dynamics
Identifies how physical or cognitive disabilityprofessional & ethical codes
backgrounds when appropriate
Consults colleagues about ethical concerns
Demonstrates an ability to work
can limit patients’ access to healthcare services
Involves patients in discussions to ensure
Provides access to culturally appropriate Accepts responsibility for ethical decisions their participation in decisions about their care harmoniously within a team, & resolve
Practitioner in difficulty
conflicts when they arise
healthcare
Meetings with families or carers
Identifies
the
support
services
available
Demonstrates flexibility & ability to adapt
Demonstrates and advocates a non Identifies the impact of family dynamics on
Recognises the signs of a colleague in
to change
discriminatory patient-centred approach to care
effective communication
difficulty and responds with empathy
Identifies & adopts a variety of roles within
Culture, society healthcare
Ensures relevant family/carers are included
Refers
appropriately
different
teams
Behaves in ways which acknowledge the
appropriately in meetings and decision-making
Case Presentation
social, economic political factors in patient illnessDoctors as leaders
Respects the role of families in patient health
Shows an ability to work well with & lead
Presents cases effectively, to senior
Behaves in ways which acknowledge the
care
medical staff & other health professionals
impact of culture, ethnicity, sexuality, disability &others
Breaking bad news
Exhibits leadership qualities and takes
spirituality on health
Recognises the manifestations of, &
leadership
role
when
required
Identifies his/her own cultural values that
responses to, loss & bereavement
Professional
Development
may impact on his/her role as a doctor
Participates in breaking bad news to patients
Reflects on own skills & personal attributes in
Indigenous patients
& carers
actively
investigating
a
range
of
career
options
Behaves in ways which acknowledge the
Shows empathy & compassion
Participates in a variety of continuing
impact of history & the experience of Indigenous
Open disclosure
education opportunities
Australians
Explains & participates in implementation
Accepts opportunities for increased
Behaves in ways which acknowledge
of the principles of open disclosure
autonomy
and
patient
responsibility
under
their
Indigenous Australians’ spirituality & relationship
Ensures patients & carers are supported &
supervisor’s direction
to the land
cared for after an adverse event
Behaves in ways which acknowledge the
Complaints
diversity of indigenous cultures, experiences &Teaching, Learning & Supervision
Acts to minimise or prevent the factors that
communities
would otherwise lead to complaints
Self-directed learning
Professional standards
Uses local protocols to respond to
Identifies & addresses personal learning
Complies with the legal requirements of
complaints
objectives
being a doctor e.g. maintaining registration
Adopts behaviours such as good
Establishes & uses current evidence based
Adheres to professional standards
communication
designed
to
prevent
resources to support patient care & own learning
Respects patient privacy & confidentiality
complaints
Seeks
opportunities
to
reflect
on
&
learn
from
Medicine & the law
Complies with the legal requirements inclinical practice
Managing Information
Seeks & responds to feedback on learning
patient care e.g. Mental Health Act, death
Participates
in
research
&
quality
certification
Written
Completes appropriate medico-legalimprovement activities where possible
Complies with organisational policies
Teaching
documentation
regarding timely & accurate documentation
Plans, develops & conducts teaching
Liaises with legal & statutory authorities,
Demonstrates high quality written skills
including mandatory reporting where applicable sessions for peers & juniors
e.g. writes legible, concise & informative
Uses
varied
approaches
to
teaching
small
&
Health promotion
discharge summaries
large groups
For information on the ACF please go to: http://www.cpmec.org.au/Page/acfjd-project
6
PATIENT LOAD:
Average number of patients looked
after by the junior doctor per day
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OVERTIME
Average hours per week
ROSTERED
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UNROSTERED Highlight here to enter text
EDUCATION:
Detail education opportunities and
resources available to the junior doctor
during the Term. Formal education
opportunities should also be included in
the unit timetable.
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ASSESSMENT AND FEEDBACK:
Detail arrangements for formal
assessment and feedback provided to
junior doctor during and at the end of
the Term. Specifically, a mid-term
assessment must be scheduled to
provide the junior doctor with the
opportunity to address any shortcomings prior to the end-of-term
assessment.
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ADDITIONAL INFORMATION:
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For information on the ACF please go to: www.cpmec.org.au/curriculum/welcome.cfm
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