Table 2 Description of the elements and constructs within each clustera
Cluster 1. Value-led professionalism | Cluster 1 is underpinned by a professional commitment and work ethic, integrity, empathy, initiative and willingness to make time when needed. Elements relate to effective role-modelling and leadership; and conduct in a manner that is consistent with community expectations. |
Cluster 2. Attributes for self-awareness and reflective practice | Cluster 2 is underpinned by curiosity, self-awareness, insight, resilience and perseverance. The ability to reflect and learn from failures, an awareness of limitations, and ensuring own well-being are also highlighted. |
Cluster 3. Cognitive capability | Cluster 3 is underpinned by attributes which lead to cognitive ability, including flexibility, analytical capacity, creativeness and innovation, situational awareness, resourcefulness and self-directed learning. Highlighted is the ability for decisive action, clarity of thought processes, and ability to manage uncertainty and ambiguity. |
Cluster 4. Active engagement | Cluster 4 relates to a set of attributes and skills which promote full engagement between doctors and those who they work with – patients and colleagues. It includes the embracing of cultural diversity, responsiveness to the communication needs of patients, engaging in narrative, and ensuring seamless transfer of care through the health system. |
Cluster 5. Communication to build and manage relationships | Cluster 5 is underpinned by exemplary communication skills including building rapport, demonstrating respect, active listening, open communication channels, and the effective use of written and modern communication technologies. Highlighted are skills in negotiation and conflict resolution, effective interpersonal dynamics and working relationships, trust, and ability to manage differing agendas. |
Cluster 6. Patient-centredness and advocacy | Cluster 6 is underpinned by an approach to care which recognises the context in which patients exist, the importance of their priorities for care, and a willingness to advocate and prioritise activities for the benefit of patients. It is exemplified by an agile and pragmatic approach to the delivery of individualised care, ability to assist patients to navigate the health-care system, maintaining respectful relationships, and a commitment to the notion of co-creation of health |
Cluster 7. Systems awareness, thinking and contribution | Cluster 7 is underpinned by an awareness and understanding of systems and the organisational aspects of health-care, an understanding of the doctor’s role within the system and the local community, leading collaborative care, commitment to the team, and courage to advocate for systemic change. |