CCE-A 2017 competency | Description (Denotes only present in 2017) | CCE-A 2009 Equivalent | |
---|---|---|---|
1 | PRACTICING PROFESSIONALLY | Practises professionally, ethically and legally with safety and efficacy with the application of evidence-based practice as the primary consideration in all aspects of chiropractic practice. | 1.1 |
1.1 | Complies with legal and ethical requirements | Â | |
1.1.1 | Adheres to relevant legislation, common law, codes, standards and other policy regulating chiropractic conduct and practice. | 1.1/ 3.4/ 4.1/ 4.2 / 5.1 | |
1.1.2 | Applies the ethical principles of autonomy, beneficence, nonmalfeasance and justice. | 1.1 | |
1.1.3 | Applies principles of confidentiality and privacy. | 9.2/ 9.3 | |
1.1.4 | Establishes and maintains professional relationships and boundaries. | 3.3/ 9.4 | |
1.2 | Applies a patient-centred approach to practice | Â | |
1.2.1 | Recognises and responds to diversity in the population, including but not limited to gender, age, religion, race, disability, socioeconomic status and sexual orientation. | 6.1/ 9.3/ 10.1 | |
1.2.2 | Recognises and responds to the impact of culture, values, beliefs, education levels and life experiences on health status, health and help-seeking behaviours and maintenance of health. | 6.1/ 9.3/ 10.1 | |
1.2.3 | Recognises and responds to a patient’s emotional response to their health status. | 6.3B | |
1.3 | Applies an evidence-based approach to practice | 11.1 | |
1.3.1 | Uses an evidence-based approach in planning, delivering and evaluating care. | 11.1 | |
1.3.2 | Applies critical thinking and problem solving to all aspects of care. | 11.1 | |
1.4 | Demonstrates professional integrity | 3.2 | |
1.4.1 | Demonstrates commitment to continuing professional development and lifelong learning. | 3.2 | |
1.4.2 | Applies research skills to support professional development and lifelong learning. | 11.1 | |
1.4.3 | Works within the bounds of their professional expertise and competence and seeks professional support and peer review when necessary. | 3.4/ 6.5/ 8.4 | |
1.4.4 | Accepts responsibility and accountability as a professional and member of the chiropractic profession. | 3.4 | |
1.4.5 | Applies principles of risk management and quality improvement to practice. | 6.4/ 8.4 | |
1.5 | Demonstrates capacity for self-reflection | 3.2 | |
1.5.1 | Demonstrates skill in self-assessment and critical evaluation of personal knowledge, skills and expertise, including awareness of personal bias and beliefs and how these might influence patient care; has appropriate strategies in place to deal with this. | 3.2/ 6.5/ 8.4 | |
1.5.2 | Demonstrates awareness of factors affecting their health and wellbeing, including fatigue, stress management, infection control and disease prevention, to mitigate health risks of professional practice | Â | |
2 | COMMUNICATION, COLLABORATION AND LEADERSHIP | Communicates and collaborates effectively at all times with patients and others | 6.1/ 6.2/ 6.5/ 6.6/ 6.7/ 7.1/ 7.2/ 9.1/ 9.2/ 9.3/ 9.4/ 9.5 |
2.1 | Communicates effectively with patients and others | 9.1/ 9.2/ 9.3/ 9.4 | |
2.1.1 | Communicates effectively – verbally, non-verbally and in writing – providing clarity for safe and agreed care and treatment. | 6.1/ 6.2/ 9.1/ 9.2 | |
2.1.2 | Meets language proficiency requirements established in regulation for the profession. | Â | |
2.1.3 | Adapts communication style to acknowledge cultural safety, and cultural and linguistic diversity | 6.1/ 9.4 | |
2.1.4 | Uses information and communications technology effectively to enhance communication | Â | |
2.2 | Collaborates effectively with patients and others | Â | |
2.2.1 | Demonstrates rapport, active listening, mutual respect and trust in developing professional relationships with patients and others. | 9.4/ 9.5/ 6.1/ 6.2 | |
2.2.2 | Expresses professional opinions competently, confidently and respectfully, avoiding discipline specific language when necessary. | 9.5 | |
2.2.3 | Gives timely, sensitive and instructive feedback to colleagues in the chiropractic profession and other professions and responds professionally to feedback from these colleagues. | 3.3/ 9.4 | |
2.2.4 | Demonstrates ability to describe and respect the roles and expertise of other health care professionals. | 2.1 / 3.2/ 3.3 | |
2.2.5 | Demonstrates ability to learn and work effectively as a member of an inter-professional team or other professional group, including through delegation, supervision, consultation and referrals. | 2.1/ 3.3/ 9.4 | |
2.2.6 | Recognises potential for disagreement and conflict in relation to care and management, and responds to resolve issues | Â | |
2.3 | Collaborates effectively with patients and others | Â | |
2.3.1 | Recognises responsibility to protect and advance the health and wellbeing of individuals, communities and populations. | 1.1/ 10.1 | |
2.3.2 | Participates in evidence-based health education and risk reduction programs to meet identified needs within the community. | 1.2/ 11.1 | |
2.3.3 | Integrates prevention, early detection, health maintenance and chronic condition management, where relevant, into practice. | 10.1 | |
2.3.4 | Places the needs and safety of patients at the centre of the care process, demonstrating safety skills including infection control, adverse event reporting and effective co-management and referral. | 1.2/ 9.10/ 10.1 | |
2.4 | Manages information to meet legal obligations and professional standards | Â | |
2.4.1 | Creates, maintains and manages accurate and complete records that comply with legal requirements, accepted professional standards and confidentiality | 4.1 | |
2.5 | Supervises administrative and other staff | Â | |
2.5.1 | Defines activities that can be delegated to administrative or other staff. | 4.2 | |
2.5.2 | Explains responsibility for supervising and training administrative or other staff | 4.2 | |
3 CLINICAL ASSESSMENT | Understands patients’ health status and related circumstances; critically analyses these and forms a clinical impression. |  | |
3.1 | Obtains and records a history | Â | |
 |  | Obtains and records history of patients’ medical, social and health status. | 6.1 |
 |  | Evaluates individual patient risk factors. | 6.1 |
 |  | Maintains secure, accurate, consistent, legible and contemporaneous records of patient management— electronic and/or written. | 4.1 |
3.2 | Performs a clinical examination | Â | |
3.2.1 | Explains need for and process of examination. | 6.2 | |
3.2.2 | Performs examinations relevant to patients’ presentation. | 6.2/ 6.3A,B/ 6.4 | |
3.2.3 | Obtains consent and conducts physical examination with appropriate rapport, respect and preservation of modesty. | 6.2 | |
3.3 | Obtains the results of clinical, laboratory and other diagnostic procedures necessary to inform care | Â | |
3.3.1 | Identifies existing investigation results and reports. | 6.5 | |
3.3.2 | Determines clinical, laboratory and other diagnostic procedures relevant to patients’ presentation | 6.4 / 6.5 | |
3.3.3 | Refers for or conducts imaging where clinically indicated. | 6.4 | |
3.3.4 | Makes referrals or obtains further information, where indicated. | 7.2 | |
3.4 | Recognises determinants of health | Â | |
3.4.1 | Identifies and considers determinants of health, including psychological, biological, social, cultural, environmental, educational, and economic determinants, as well as health-care system factors. | 1.2 | |
3.4.2 | Demonstrates knowledge of aetiology, pathology, clinical features, natural history and prognosis for common and important presentations. | 1.2/7.1 | |
3.4.3 | Recognises and responds to public health priorities. | 1.2 | |
3.5 | Critically analyses information available to generate a clinical impression | 7.1 | |
3.5.1 | Demonstrates knowledge of diagnostic imaging techniques and procedures, including indications and limitations of available imaging modalities. | 6.4 | |
3.5.2 | Interprets and integrates results of clinical, laboratory and diagnostic procedures into care planning. | 6.2/ 6.6 | |
3.5.3 | Forms an understanding of patients’ health status and/or identifies possible diagnoses. | 7.1 | |
3.5.4 | Identifies ‘red flags’ and manages and/or refers as appropriate. | 7.2/ 9.8 | |
4 | PLANNING CARE | Works in collaboration with patients, exploring the care options available and developing agreed, evidence-based care and management plans. | 7.2 |
4.1 | Identifies possible care and management options | Â | |
4.1.1 | Integrates knowledge of chiropractic and other health sciences to inform decisions about care and management options. | 8.1 / 8.2 | |
4.1.2 | Obtains, interprets and applies current evidence and information to inform decisions about care and management options. | Â | |
4.1.3 | Identifies care and management options likely to be therapeutically effective and safe for patients | 8.4/ 9.2 | |
4.1.4 | Adapts practice according to varying patient needs across the human lifespan, including need for care and management options to be tailored for patients. | 1.2 | |
4.1.5 | Considers opportunities to enhance patients’ care and management through the involvement of other health professionals. | 7.2/ 9.4/ 9.6 | |
4.2 | Discusses care and management options | Â | |
4.2.1 | Explains and discusses the outcomes and implications of the clinical assessment with the patients. | 6.5 / 9.1 | |
4.2.2 | Discusses purpose, nature, benefits, risks and expected outcomes of care and management with patients and others. | 9.1/ 9.4/ 9.6 | |
4.2.3 | Discusses and seeks agreement with patients and others on patients’ goals and priorities. | 9.3 | |
4.2.4 | Describes areas of practice of other health professions and explains interprofessional approaches to patients and others. | 9.4 | |
4.3 | Formulates a care and management plan | Â | |
4.3.1 | Formulates care plan in collaboration with patients, recognising personal and professional limitation | 3.4/ 8.4/ 9.6 | |
4.3.2 | Reaches agreement on patient-centred, evidence-based care plan, including chiropractic care, co-management or referral. | Â | |
4.3.3 | Establishes plans for review of care and management. | 8.3/ 9.10 | |
5 | IMPLEMENTING, MONITORING AND EVALUATING CARE | Coordinates the safe and effective implementation, monitoring and evaluation of patients’ care and management plans. |  |
5.1 | Obtains and records patient-informed consent regarding care | 4.1 | |
5.1.1 | Applies relevant legal requirements, professional standards & codes to obtain & record patients’ consents. | 3.3 | |
5.2 | Implements interventions safely and effectively | Â | |
5.2.1 | Performs safe and effective adjustive, manipulative, manual and other procedures. | 9.6/ 9.8 | |
5.2.2 | Provides information and advice to patients for health promotion, self-management and lifestyle options for better health. | 1.2/ 10.1 | |
5.2.3 | Adapts interventions accounting for factors such as age, condition, health status, response to care and patients’ preferences. | 1.2/ 9.8 | |
5.3 | Monitors & evaluates progress of care and health outcomes | Â | |
5.3.1 | Recognises possible complications/adverse events arising from patients’ management and has appropriate procedures in place in order to be able to effectively manage these including referral for emergency care when appropriate. | 7.2/ 9.7 | |
5.3.2 | Monitors patients’ progress towards achieving planned health outcomes using valid and reliable measures where available. | 7.2/ 9.10 | |
5.3.3 | Monitors management and care for adverse events and changes in patients’ lives that may affect care. | 7.2/ 9.7/ 9.10 | |
5.3.4 | Considers alternative options when indicated. | 9.9/ 9.10 | |
5.4 | Adapts plans based on monitoring and evaluation | Â | |
5.4.1 | Collaborates with patients and other health professionals, where indicated, to address issues arising from monitoring and evaluation. | 9.10 |