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General Advice and Information

General Information
Training Units in the region
Diploma in Intensive Care Medicine

  • Doctors considering a career in Intensive Care Medicine should discuss their training requirements with the College Tutor of their parent specialty and their Regional Advisor in Intensive Care Medicine at an early stage of their careers.
  • Details of the content of the training programmes and the Syllabus and Regulations for the Diploma in Intensive Care Medicine can be obtained from the Regional Advisor or Educational Supervisor. Details may also be obtained from the Intercollegiate Board for Training in Intensive Care Medicine at the Royal College of Anaesthetists
  • Any trainee wishing to train in intensive care medicine must register with the Intercollegiate Board as soon as possible (forms available from the Regional Advisor). The form must be signed by the Regional Advisor in ICM.
  • Trainees should try to obtain their six months training in the complementary specialty before taking up their SpR post. The West Suffolk Hospital has a six month post in the Medical Admissions Unit for anaesthetic SHOs who want experience in medicine.
  • All trainees in intensive care medicine must keep a record of their experience in the Educational Training Record. This has replaced the logbook.
  • Every Intensive Care Unit involved with training has an Educational Supervisor of Training in Intensive Care Medicine.

Recommended Training Programmes

Basic Training (SHO)
Intermediate Training (SpR)
Advanced Training (SpR)

Basic Training

  • Three months full time intensive care medicine at SHO level, ideally in a unit with recognition by IBTICM for training purposes.
  • Training in excess of this three month period cannot be carried forward to count against the requirements for SpR training.
  • It is desirable that on call duties should be limited to intensive care.

Intermediate training

  • Aimed at doctors who want a sessional commitment to ICM and on-call cover
  • Six months full time ICM at SpR level, in recognised units, minimum three month block in any one unit. Three months should be spent in a teaching centre and three months in a district general hospital. On-call duties of the intermediate trainee should be entirely restricted to the Intensive Care Unit and resuscitation in the rest of the hospital.
  • Six months complementary specialty (acute general medicine for an anaesthetist; anaesthesia for a physician; both specialties for a surgeon). This training is acceptable if taken at SHO or SpR level. The training may be undertaken abroad if in a recognised training post.
  • Extended Training Record has now replaced the old logbook and is a record of all the training received. It has sections for SHO, complementary specialty, intermediate and advanced training. All trainees registered for intermediate training must complete the training record including 10 case summaries.

Advanced training

  • Aimed at doctors who want a near full time commitment to ICM, i.e. as Director of an ICU, or with major involvement in the organisation of a unit
  • Full intermediate training plus
  • Further 12 months full time ICM, with on-call duties restricted to the ICU. This training should comprise a rotation through a variety of units and should also cover business and managerial aspects, including audit, of ICM. If possible advanced trainees should be allowed short spells of acting-up as Consultant to gain practice at managerial and diplomatic skills; Other modular options of interest are acceptable during advanced training provided they are relevant.
  • No more than six months training abroad in intensive care medicine can be counted towards advanced training. Approval from the ICBTICM must be obtained in advance.

Diploma in intensive care medicine

  • The Diploma is not
    • a requirement to attain the CCST
    • a requirement for appointment to a consultant post with an interest in ICM
    • an "exit exam"
  • The Diploma will be held annually
  • The Diploma is optional
  • Trainees must be registered with the Board, have a specialty postgraduate qualification and have completed intermediate training before they are eligible to sit the Diploma
  • It consists of:
    • A dissertation of not more than 10,000 words on an approved subject. This can take the form of one of:
      1. a piece of original work
      2. a review
      3. sections abstracted from a PhD or MD thesis
        • Candidates must submit a summary of the intended dissertation for approval, after discussion with their Educational Supervisor and Regional Advisor in ICM
    • Viva 1: Dissertation Viva (1 hour)
    • Viva 2; Random Educational Training Record Viva (30 min)
    • Viva 3: Educational Training Record Viva (1 hour)
    • Viva 4: General Intensive Care Medicine Viva (1 hour)
 

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