Regional Post Information & Unit Briefs
ICM training posts are available across the UK
FICM Regional Advisors approve units to deliver CCT training in ICM. This provides a range of opportunities across the length and breadth of the UK. Search the regions below and select the individual unit briefs for each hospital for more details on the ICM training available in your area.
Posts in each region are set locally and advertised as part of the annual National Recruitment process for posts commencing in August. This is organised by the ICM National Recruitment Office (ICMNRO).
Regional training information
East Midlands
Regional Advisor in ICM: Dr Andrew Sharman (Nottingham University Hospitals)
Training Programme Director: Dr M Charlton (Glenfield General Hospital, Leicester)
Head of School: Dr Ralph Leighton (Leicester University Hospitals)
Welcome to the East Midlands. We are expanding our training posts in line with expansion of critical care services in the region and hope to offer 8-10 posts this year.
Our Intensive Care Medicine training is administered by the East Midlands School of Anaesthesia and Intensive Care Medicine, formed from the merger of the Nottingham and the Leicester rotations in 2013. Presently trainees rotate within a "North" (Nottingham) or "South" (Leicester) base, although there is flexibility of individual placements with certain fixed ones at specialist centres (Neurosciences & Major Trauma exposure at QMC Nottingham, Cardiac/ECMO at Glenfield in Leicester, PICM in Leicester and Nottingham).
Whilst the East Midlands stretches from Lincoln to Northampton, appointees tend to live around Nottingham, Derby or Leicester. Clinical training and experience is of the highest quality, with excellent District General and University Hospitals offering a breadth and depth of training experience, including world-class innovative centres. Glenfield General Hospital is one of only 8 ECMO centres nationally and Nottingham University Hospitals is the busiest trauma centre in the UK. We try and adapt the training to the trainees’ needs and interests. Broadly stage 1 is in the District General Hospitals to gain more general experience with stage 2 and 3 more teaching centre and specialist centre based, with time in other hospitals to meet individual training needs or requests.
Stage 1
All of the ICUs in the region are recognised for Stage 1 training.
Stage 2
This is delivered in the teaching bases Cardiac (Glenfield), Neuro (QMC) Paediatrics (LRI or QMC). The special skills year for dual and triple accreditation will be in the partner specialty. For single CCT ICM trainees, the special skills year may be taken in a range of disciplines including ECMO, Research, Trauma, Neurocritical Care, Cardiothoracic, Prehospital care/transfer, Quality Improvement and Education.
Stage 3
This is delivered mainly in Leicester and Nottingham for 6 month blocks of the stage 3 year. Placements can be flexible to ensure a breadth of senior pre-Consultant experience. With this in mind, exposure to more management opportunities and advanced training opportunities are available in all the District General Hospitals and we are flexible to location and timing of these depending on the trainee’s learning objectives.
There is an established monthly regional teaching programme, with an exam course pre OSCE/SOA exams, which offers support for the FICM examination as well as excellent preparation for life as an ICM consultant. In addition, individual ICUs deliver in house teaching. The region is supported by focused and progressive Faculty Tutors in each ICU.
The region itself is covers all the needs of a trainee. It is a culturally diverse, historic region, offering top class arts and theatres to premier sport of football, cricket and rugby. The Velodrome in Derby and the National Water Sport Centre at Holme Pierre Point provide the variety in sporting activities from the traditional mainstream. If walking and beauty is your interest, then the Peak District is right on your doorstep. If shopping or the arts is your thing, look no further than Nottingham and Leicester. We are confident this region covers all interests. Additionally being centrally placed and served by excellent transport links, this makes the UK easily accessible if needed.
The region is renowned for its cohesive, friendly and supportive environment. We look forward to welcoming you here. Good luck!
For further information regarding individual programmes please contact the TPD/RA as listed above.
We would advise doctors wishing to undertake dual/triple training with an approved partner specialty to contact the respective Training Programme Director and/or Regional/Specialty Advisor for further advice.
UNIT BRIEFS
East Midlands - Glenfield Hospital
East Midlands - Leicester Royal Infirmary
East of England
Regional Advisor: Dr Natasha Lawrence
Training Programme Director: Dr Jurgens Nortje
Number of posts available: 6
Locality
The Eastern deanery has a strong history of delivering excellent training in Intensive Care Medicine. We have particular strengths in academic training, echocardiography, advanced respiratory support, transfer training, neurosciences and trauma. FICE and CUSIC accreditation and supervision is available across the region. Regional ICU ultrasound courses for both occur at least twice a year.
The Eastern region is geographically and demographically large with 16 training units across Norfolk, Suffolk, Cambridgeshire, Peterborough, Hertfordshire and Essex. The region has major teaching centres and busy DGHs where experienced trainers in ICM will guide you through your training. Please see the related Unit Training Briefs below for more information on individual ICM training units, or contact the Regional Advisor.
The region is varied but boasts a high standard of living with beautiful cities, towns, coastline and countryside.
Clinical component
The training needs of both single and dual (acute medicine, anaesthesia, emergency medicine, renal medicine, respiratory medicine) specialty trainees can be supported. We support less than full time training and, within the limits of the program, support Out of program training, experience and research. The support of our deanery provides funding for a large number of training courses.
Trainees will work with the Training Programme Director and Regional Advisor to develop an integrated clinical training program that, as well as achieving the aims of the ICM curricula, will address your individual training needs.
Stage 1
With a large region and the need to co-ordinate with partner specialties for dual training we try not to dictate where people train in stage 1. Instead, early after appointment at national recruitment, we meet with you and discuss how your ICM training in Stage 1 can integrate with any personal circumstance and any existing training plans. While it is not feasible to allow total freedom of choice this system means that you are able to plan accommodation and commuting and we will always try to minimise travelling distances where we can.
Stage 2
The specialty ICM year is predominantly spent in Cambridge, with 3 month modules each in neurosciences ICM and cardiac ICM (Papworth). To ensure excellent exposure to paediatric ICM we arrange a dedicated block of PICM at Addenbrooke’s in Cambridge (note for dual CCT anaesthesia trainees the dual counting of the paediatric anaesthesia block is enhanced by specific day release to PICM during this block). The region has a good FFICM pass rate and we run local exam preparation days ahead of the FFICM exam.
Stage 3
Similarly to stage 1 we do not have hard and fast rules about which units stage 3 trainees attend. We are in the process of expanding the number of units accredited for Stage 3 training, however currently you should expect to spend most of the year at larger centres such as Addenbrooke’s (general and neuro units), Norwich, Chelmsford, West Suffolk, Peterborough and Ipswich . We specify that at least a 6 month block be spent in one centre during stage 3 so that you have time to contribute to a team and develop skill required as a senior ICM Doctor. During stage 3 support can be provided for you in pursuing additional skills in echocardiography, teaching and research, and you will be encouraged to attend National and International meetings.
Regional Teaching
There is an established regional ICM study day programme, targeting the FFICM exam, specific skills and knowledge and ICM competencies. The program has been designed to align with the ICM curriculum. Beyond the core regional program study days also extend into topics which go beyond the curriculum and have recently included research techniques, ethics, boundaries of transplantation and the future of healthcare delivery. All units have a strong commitment to education, research and quality improvement, and actively involve trainees in study recruitment and QI projects.
Research Environment
Our region provides an exceptional environment for biomedical research, and the areas of institutional excellence are outlined elsewhere. Examples of research include internationally recognised programs of research in neurosciences (traumatic brain injury, consciousness, and neuroanaesthesia), the biology of critical illness (cell biology, epigenetics and translational / early phase clinical studies) and pain. The programs are supported by a diverse range of wider collaborations, which allow us to accommodate almost all clinical interests relating to intensive care medicine.
UNIT BRIEFS
East of England - North West Anglia NHS Trust
East of England - Addenbrooke's Hospital, NCCU
East of England - Addenbrooke's Hospital, John Farman ICU
Kent, Surrey & Sussex (KSS)
Regional Advisor in Intensive Care Medicine: Dr Rahuldeb Sarkar
Training Programme Director: Dr Debkumar Pandit
Posts available per year: 12
Advertising: Applications are via a central advertising and recruitment process hosted by West Midlands Deanery, linking into central recruitment for England, Wales and NI.
Application & Interview process: Oriel and West Midlands Deanery
ICM Training
Intensive Care Training in Kent, Surrey and Sussex can be undertaken as a Standalone or Dual training Program. There are 12 posts offered each year.
More information can be found here.
Single CCT Training in ICM
ICM training is undertaken in the following hospitals in the Region:
Stage 1
Anaesthesia: Brighton & Sussex University Hospitals (BSUH), the Royal Sussex County Hospital, Brighton, East Sussex. East Surrey Hospital. Redhill, Surrey.
Medicine: East Surrey Hospital, Worthing Hospital, West Sussex and William Harvey Hospital, Ashford, Medway Hospital, Kent.
ICM: All Intensive Care Units approved for training in the region.
Stage 2
Neuro and Cardiac ICM: The Royal Sussex County Hospital, BSUH, Brighton.
Paediatric ICM: London units (KGSTT or GOS). Evelina London Children's Hospital
Special Skills year: Special Skills year for Single CCT trainees: The special skills year will be tailored to the interests of individual trainees – opportunities will include echocardiography, leadership, research and pre-hospital emergency medicine. However, there are opportunities to complete the SSY at approved units outside KSS, subjected to availability.
Stage 3
BSUH, William Harvey Hospital; Medway Hospital, Kent; Royal Surrey County Hospital, Guildford, Surrey; East Surrey Hospital.
For details of the training offered in each of these hospitals see the Unit Briefs below.
Dual CCT Training
Many trainees opt to undertake ICM Training as Dual Training with Anaesthesia, Emergency Medicine, Respiratory or Renal Medicine within the HEEKSS region. Historically 55% of our Trainees have come from an Anaesthetic background and 45% from non-anaesthetic specialties. Most of the training is provided by the single CCT hospitals mentioned above.
ICM Training has very good relations in other disciplines and we endeavour to tailor training around trainees to facilitate working-life balance, and consider geographical locations of the units while designing the rotations, whenever possible. Our training programme is well regarded and we are proud to have filled all training posts for the last year.
UNIT BRIEFS
KSS - Brighton & Sussex University Hospital Trust
KSS - East Sussex Hospital Trust
London (All Regions)
| Region | Regional Advisor | Posts Available |
|---|---|---|
| North Thames (CENTRAL) | Dr Alice Carter | >35 posts available across London |
| North Thames (EAST) | Dr David Melia | |
| North Thames (WEST) | Dr Behrad Beralo | |
| South Thames (EAST) | Dr Shahana Uddin | |
| South Thames (WEST) | Dr Vanessa Elliott |
Training Programme Directors:
Stage 1: Dr Louise Ma
Stage 2: Dr Russel Hewson (lead TPD)
Stage 3: Dr Viplaw Shukla
Academic TPD: Dr Nish Arulkumaran
Head of School: Dr Charlotte Anderson
ICM Training in London
The pan-London ICM programme offers high quality training in teaching centres throughout the Capital which equips trainees with the skills and experience needed to meet the challenges and demands of the NHS today and tomorrow. The diverse nature of London's population offers unparalleled clinical exposure. Trainees undertake training placements in world renowned centres of excellence across the capital including district general hospitals, teaching hospitals, research units and specialist tertiary referral hospitals. The London programme has in excess of 200 trainees who enter higher specialist ICM training from core training programmes and equivalence pathways. Both single and dual (anaesthesia, emergency medicine, renal, respiratory and acute medicine) specialty training are well represented and each trainee undertakes a bespoke individually tailored programme designed to meet their training needs and personal career ambitions.
UNIT BRIEFS
London North East - St Bartholomew's
London South Thames (East) - Guys and St Thomas'
London South Thames (East) - Kings College Hospital
London South Thames (East) - Queen Elizabeth Hospital Woolwich
London South Thames (East) - University Hospital Lewisham
London North Thames (East) - Royal London Hospital
London South Thames (West) - Epsom & St Helier University Hospitals NHS Trust
London North Thames (East) - Whipps Cross University Hospital
Mersey
Regional Advisor: Dr Tom Williams
Training Programme Director: Dr Paul Jeanrenaud
Number of posts available: 8
Intensive Care Medicine training in Mersey Region
Mersey forms part of Health Education North West (HENW), although are a single unit of application for national recruitment, and a distinct training area. In 2017 we formed the NW School of ICM, and were the first to do so in the UK.
The region is relatively compact geographically, and includes Merseyside and much of Cheshire. It stretches from Southport in the North, through Liverpool, crossing the Wirral peninsula to Chester, down to Crewe and then east to Macclesfield.
Training in Intensive Care Medicine occurs in several hospitals throughout the region: Royal Liverpool University Hospital and University Hospital Aintree (which houses the trauma centre); Wirral University Teaching Hospital (Arrowe Park) and St Helens and Knowsley Teaching Hospital (Whiston); Countess of Chester Hospital; Warrington Hospital and Mid-Cheshire Hospitals (Crewe).
3 standalone specialist referral centres are utilised for the ICM specialist training modules: Alder Hey Children’s Hospital, Liverpool Heart and Chest Hospital and Walton Centre for Neurosciences, all of which have excellent reputations.
The region prides itself on providing high quality training and having excellent trainee/trainer relationships. The trainees have a well-established support and social forum, and an optional trainee mentor scheme, which is particularly beneficial for those new to the region.
There is an established regional teaching programme, backed up by excellent courses, particularly around echocardiography and simulation. We have a number of FICE mentors and are able to support FICE accreditation. The research profile of the region is on the rise, with most units actively contributing. We are also able to provide academic training and currently have several trainees following this pathway.
Mersey has a long history of achievement in medicine and offers much to its trainees. As well as high quality rotations, tailored to fit individuals’ training needs, there are now also fantastic additional opportunities available across the wider NW ICM School.
Liverpool is an exciting and vibrant area to live in with significant developments in the city following the success of the European Year of Culture. It has an international reputation for arts and sports, and offers other excellent recreational activities. There is easy access to beautiful countryside and several nearby National Parks. The transport links are also excellent, and London is only 2 hours away by train. And we have a couple of football teams you might have heard of...?
Useful websites: www.MMACC.uk
For more information on individual ICM Training Units, please see the related downloads below or contact the Regional Advisor.
UNIT BRIEFS
North Western
Regional Advisor in ICM: Dr Ken McGrattan
Training Programme Director: Dr Emily Shardlow
Head of School: Dr Aj Eusuf
Tutorial & Education Coordinator: Dr Ravishankar Nagaraja
Trainee representatives: Dr Jessica Birchall and Dr Sophie Kreppel.
LTFT Lead: Dr Catherine Roberts
Return to work Lead: Dr Catherine Roberts
Trainee LTFT Lead: Dr Gareth Allen
Wellbeing Lead: Dr Andy Martin
Number of Posts each year: 26
The North West LETB (Health Education North West) is formed from the merger of the North West and Mersey Deaneries, and creating the School of ICM, with the Head of School Dr Ajmal Eusuf.
For the purposes of structure and organisation of the Training Programmes, the two regions remain separate.
Stage 1 and Stage 2 ICM Training
Most of the hospitals in the NW region are recognised for ICM training to this level. Trainees can expect to experience modules in both Teaching and District General Hospitals during their core and intermediate training time. The programme has well-established links with other training committees (ACCS, Anaesthesia, Emergency Medicine and Medical specialties), and the delivery of training in these specialties is tailored to meet individual needs.
Most training modules are of three or six month’s duration.
Specialty ICM Year (ST5)
During the specialty ICU year, cardiac ICM modules are based at the Cardiothoracic ICUs at Wythenshawe Hospital and Blackpool Victoria Hospital. Neuro ICM training is available at both Salford and Preston – these hospitals have mixed neuro and general ICUs. All paediatric ICM training is based at the Royal Manchester Children’s Hospital.
Special Skills Year
For those training in ICM as a single specialty, most special skills years as described in section V of the CCT in ICM curriculum are available. To date, SSYs undertaken include a Quality Improvement in Healthcare, Respiratory, Cardiac, ECMO, Research, home ventilation, Echo, education and neuro.
Trainees undertaking special skills years spend a maximum of 50% of time in clinical medicine during this year.
Stage 3 Training
Stage 3 training is currently available at Blackburn, Blackpool, Bolton, Central Manchester, Preston, Salford, Stepping Hill and Wythenshawe. Most trainees elect to spend their year in two units, usually dividing their year into one nine month and one three-month posts, or two six-month attachments.
Research
Active research group (NWRAG: https://www.nwrag.org).
Renowned researchers including Prof Paul Dark, Prof Brendan McGrath, Dr. Anton Krige, Dr. Cliff Shelton, Dr. Tim Felton
Academic Clinical Fellows (ACF's) to be appointed in core training
NW Tutorial Programmes and Other Educational Opportunities
The NW ICM training programme has been established for more than 10 years, and has always been popular with trainees. There are established tutorial programmes for both FFICM preparation and for senior trainee’s post-FFICM training, along with regular examination preparation days. A high pass rate is achieved in the Final FFICM.
SAVEd anaesthesia and ICM : https://mmacc.uk/nw-anaesthesia/saved
A virtual education project set up by anaesthesia and ICM trainees in the region including tutorial videos and presentations
FFICM SOE/OSCE Practice 3 days per year
New simulation days for FFICM exam preparation. 4 times a year.
Additional educational opportunities are available with the training committee’s close links with ‘ANWICU’ (The Association of Northwestern Intensive Care Units), which holds quarterly meetings for ICM consultants and trainees.
Further information can be found at www.mmacc.uk
Mentoring Scheme for all regional trainees
Quality Panels: Annual meeting with trainees to present and discuss feedback from all hospitals and modules on the programme.
UNIT BRIEFS
North West - Manchester Royal Infirmary
North West - Warrington and Halton Teaching Hospitals
Northern
Regional Advisor: Dr Miriam Baruch (South Tyneside and Sunderland NHS Foundation Trust/North East and Cumbria Transport and Retrieval)
Training Programme Director: Dr Suzanne O'Neill (The Newcastle Hospitals NHS Foundation Trust)
Head of School (Anaesthesia & ICM): Dr Stephen Robb (South Tyneside and Sunderland NHS Foundation Trust)
Overview
ICM training in the Northern region takes place in a number of hospitals in the North East of England and Cumbria including large teaching hospitals and district general hospitals. You will have the opportunity to work in 2 major trauma centres, and will have exposure to transplantation, paediatrics, cardiac and neurosurgical/spinal injuries as well as general ICM skills. The majority of special skills years are available for ICM trainees as well as the possibility to undergo dual training with one of our partner specialties. In addition to the main centres of ICM training, other hospitals used for anaesthesia and/or medical elements of your training will have relevant college approval.
The North East and Cumbria offers trainers with considerable experience in ICM training with FFICM examiners, consultants committed to preparing candidates for exams and excellent regional courses focused on exam preparation.
The Northern region and ICM (and partner specialties) have repeatedly ranked highly in the GMC trainee survey and a significant proportion of ICM trainees in Northern are currently training less than full time. Our region is committed to wellbeing with a trainee led Wellbeing Co-operative organising several events per year: The North East and Cumbria is a great place to live, with major cities and beautiful beaches, hills and countryside within easy reach of all of our training centres.
Click here for more info.
UNIT BRIEFS
Northern - Cumberland Infirmary
Northern - Darlington Memorial Hospital
Northern - James Cook University Hospital
Northern - Northumbria Specialist Emergency Care Hospital
Northern - University Hospital North Durham
Northern - Queen Elizabeth Hospital
Northern - Royal Victoria Infirmary Critical Care
Northern - Sunderland Royal Hospital (South Tyneside and Sunderland NHS Foundation Trust)
Northern Ireland
Regional Advisor: Dr Esther Davis
Number of posts available: 3
Advertising and interview process
Posts are advertised as part of the annual National Recruitment process for posts commencing in August. This is organised by the West Midlands Deanery. We aim to offer at least 3 new training posts each year dependent on funding and capacity.
More information can be found here.
Training Programme
Northern Ireland is one of the smaller deaneries and serves a population of around 1.9 million. The region is known for its hospitality and sense of community and this is reflected within the NI ICM community and training programme.
The training programme in Intensive Care Medicine in Northern Ireland caters for those wishing to train solely in ICM and also offers the opportunity to dual train with anaesthesia, emergency medicine, acute and respiratory medicine.
An individualised approach ensures maximum training benefit from the available opportunities and individual needs. During the training programme you can expect to rotate through several ICUs, gaining experience in a large tertiary centre, specialist intensive care units as well as several District General Hospitals situated around Northern Ireland. There are six training units in total, each with an appointed Faculty Tutor who oversees training on ICU and in other specialty blocks within their hospital.
There is an active teaching programme for ICM trainees with six study days per year hosted by each training unit, a local FFICM OSCE-SOE course is provided for all NI candidates sitting the exam and there are other courses such as a transfer course and a difficult airway course available to ICM trainees. Strong educational and research links exist within Northern Ireland units, co-ordinated by the Northern Ireland Clinical Research Network, links with Queen’s University Belfast and having the Critical Care Reviews conference based in NI.
Trainees considering application to the ICM training programme are encouraged to discuss this with the Regional Advisor. And if considering dual training with a partner specialty, to also discuss with the relevant training programme director or specialty advisor.
UNIT BRIEFS
Northern Ireland - Antrim Area Hospital
Oxford
Regional Advisor: Dr Stuart McKechnie (John Radcliffe Hospital, Oxford)
Training Programme Director: Dr Phil Duggleby (Stoke Mandeville & Wycombe Hospitals)
Head of School: Dr Sara McDouall (Royal Berkshire Hospital)
Intensive Care Medicine training in Berkshire, Buckinghamshire and Oxfordshire is administered by Health Education England Thames Valley and sits within the School of Anaesthesia, Intensive Care Medicine and Pain.
The region is renowned for its cohesive, friendly and supportive ICM training environment. We pride ourselves on delivering outstanding ICM training, with notable regional strengths including echocardiography, point of care ultrasound and academic research. With established links with Oxford University, a high proportion of our trainees pursue formal academic training.
For further information please contact the TPD/RA as listed above.
Clinical training
Both single and dual (acute medicine, anaesthesia, emergency medicine, renal medicine, respiratory medicine) ICM training is supported, with trainees working with the Training Programme Director(s) and Regional Advisor to develop a clinical training program that addresses your individual training needs.
Training programs are based in the following centres:
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Trust |
Hospitals and Locations |
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Oxford University Hospitals NHS Trust https://www.ouh.nhs.uk/hospitals/ |
Oxford Critical Care, John Radcliffe Hospital, Oxford |
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Churchill Intensive Care Unit, Churchill Hospital, Oxford |
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Neurosciences Critical Care Unit, Oxford Radcliffe Hospitals, Oxford |
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Cardiothoracic Critical Care Unit, Oxford Radcliffe Hospitals, Oxford |
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Paediatric Critical Care Unit, Oxford Radcliffe Hospitals, Oxford |
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Royal Berkshire Hospital NHS Foundation Trust |
Royal Berkshire Hospital, Reading |
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Milton Keynes University Hospital NHS Foundation Trust |
Milton Keynes University Hospital, Milton Keynes |
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Buckinghamshire HealthcareNHS Trust http://www.buckshealthcare.nhs.uk/ |
Wycombe General Hospital, High Wycombe |
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Stoke Mandeville Hospital, Aylesbury |
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Frimley Health NHS Foundation Trust |
Wexham Park Hospital, Slough |
While it is not feasible to allow total freedom of choice of placements, training programs are tailored to integrate with your personal circumstances where possible.
Stage 1
All the ICUs in the region are recognised for Stage 1 training. Early after appointment at national recruitment, you will meet with the training program director to discuss how your ICM training in Stage 1 can best integrate with personal circumstance and any existing training plans, including dual specialty training.
Stage 2
The specialty ICM year is typically spent in Oxford, with 3-month modules in paediatric ICM, neurosciences ICM and cardiac ICM.
For single specialty trainees, the Special Skills Year (SSY) can be undertaken in specialty ICM (Paediatric, Neurosciences, Cardiac), echocardiography, point of care ultrasound (POCUS), education, transfer medicine, quality improvement, and academic research.
Notable training strengths of the region include echocardiography, point of care ultrasound and academic research. With established links with Oxford University, a high proportion of trainees pursue formal academic training.
The region has a good FFICM pass rate.
Stage 3
Most trainees spend six months in Oxford, as the tertiary centre, and six months in a District General Hospital, but there are no hard and fast rules about where Stage 3 training is based. At least six months is spent in a single centre to facilitate development of the skills necessary for transition to your consultant role. This includes formal provision for ‘acting up’. Support can be provided to pursue additional skills in echocardiography, medical education and academic research. You will be encouraged to attend National and International meetings.
Regional Teaching
There is an established regional ICM teaching programme.
In stages 1 and 2 this is aligned with the ICM curriculum and focused on preparation for the FFICM exam. There is a highly regarded regional Oxford FFICM OSCE/SOE course which trainees are also supported to attend.
In stage 3, the teaching program develops flexibly to help prepare for life as an ICM Consultant. Topics covered include wellbeing, managing treatment limitations in ICU, research and quality improvement, appraisal, job planning, private practice and pension planning.
UNIT BRIEFS
Scotland
| Region | Regional Advisor | posts available |
|---|---|---|
| East of Scotland | Dr Judith Joss | 20 posts requested across Scotland. Numbers and regional distribution to be confirmed |
| North & North East Scotland | Dr Paul Gamble | |
| South East Scotland | Dr Neil Young | |
| West of Scotland | Dr Katherine McDowall | |
ICM training in Scotland
ICM training in Scotland is provided within 4 separate regions, to which trainees should apply individually. Although the majority of training will be provided within the region the trainee is appointed to, trainees will have the opportunity to rotate to other regions within Scotland, to complete specialist modules, or gain experience in other units.
Whilst divided into 4 training regions, Scotland is a single deanery and the ICM TPDs and RAs from across the 4 regions work cohesively together, to ensure the standardisation and quality of training. Oversight of the training programmes at Deanery level, is provided by the Scottish Specialty Training Board for Anaesthesia, ICM and Emergency Medicine and the Lead NES Dean for ICM.
All ICM posts are NES funded, with a single lead employer system.
The majority of SSY modules can be achieved within the deanery as a whole, and PICM GRID training can be offered across Glasgow and Edinburgh. Scotland has a 4 major trauma centres (1 in each of the 4 regions)and a number of national specialist units including the following: ECMO service in Aberdeen, advanced heart failure service in Glasgow, liver unit in Edinburgh and Pre-hospital/Aeromedical retrieval services in Glasgow (includes paediatric retrieval) and Aberdeen.
ICM teaching
The training programme has strong links with the Scottish Intensive Care Society Education and Training committee and the SICS trainees' group, who facilitate a number of national trainee-specific, educational events throughout the year, in addition to key SICS events including the SICS Annual Scientific meeting. Each region, also provides its own regional ICM teaching programme and the West and SE regions coordinate local FFICM exam preparation courses. Nationally, there are a number of FUSIC and FICE courses each year and accreditation, is available in all 4 regions.
Culture of ICM training in Scotland
Amongst trainers and trainees, there is a proactive approach to ICM training in Scotland. The training programmes continue to score highly as part of the NES Quality Improvement review process and in national surveys. Trainee welfare and support is of paramount importance, and programme leads are receptive and responsive to suggestions, issues and concerns raised by trainees. There are trainee representatives within each regional Speciality Trainee Training Committee, the Specialty Training Board and SICS council, ensuring trainees have a voice, that can be heard. LTFT is supported and encouraged and significant progress has been made by the Scotland-wide programme, in expanding trainee numbers and funding.
Scotland is an area of outstanding beauty, and a fantastic and friendly place to live and work. It is blessed with an abundance of opportunities, that readily lend themselves to optimising work-life balance.
UNIT BRIEFS
Scotland North - Aberdeen Royal Infirmary
Scotland East - Ninewells Hospital
Scotland South East - Royal Infirmary of Edinburgh
Scotland South East - Victoria Hospital Fife
Scotland South East - Western General Hospital
Scotland West - Dumfries and Galloway Royal Infirmary
Scotland West - Glasgow Royal Infirmary
Scotland West - University Hospital Crosshouse
Scotland West - Monklands Hospital
Scotland West - Forth Valley Royal
Scotland West - University Hospital Wishaw
Scotland West - Queen Elizabeth University Hospital
Severn
Regional Advisor: Dr Dominic Janssen
Number of posts available: 6
Training Units
As a trainee in Intensive Care Medicine in Severn you will initially complete the requirements of Stage 1 in either the Great Western Hospital (Swindon), Gloucestershire Hospitals, Southmead Hospital (North Bristol), Royal United Hospital Bath or University Hospitals Bristol and Weston, undergoing training in anaesthesia, medicine and intensive care. The duration of stage 1 training required will depend on your previous training experience and satisfactory evidence of competence.
Stage 2 training will include undertaking specialist intensive care modules in paediatric ICM (Bristol Childrens Hospital), cardiothoracic ICM (Bristol Royal Infirmary) and Neurointensive care (Southmead Hospital). The stage 2 general ICM module could be undertaken in any training unit in the region. During stage 2 training, single CCT ICM trainees will have the opportunity to undertake a Special Skills Year. SSY options within Severn include cardiothoracic ICM, echocardiography, neuroICM, paedsICM, transfer medicine (combined with the regional Retrieve Service), research, education or QI in healthcare. ECMO SSYs can be arranged split between Severn and London.
During Stage 1 and 2 in addition to local teaching, there is a whole day per month regional teaching programme aimed at developing ICM competencies and passing the FFICM exam. Severn ICM trainees have historically maintained an excellent pass rate in the FFICM exam.
Stage 3 training consists of two 6 month blocks and takes place in Bristol Royal Infirmary, Southmead Hospital, Bath Royal United Hospital or Gloucestershire Hospitals. During Stage 3 there are regional post Fellowship study days aimed at improving generic skills for all trainees within the School of Anaesthesia and ICM.
You will be encouraged to attend regional (SICOWE), national and international ICM meetings.
We have established dual training with all the recognised partner specialties and we have increasing numbers of trainees in academic training programmes.
For more information on individual ICM Training Units, please see the related downloads below or contact the Regional Advisor.
UNIT BRIEFS
Severn - Bristol Royal Hospital for Children
South West Peninsula
Regional Advisor: Dr Mike Spivey (Truro)
Training Programme Director: Dr Paul Margetts (Plymouth)
Trainee Representative: Dr Bryony Hopkins
Number of posts available: 4-8 per year
ICM Training in the South West Peninsula
The South West Peninsula incorporates Devon, Cornwall and a large part of Somerset within its boundaries. We deliver quality ICM training, whilst being surrounded by some of the most beautiful scenery in the country – from stunning Cornish beaches to spectacular Dartmoor National Park, plus all the other benefits of this wonderful region.
Training in ICM is currently delivered in 5 major Trusts based in Plymouth, Exeter, Truro, Torbay and Taunton. Trainees may also spend time in Barnstaple during partner speciality training. Please see the unit descriptions below for full details on individual units.
Stage 1
Stage 1 training is spent in the hospitals outside of Plymouth. A bespoke programme will be created for you on appointment, based upon prior experience, but will be spent in a combination of ICU, anaesthesia and medicine placements as required. Emergency Medicine posts may be available for those who wish to spend up to 6 months of their year of medicine in EM. We welcome applicants from all applicable core programmes and will tailor stage 1 training to suit.
Stage 2
The specialty ICM year is predominantly spent in Plymouth, with 3 month modules each in neuro ICM, cardiac ICM and adult general ICM (if required, as determined by dual CCT). To ensure excellent exposure to paediatric ICM, a 3 month placement is arranged in our nearest PICU in Bristol.
For those pursuing a single-CCT in ICM, a Special Skills year can be organised in a number of the approved modules (including ECHO, Neuro ICM, Cardiothoracic ICM, Transfer, Academic Research and Quality Improvement) and will be delivered in any of the training centres.
Stage 3
Stage 3 training is generally split into two 6 month modules, one of which will be spent in Plymouth, and the other in either Exeter, Truro, Torbay or Taunton depending upon trainee preference and post-availability. We pride ourselves on delivering excellent preparation for consultant life: our stage 3 trainees are on a separate rota from the other ICU registrars and gain experience in how to run ICU ward rounds and deliver senior support for other trainees. Time can be provided for pursuing additional skills in echocardiography, teaching and research, and you will be encouraged to attend National and International meetings.
More about the Region
The South West Peninsula has a strong history of delivering excellent training in Intensive Care Medicine. We have particular strengths in echocardiography (with BSE TTE accredited consultants in every training unit and a BSE TOE accredited ICU consultant in Plymouth). FICE and CUSIC accreditation and supervision is available at all hospitals and regional ICU ultrasound courses for both occur twice a year in Plymouth. We also host a yearly ICU bronchoscopy course in Plymouth, and deliver the ICS bronchoscopy course in London.
The major highlight of the ICU year is the Annual Society of Devon Intensive Therapists conference, which takes place in June each year in the stunning Saunton Sands hotel, attracting renowned speakers and a broad multidisciplinary audience from intensive care units around the region and beyond. There is an annual bursary of up to £1000 awarded by SODIT to support projects by trainees, nurses and AHPs in Intensive Care.
There is an established monthly regional ICM study day programme, delivered across all the training units, targeting the FFICM exam, ICM competencies and beyond. All units have a strong commitment to education, research and quality improvement, and actively involve trainees in study recruitment and QI projects. The CQC has rated all units as ‘Excellent’ or ‘Good’ which reflects the region’s commitment to providing the best possible care for ICU patients.
UNIT BRIEFS
South West Peninsula - Derriford
South West Peninsula - North Devon District Hospital
South West Peninsula - Royal Devon University Healthcare NHS Trust
South West Peninsula - Torbay Hospital
Wales
Regional Advisor: Dr Teresa Evans
Number of posts available: 10
Training Programme
Wales is a diverse country that will give you a great life style as you build your future career. Wales offers something for everyone, from cosmopolitan towns and cities to stunning coastal locations. With affordable housing and welcoming communities it is an ideal place to achieve a work-life balance. It even has its own language, although it is not necessary to learn it to pursue training, employment or to live here. Wales is covered by a single Deanery which puts high quality training at the heart of medical careers. The Wales Deanery also holds an award for being the “most family-friendly”.
The ICM specialist training scheme in Wales is funded directly by the Deanery which allows us to choose posts which will best benefit the trainee. This enables us to provide excellent posts in Anaesthesia and Medicine as well as ICM.
Currently hospitals training at ST3-4 level are in Swansea, Newport, Bangor and Wrexham, with the ST5 year based in Cardiff. Other hospitals also provide training and placements may take in other units depending on the trainee’s need. The ST6 year will be tailored according to whether the trainee is dual or single accrediting and the ST7 year is likely to be mainly in South Wales.
The STC and Deanery make support of the trainee central to their business and you can look forward to a carefully developed scheme that allows you to grow in experience and confidence as the years go by. You will experience a variety of Intensive Care Units and will emerge from the scheme a rounded and mature professional with the ability to take on a consultant role in both large and small hospitals.
UNIT BRIEFS
Wales - Glangwili General Hospital
Wales - Grange University Hospital
Wales - Prince Charles Hospital
Wessex
Key Personnel
Regional Advisor: Dr James Doyle (Portsmouth)
Training Programme Director: Dr Duncan Chambler (Dorchester)
Specialty Manager: Ms Jemma Martell
Trainee Rep: Dr Ian Sheldrake
Welcome to the Wessex region. In the last few years, there have been 10-12 training posts available each year. Our Intensive Care Medicine training is administered by NHSE's Wessex office; the specialty sits within the School of Anaesthesia. The region encompasses 8 acute hospital sites covering the Hampshire, Dorset and east Wiltshire areas. The hospitals that StRs may rotate their training modules through include: Dorchester, Salisbury, Poole, Bournemouth, Southampton, Winchester, Basingstoke and Portsmouth. Several of the units in the region have been rated outstanding by the CQC, and many have come to national attention for very positive contributions of varying kinds.
Stage 1
All of the ICUs in the region are recognised for training for Stage 1. Trainees can expect to experience modules in both the Teaching and District General Hospitals during their Stage 1 training time. The programme has well-established links with other training committees (ACCS, Anaesthesia, Emergency Medicine and Medical specialties), and the delivery of training in these specialties is tailored to meet individual needs.
Most training modules are of three or six month’s duration.
Stage 2
The specialty ICM training blocks (each of 3 months) are delivered at the University of Southampton Hospital base. The partner specialty special skills part to Stage 2 can be undertaken in any of the acute trusts in the region, excepting renal medicine which would be completed at Portsmouth (the region’s renal medicine & transplantation tertiary centre), with this being coordinated by the respective specialty’s Training Programme Director.
Special Skills Year (SSY) modules have been completed in echocardiography, research, quality improvement, transfer medicine, and neuro-ICU by single ICM CCT trainees. Opportunities to pursue SSYs in pre-hospital emergency medicine, PICU, CICU, education and home ventilation would also be possible.
Stage 3
This is currently delivered in two 6 month blocks in the general ICUs of Southampton and Portsmouth. The programme has recently commenced offering part of Stage 3 in the smaller, rural units of Salisbury or Dorchester, as well considering other units in the region.
Training opportunities
There is a well established monthly regional registrar teaching programme which is both curriculum based and aimed to help trainees to transition towards independent ICM practice. Additional sessions recently have been delivered for key procedures and equipment used in ICU. Responsibility for hosting each session rotates around the region’s units whilst being centrally coordinated by Dr Roy Sharvill.
ICM exam pass rate for Wessex trainees has been high, with a biannual national FFICM revision course (Portsmouth Intensive Care Exam Revision (PINCER) Course) run within the region now complemented by FFICM exam teaching at Southampton. Examples of other courses offered by the regions’ consultants are:
- BASIC
- Beyond BASIC – mechanical ventilation
- FICE & CUSIC courses
- Simulation training
Every hospital have FICE accredited mentors, and there is an increasing network of CUSIC/lung ultrasound expertise for trainees to access. The region is supported by focused and progressive Faculty Tutors in each ICU.
Professor Mike Grocott leads the Critical Care Research Area within the Southampton NIHR Respiratory Biomedical Research Unit. The region has supported ICM ACF post-holders, enabling pursuing higher academic qualifications including PhD. There are opportunities to be involved in research within every unit in the region. Quality Improvement work is actively supported by the Wessex ICM community with important work being conducted by the SPARC group (South Coast Peri-operative Audit and Research Collaborative).
Wessex is a popular place to live, and to bring up a family. Right next to the sea, or being close to the beautiful national parks of the South Downs and the New Forest offer exceptional opportunities for the outdoor enthusiast. Close proximity and excellent links to London, the South West and Europe also mean you are never far from anywhere.
The region is renowned for its cohesive, friendly and supportive environment. There is an active regional ICM society; information is available at www.wessexintensivecare.org/.
Further details are can be found at https://wessex.hee.nhs.uk/school-of-anaesthetics/icm/ or by contacting the TPD or Regional Advisor.
We would also advise trainees wishing to undertake dual training with an approved partner speciality to contact the respective Training Programme Director and/or Regional/Specialty Advisor for further advice.
We look forward to welcoming you here. Good Luck!
UNIT BRIEFS
Wessex - Queen Alexandra Hospital
Wessex - University Hospitals Dorset - Poole Site
Wessex - Salisbury NHS Foundation Trust
Wessex - University Hospital Southampton
Wessex - University Hospital Southampton - CICU
West Midlands
Regional Advisor: Dr Brian Pouchet
Number of posts available: 12
Advertising and interview process:
Posts are advertised as part of the annual National Recruitment process for posts commencing in August. This is organised by the West Midlands Deanery. More information can be found here: http://icmnro.wm.hee.nhs.uk/
Training Units
ICM training opportunities are available within the West Midlands region. For more information on individual ICM Training Units, please see the related downloads below or contact the Regional Advisor.
UNIT BRIEFS
West Midlands - Heartlands and Good Hope Hospitals
West Midlands - New Cross Hospital
West Midlands - Queen Elizabeth Hospital (University Hospitals Birmingham)
West Midlands - Shrewsbury and Telford Hospital NHS Trust
West Midlands - Worcestershire Acute Hospitals NHS Trust
Yorkshire & Humber
| Region | Regional Advisor | Posts Available |
|---|---|---|
| North East Yorkshire & North Lincolnshire | Dr Duncan Tarry | 14 posts available across the Deanery. Allocation of the posts across the region is by negotiation depending on trainee preference, location of existing programme and availability of training slots. |
| Sheffield & South Yorkshire | Dr Sarah Irving | |
| West Yorkshire, Leeds & Bradford | Dr Richard Briscoe |
Training Programme Directors: James Morgan and Kris Bauchmuller
Yorkshire & Humber is a great region to train in. We are blessed with vibrant cities, a beautiful coastline, as well as three national parks on our doorstep.
Within our region we have three major trauma centres, two paediatric intensive care units, we have three cardiac intensive care units, three neuro intensive care units, and a liver transplant intensive care unit. Our secondary district general intensive care units are large offering great training experience. We have a well organised regional teaching programme. There is a comprehensive range of special skill years available.
There is an ICM Specialist Training Committee with trainee input and representation. We take pride in our trainee engagement and in improving our training experience. Our trainee reps can be contacted via Yorkshireicm@gmail.com if you would like to get some more information about what it is like to train in ICM in Yorkshire.
The region is divided into three areas, West, East and South. Rotations are generally based around these geographical locations, but opportunity exist for experience throughout the region.
UNIT BRIEFS
West
Leeds Teaching Hospitals NHS Trust
Bradford Teaching Hospitals NHS Foundation Trust
Mid Yorkshire NHS Trust
East
Hull University Teaching Hospitals NHS Trust
York & Scarborough Teaching Hospitals NHS Foundation Trust
South
Sheffield Teaching Hospital’s NHS Foundation Trust
Sheffield Children’s NHS Trust
Want to know more?
Browse our Training pages.
