The principles underlying rotational training have recently come under the spotlight. Intensivists in Training (IiTs) and trainers alike have raised concerns over the impact multiple rotations have on the educational effectiveness of placements. In addition, the impact of frequent rotations on wellbeing and quality of life for IiTs has been highlighted. This review will look at the use of rotations considering Intensive Care Medicine (ICM) training in 2024, IiT survey results, and the requirements of the 2021 Curriculum. At the end of this guide, we provide vignettes and case studies in which various regions have adopted strategies and flexible options to help minimise the adverse effects of rotational training, which may be amenable to adoption elsewhere in the UK.
