Defining an appropriate training environment
In order for training in Intensive Care Medicine (ICM) to be recognised and approved, the Faculty of Intensive Care Medicine (FICM) have issued guidance to assist in the maintenance and development of training programmes by Deaneries, Regional Advisors (RAs) and Faculty Tutors (FTs).
Regions vary in the arrangement of training units and the Regional Advisor is best placed to maximise the training opportunities within their region’s resources. In making this decision, the RA will take into account the ability of the unit to deliver the curriculum. Emphasis will be placed on the ethos of training within the unit, in particular consultant support for training and the ability of the department to engage with the current training requirements. To ensure the quality of training there must be an appropriate case mix, case numbers and adequate consultant supervision.
Consistently poor feedback from the GMC or ICM training survey should prompt the RA to review training attachments.
The use of smaller units as part of the training scheme is to be encouraged. The duration of attachments and supervisory structure may need to be addressed on an individual basis. FFICM eligible consultants should staff the unit during daytime hours, and appropriate consultant support at all times as detailed in the GPICS V2 chapter on smaller remote and rural units. Again the ethos and enthusiasm of the unit to embrace training is of paramount importance.
While a mix of Intensive Care Units is essential for a broad training programme, care should be taken to ensure an appropriate environment for the trainee at a given stage of ICM training. The Regional Advisor and Training Programme Director will tailor the training programme to best suit the trainee's requirements. Stage 3 trainees should be based in units with a comprehensive teaching capability. Stage 3 trainees may be seconded to more than one unit so as to ensure a broad complimentary exposure to the needs of this Stage of training, and as befits their training needs and career preferences.