Taking the above into account, and the 2021 curriculum for a CCT in ICM, the Faculty recognises that there are some opportunities to reduce rotations for those seeking to do so. It is important to understand that for some, rotation is desired and, in some circumstances, extended placements are neither beneficial nor achievable within a region, where the requirements of all IiTs are considered equitably. We use survey data and other sources of information to assess the ongoing impact, quality and satisfaction of training and the nature of its delivery.
These recommendations serve as a guide for all bodies involved in Intensive Care Medicine training, encouraging efforts to minimise the frequency and impact of rotations where appropriate. Where relevant, we have also incorporated recommendations from NHSE’s publication, Improving the Working Lives of Doctors in Training, as many of their suggestions are crucial for reducing the disruption caused by rotations and should be urgently implemented.
- Recommendations 1–4 are aimed at Training Deaneries and focus on reducing unnecessary rotations, enhancing continuity of supervision, and improving communication and planning. They emphasise giving IiTs greater notice and input into rotations, with flexibility to support individual training needs and career aspirations.
- Recommendations 5–7 are directed at the Faculty of Intensive Care Medicine and focus on promoting flexibility within the curriculum, supporting trainers to deliver high-quality education, and contributing to national efforts to improve the working lives of doctors in training. The Faculty also continues to advocate for earlier ICM offer dates to support training planning and remains engaged in cross-nation workforce wellbeing initiatives.
- Recommendations 8–9 are for the Statutory Education Bodies (NHSE, HEIW, NES & NIMDTA) and call for enhanced administrative and technological support for programme delivery. They also urge the urgent implementation of measures to improve the working lives of doctors in training such as, lead employer models, streamlined onboarding, and transferable statutory training, to reduce administrative burden and improve training continuity.
- And Recommendation 10 is for the Intensive Care Units: Managers and Trainers.
