There is a recognition, in line with the nature of ICM specialty training, that IiTs need to rotate through several centres to attain all the capabilities of the 2021 curriculum. Once appointed to the ICM CCT programme, any outstanding aspects of Stage 1 could be completed in a single centre. However, the specialty ICM placements of Neuro, Cardiac and Paediatrics in Stage 2 may be located in different tertiary centres, which necessitates rotation (though capabilities can also be achieved in other placements during training). Stage 3 training is an opportunity for the IiT to explore future career locations; however, rotation should be limited to 2 placements, unless it is the explicit IiT’s wish and has agreement from the TPD. Experiencing a wide range of clinical environments helps IiTs develop a more rounded approach to delivering high quality ICM care. Rotation within a training programme offers exposure to a broad range of clinical skills, ways and styles of working. It can offer additional potential benefits including:
- Helping IiTs experience a greater diversity and breadth of exposure to different disciplines.
- Developing confidence and competence, and a flexible and dynamic approach to teamworking through a wider clinical experience and locations.
- Clarifying potential career pathways through a wider clinical exposure prior to making future plans.
- An opportunity to work with patients representing wide and varied population demographics in different areas.
- Supporting learning in specialist areas of ICM practice included in the curriculum.
- Encouraging the 2-way distillation of the most up-to-date knowledge and experience across a region’s network of hospitals, enhancing learning, developing practice and ensuring patient safety.
- Encouraging unity and collaboration across the region’s networks of hospitals.
