Rotational Training in ICM

Published 14/04/2025

Faculty of Intensive Care Medicine

RECOMMENDATION 5: The Faculty to continue to recommend to the ICM National Recruitment Office an earlier date for ICM offers to facilitate regions and TPDs to organise postings in sufficient time to inform Trusts/Health Boards and IiTs of their placements

  1. The Faculty should continue to explore appropriate flexibility within the curriculum. We have always supported our trainers and IiTs to be as flexible with the capabilities of the curriculum as they are able, to allow Supervised Learning Events (SLEs) to be used across multiple High-Level Learning Outcomes (HiLLOs) and across different stages of the curriculum, where appropriate. The length of training periods is indicative, and this permits rotas to be created with the continued delivery of safe patient care. However, each region can adjust their delivery of the curriculum to suit the needs of their region. The Faculty sets the curriculum and supports flexibility of curriculum and educational delivery if the standards are maintained. 
  2. We continue to support the flexibility of progressing from Stage 2 to 3 when on a dual programme, if an exam aspect of the dual programme has not been completed. For example, a dual Anaesthesia-IiT, who has been unsuccessful in the Final FRCA but has passed the FFICM Examination, can start Stage 3 ICM without an extension to training, and vice versa. Similarly, a dual EM-IiT who has met all EM requirements can start their indicative final 6 months EM without FFICM success, with agreement of both specialty training leads and the IiT. 

    The best practice page on the FICM IiT section of the website highlights flexibility demonstrated across regions such as specialty placements in Stage 3 for career progression planning.

 

RECOMMENDATION 6: The Faculty commits to continue to support its trainers to ensure that the 2021 curriculum is delivered to a consistently high standard across all regions/nations of the UK

We continue to engage in providing training and support for Faculty Tutors and Educational Supervisors to help them develop a detailed understanding of the 2021 curriculum, examinations and ARCP requirements. This will ensure that everyone involved in the support of IiTs is clear on the requirements of the curriculum and hence what is available and achievable in each placement. We provide numerous resources online for trainers and IiTs to gain support, help and seek advice:

 

RECOMMENDATION 7: The Faculty to continue its engagement with Enhancing Doctors Working Lives workstream (NHSE WTE)

We support the principles in the 2024 guidanceImproving the working lives of doctors in training being applied to all 4 Statutory Education Bodies of NHS England (NHSE), Health Improvement Wales (HIW), NHS Education for Scotland (NES), and the Northern Ireland Medical and Dental Training Agency (NIMDTA). 

Within the document there are many recommendations that will require financial support for SEBs, Deaneries and individual hospitals to deliver.