Core and Specialist Training

What is Intensive Care Medicine (ICM)? 

Intensive Care Medicine (ICM), also referred to as critical care medicine, is a body of specialist knowledge and practice concerned with the treatment of patients, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body’s organ systems.  It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and patient safety, ethics, end-of-life care, and the support of families.

It has been possible to train in ICM since the launch of the Joint CCT in 2001.  This was amended into a full CCT training programme in 2011, with the first trainees entering the programme in 2012.

Further information is also available on the Health Careers website.

    How do I start training?

    You may have had some exposure to ICM during your undergraduate or foundation training, but your career towards ICM will begin by picking one of the core programmes that leads to specialist ICM training.

      Core programmes

      ICM CCT training is entered at ST3 level following completion of one of four designated core programmes:

      Core Medical Training was replaced with Internal Medicine Training from August 2019 and includes 3 months of direct training in ICM.

      In addition to completion of one of the identified ICM core training programmes you will need to have completed one of the following exams, as relevant to that core programme:

      • FRCA (Primary)
      • MRCP UK (Full)
      • MRCEM Primary SBA (or MRCEM Part A between August 2012 – August 2016 or FRCEM Primary after August 2016) AND MRCEM Intermediate SBA (or MRCEM Part B between August 2012 – August 2016 or FRCEM Intermediate SAQ after August 2016) AND MRCEM OSCE after August 2014* (or FRCEM Intermediate SJP after August 2017)                                                      *retrospective approval has been granted for MRCEM achieved between August 2018 – August 2021 as part of the Emergency Medicine 2021 curriculum
      Now I have completed core training, what about higher training?

      Entry to ICM is by competitive national interview.  See below for details on national recruitment.

      Further Reading
      • For more information on the FICM Training, Assessment & Quality Committee which is responsible for matters relating to the curriculum please see the Committees of the Faculty.

      Want to know more?
      Browse our Training pages.