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Career Development in Intensive Care Medicine: Opportunities and Pathways

Learn about the evolution of training in Intensive Care Medicine (ICM), including single and dual CCT options, entrance routes, benefits of specialist training, exam requirements, current job trends, and future prospects. Get valuable advice and insights for advancing your career in anaesthetics and ICM.

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Career Development in Intensive Care Medicine: Opportunities and Pathways

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  1. ACCS study day 19/9/2012 Toby Elkington ICM tutor Careers in ICM

  2. Key points • Single / dual CCTs • Complimentary specialities • Training time / exams

  3. CCTs • Piece of paper to show that you are “trained” in a specialty (ie can become a consultant)

  4. Historically • “Joint” CCT schemes • Intensivists almost all from anaesthetic backgrounds • Training time not extended, no structured exams

  5. Now • FICM • GMC approved curriculum • Multiple routes in from multiple specialities • Development of single and dual CCTs

  6. Routes in • Anaesthetic / Core medical / ACCS training all enable entrance into ICM ST3 • FFICM primary, BUT exempted if you have MRCP, FRCA primary or equivalent

  7. Options • Sole ICM from ST3 onwards and get CCT in just ICM • ST3 post in anaesthetics / emergency / renal / respiratory medicine AND an ST3 post in ICM enabling you to gain a dual CCT

  8. Specialist training • ST3/4 designed to fill gaps (ICM / medicine / anaesthetics) • ST5/6 further ICM along with special interests (paeds / cardiac / neuro) • FFICM exam • ST 7 consolidation year of entirely ICM

  9. Dual CCTs • As you are also training in a base specialty your training time will be extended to 8.5 years

  10. Current situation • Few non-anaesthetic intensivists (particularly in this region) • Very few single specialty ICM intensivist jobs nationally • Appointing to dual / single CCT ICM posts now • First sitting of exams this autumn

  11. The future • Much easier to do ICM with medicine • Better training • ? Expansion in single specialty jobs (Australian model)

  12. Current advice • Go for dual CCT • Aim for ST3 in base specialty THEN apply for ICM ST3 post • You will have one extra exam and slightly extend your training time

  13. Anaesthetic careers • Apply for ST3 anaesthesia! • 7 year program • Options in paeds / pain / cardiac

  14. Questions?

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