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College of Intensive Care Medicine

of Australia and New Zealand

Trainee e-news

4 April 2016

Welcome to the first edition of the Trainee e-news for 2016. The e-news is developed by the combined efforts of your Trainee Committee and the College Training and Communication teams. The newsletter aims to keep readers informed of the activities of the Trainee Committee and general affairs of CICM trainees. This e-news edition includes some interesting Q&A sessions along with valuable resources and input from your Trainee Committee. We hope you all enjoy it and look forward to your feedback.

CICM Trainee Dashboard
The College is excited to announce the launch of the Trainee Dashboard! For those of you who registered after the 1 January 2014 the Dashboard is now available to access via the Members Portal.

The Dashboard is a valuable online resource designed to enhance interaction with our trainees and provide up-to-date information on a user friendly interface. Main features include a graphical snapshot of completed training, a summary of all training time approved (both retrospectively and prospectively), examination attempts, formal project status as well as a record of any Courses, Workplace Competency Assessments (WCA) and Observed Clinical Encounters (OCE) that have been completed. The Dashboard displays remaining training requirements in a format that is easy to follow and looks great on a desktop computer, laptop or tablet device. The College feels that this can help with career planning and interaction with Supervisors of Training when discussing future rotations.

For those on the pre-2014 curriculum, the Dashboard will be available in the coming months and any information on enhancements and future release dates will be available on the College website and subsequent editions of the E-news.

Trainee Committee Face-to-Face Workshop & Update 
By Brandon Burke, ACT Trainee Representative

On February 24 the Trainee Committee met at the College in Melbourne for a face-to-face workshop, chaired by Dr Rob Bevan (New Fellow Board Member). The Trainee Committee has representatives from across Australia and New Zealand with the purpose to provide an avenue for direct communication and feedback to the College and Board about issues important and relevant to trainees. It involves an annual workshop and regular teleconferences. We welcome those new members to the committee who were attending their first workshop: Isuru Senevirante (QLD), Kristin Hayres (SA), Alun Ellis (NSW), David Baguley and Clark Maul (QLD Paediatric Trainee Representative).

The day started with an informative introduction to the College and how it works by Phil Hart, CEO. This was followed by a demonstration of the new trainee dashboard, with feedback given to the College from the committee. A session on ICU workforce issues was led by College President, Prof Bala Venkatesh. He presented data from the last few years outlining future challenges for intensivists and assured the committee that this is an important issue to the College that is being considered at many levels. The College Censor Dr Ross Freebairn had a question and answer session regarding interrupted training. The major take home message is that trainees should never be disadvantaged for taking parental or sick leave and that trainees should contact the College directly to discuss issues around interrupted leave if they or their Supervisor of Training are uncertain about regulations surrounding training.

Other major areas of discussion during the workshop included how to engage trainees in hospital accreditation visits and mentorship. In response to feedback received from trainees regarding rural terms and echo requirements, the committee discussed how information on the College website could be enhanced (watch this space). The remainder of the day was focussed on development of a Trainee Induction Course. The proposal is for the College and Trainee Committee to develop an online module for new CICM trainees to complete as part of their application process. Topics may include: introduction to the College, roles and responsibilities of a trainee, navigating the curriculum and speciality terms, assessments and exam preparation and trainee welfare (mentoring, bullying and harassment, College support). If you have suggestions for such an induction course please contact the College or your Trainee Representative.

Finally, we would like to thank the contributions made by those members who are now completing their time as Trainee Representatives including Louise Speedy (NZ), Patricia Hurune (NT) and Brandon Burke (ACT, Board representative). Michael Ashbolt (Tasmania) was nominated to be the next Trainee Representative on the College Board. In particular we would like to express our sincere thank you to Dr Rob Bevan who has guided the committee for the last few years and is also finishing his term as New Fellows representative. 

Second Part Examination Q&A with Mary Pinder 
The Trainee Committee chats with Dr Mary Pinder, Second Part Examination Chair about the exam process.

Hospital Accreditation Visits
By Isuru Seneviratne, QLD Trainee Representative
In almost every CICM e-news there is a small blurb about Hospital Accreditation – you might be wondering what’s that? Can I do it? What can I add? Well I thought I’d give you a quick run-down on what hospital accreditation is about and why it’s a great opportunity.

Ultimately Hospital Accreditation is about training and so it’s about us! Accreditation ensures compliance with what CICM define as an appropriate training environment; which is a big deal given that training towards your Fellowship can only be undertaken in accredited units.

With the new curriculum, units seek accreditation for specific things such as Trauma, Neuro, Cardiac, etc. and send in paperwork to support their application which includes things such as the case load, rostering/staffing, teaching, etc. Once this has been reviewed an accreditation inspection can occur.

Inspections are conducted by an accreditation team generally consisting of a College Board Member (or recent member within the last three years), a local Fellow and a local trainee. To ensure a comprehensive review occurs, the accreditation team speaks with a wide range of people (Director of the unit, Supervisor of Training, Fellows, Trainees, Nursing staff, Administrative staff). After the first inspection, re-inspections occur every 5 years, unless the Hospital Accreditation Committee (HAC) or Board deem it necessary to conduct an inspection in the interim.

So why should you take part in it? I’ve taken part in 3 site inspections and I thought I’d reflect on my experiences. It has served as a great opportunity to meet Fellows that you normally wouldn’t meet – especially those from out of state and who serve on the Board. It provided me with a great appreciation of the workings of the unit – as in the things we sometimes take for granted and don’t even notice (like is there office space for consultants and registrars? Are there beds for nights? Are there vending machines/food for night shifts? Is there access to teaching resources, leave?). You also have a chance to see what things are done well and what things aren’t so good and then reflect on your own training site – what things could be changed to improve training? It also gives you a chance to see what the training issues for trainees are and advocate for them. Finally it gives you a chance to travel and get a sneak peek at other training sites which you might go and work at. 

Another common response I get when I ask if someone wants to go on an inspection is – what will I add? I have to admit on the first inspection I didn’t do a lot. I just took everything in and it was amazing to see how in depth the College looked at things regarding a unit and ensured the unit was suitable for training. For my second and third visits I took part in the interviewing and asked question from the trainees, the SOTs, the nurses and so on. I knew what questions to ask, I knew what things made a good unit for trainees and things that didn’t. Part of it was as simple as ‘if I was a trainee here, would I be happy?’ With this the other members of the inspection panel make sure that you are able to participate and encourage it. They also help you out a lot by guiding you through the process so you don’t feel too much out of your depth. So what can you add? – A lot;  but as with everything it takes a little time so you might feel a bit out of place on your first visit, but you’ll be on the ball for your second.

So my final word – if you haven’t been on an inspection, give it a go. Like I said it’s a great opportunity and one that I think all senior registrars should do!

Second Part Exam Resources
Dr Louise Speedy, NZ Representative
For those of you preparing for the Second Part Exam there are a multitude of great resources available online. With the wealth of resources out there one of the major challenges is avoiding information overload.

That said here are a few I’d recommend:
• Fantastic resource which includes journal article reviews, data and radiology interpretation questions, SAQ answers.
• Accessible via traditional website or available in App form for iPhone or iPad.
• Subscription only but well worth the expenditure. Encourage your department to get a login for trainee use.
• www.crit-iq.com
Life In the Fast Lane
• No doubt you’re already familiar with this fantastic website put together by Intensivist and ED Physician Chris Nickson and Emergency Physician Mike Cadogan. Leaders of the FOAM revolution who somehow find time to build and maintain an incredibly comprehensive and generally up to date resource.
• The Critical Care Compendium is exactly as advertised “a comprehensive collection of pages concisely covering the core topics and controversies of critical care”. 
• Watch out for Chris Nickson’s picks for upcoming hot topics for the FCICM exam… he’s a man on the money.
• www.lifeinthefastlane.com/ccc/
Intensive Care Network
• Great for podcasts on areas of controversy, discussion of new trials, and specific topics. The echo, USS and radiology resources are worth checking out but the ‘exam help’ page is a little dated.
• www.intensivecarenetwork.com
Critical Care Reviews
• Rob MacSweeney, an Intensivist based in Belfast, hosts this site and authors a weekly ‘journal watch’ email. This is a useful tool for keeping abreast of the latest literature.
• www.criticalcarereviews.com
The Bottom Line
• A compendium of landmark papers that critiques and summarises papers and provides you with “the bottom line”. A useful resource for finding succinct summaries of the evidence to help you direct your reading to key papers.
• Their web site has just been relaunched as:www.thebottomline.org.uk

A statement from your new NT Representative
By Mitchell Cameron, NT Trainee Representative
I am a new father, a husband, a doctor, a mountain bike rider and a snowboarder (an inconvenient hobby in the NT).  After dabbling in a career in cocktail bartending I found my way into medicine. I think it was mostly an interest in human anatomy that drew me in. When I graduated from the University of Queensland I was looking for adventure and thought Darwin would be a good place to start for a year or two.  Five years later I am still enjoying the challenges the Royal Darwin Hospital throws at me whilst I work my way through intensive care and emergency training.    

Retrieval Medicine for Intensive Care Trainees
Michael Ashbolt (Tasmanian Representative) chats with Andrew Dawson (CICM Advanced Trainee) about his experience working in a large retrieval service, and the skills and knowledge to be gleaned from a term in retrieval medicine. You can read the full interview here

AVT Reminder for all Trainees
Have you sent the College your signed prospective Application for Vocational Training (AVT) for your 2016 position? Please remember this is required within 30 days of commencing any training position (including deferred training).
Without a prospective AVT and training fees, your trainee benefits will be restricted. See AVT Submission Instructions for further details on the submission process. If you are not sure if we received your signed form, please have a look in your Members Portal. 

For further information, please contact training@cicm.org.au.

QRC Formal Project Workshop
15 April 2016 | Southbank, Brisbane 
The CICM Queensland Regional Committee are holding a Research Forum at the Rydges Hotel, Southbank (Brisbane) on April 15.

The event aims to provide trainees with practical advice on how to start and finish their formal projects, with trainees having the opportunity to present their completed projects at the QRC Presentation Evening in September.

Fellows, supervisors and unit directors will attend the event as project supervisors and provide mentoring to trainees. Trainees are encouraged to approach their department now to request the day off.

ASM 2016 
To regsiter for the ASM CLICK HERE!
Trainee Session - Life After the Fellowship 
Friday 3 June | 17:30-18:00
In this session 4 presenters will briefly outline 4 possible fellowships that can enhance your time between graduation and consultant job. You are a consultant for a very long time. Be inspired to use this time to your best advantage.

College Resources 
Courses and Events
Don't forget to check out the courses and events section of our website to see what is happening Australia wide and internationally.

You may want to also have a look at the face to face and online courses located in the training section of our website, if they are relevent to your training. 

Postions Vacant
Make sure to check the positions vacant section of our website regularly for updates in your region.

Not only does the College enewsletter list the most relevant news, but it also has College courses, events, positions vacant listings, regional committee news and so much more. If you haven't received the enewsletter you can always have a look at it on our website.

All content within the Trainee e‐news reflects the views of individual contributors only and do not necessarily represent the views held by the College of Intensive Care Medicine of Australia and New Zealand as an organisation.