Anaesthetists and intensive care medicine specialists can be accommodated separately within larger Australian and Aotearoa New Zealand centres. In both countries, regional and rural hospitals report that one of the major barriers to staffing their intensive care and high dependency units with trained intensive care specialists is the requirement for a specialist to cover both roles as part of their job description, especially aft er hours. Furthermore, relying on FANZCA-trained specialists to cover ICU has become increasingly difficult, as there is limited exposure and training in intensive care medicine during anaesthesia training. It is desirable that patients and their communities, regardless of geography, have access to appropriately trained anaesthetists and appropriately trained intensivists. It may be highly advantageous to rural and regional Australian and Aotearoa New Zealand centres if the same person could work in both scopes of practice. A successful dual training pathway will off er completion in less time (7.5 years) than both training programs undertaken separately (10.5 years), by taking advantage of skills transferability while ensuring that the dual graduate has achieved equivalent learning outcomes to graduates of each individual training pathway. The result will be a specialist who has both a FANZCA and a FCICM. It is anticipated this will help address one of the unmet needs in our communities.
A memorandum of understanding (MOU) has been signed between ANZCA and CICM which establishes the collaboration for joint recognition of a dual training pathway with the aim to actively cultivate and maintain the highest principles and standard s in the training, practice and ethics of anaesthesia and intensive care medicine. The MOU also defines the project governance and terms of reference for the conjoint committee that will oversee the development of the dual training pathway. The conjoint committee will be established shortly to oversee the activities of the already established Dual Training Pathway Curriculum Working Group and bring to fruition the launch of the dual training pathway program. Professor Peter Morley AM is chair of the Dual Training Pathway Curriculum Working Group which has 12 members comprising:
• Dual fellows with educational expertise, supervision and assessment expertise, and training site accreditation expertise.
• Directors of professional affairs from each college.
• ANZCA Education, Development and Evaluation Committee (EDEC) member.
• Dual trainees from Aotearoa New Zealand and Australia.
• Māori and Aboriginal or Torres Strait Islander representatives.
The Dual Training Pathway Curriculum Working Group is tasked with the development and delivery of the program, identifying the necessary educational resources, information technology support, marketing, and communication activities.
A dual training pathway will demonstrate ANZCA and CICM’s commitment to addressing inequitable access to specialists. Along with responding to regional and rural centres across Australia and Aotearoa New Zealand, this joint venture will also foster relationship between the two colleges in advancing an integrated care model in perioperative medicine. The dual training pathway development has already begun and will continue through 2022-2023 in preparation for its launch by 2025.
For further information
Email Dual Training Pathway
FAQs on ANZCA website
Professor Peter Morley AM
Chair, Dual Training Pathway Curriculum Working Group