Currently CICM makes reference to “Non-accredited Clinical Training” or NACT. NACT terms are rotations undertaken by a trainee which is not required to be accredited as part of their training. For example, trainees completing ICU terms before meeting the First Part Exam requirements are often in NACT, as are trainees who have completed the minimum required core training in ICM but are yet to pass the Second Part Exam. In February 2024, NACT will be abolished, and all terms will be counted for training. Minimum requirements will remain (i.e. 24 months core ICU) as will the requirement to complete all training within 12 years of commencing the training program.
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ICU terms undertaken prior to completing the First Part Exam will count as training time, however, will not count as “core” training time. A minimum of 24 months core ICU training will still be applicable and will only be able to commence once the First Part Exam requirement has been met. Workplace Competency Assessments can and should be completed in any ICU training term, whether in Phase 1 or 2, with the expectation that by the Transition Year, a minimum of 1 each WCA rated as oversight or independent on the entrustment scale, will be submitted to the College, with the exception that the tracheostomy, anaesthesia for percutaneous tracheostomy and advanced communication WCAs can be completed within Phase 3/Transition Year. Observed Clinical Encounters are encouraged to be completed for all training terms but will remain mandated for all ICU terms post completion of the First Part Exam.
No, there is no maximum amount of time presently. However, trainees will need to be aware that there is a maximum of 12 years to complete all phases of training and the College will use discretion to determine if trainees are not progressing through the training programme and may require additional support. The additional support process can be found in T-13.
Phase 1: refers to the period between joining the training program and prior to successful completion of the First Part Exam. There is no minimum duration a trainee must spend in Phase 1 and some trainees who are exempted from the First Part Exam may bypass Phase 1 on entry to the training program.
Phase 2: refers to the period between meeting the First Part Exam requirement and commencing the Transition Year. It is possible to have passed the Second Part Exam and still be in Phase 2 (i.e. you may be finishing other training or assessment requirements). Phase 2 will be a minimum duration of 24 months full-time equivalent, which is to be spent in approved ICM training positions which count has core training.
Phase 3: refers to the final year of training – the Transition Year. Phase 3 will be a minimum duration of 12 months FTE.
Yes, conditional core will still exist. Conditional trainees are those who have passed the First Part/Primary Exam requirement of an approved specialist medical training programme and who are progressing towards completion of that program’s Fellowship. These trainees are therefore permitted to conditionally enter the CICM core training years with the caveat that they will not be permitted to sit the Second Part Exam until the other training programme is completed, and Fellowship has been confirmed. This will remain the case however, conditional trainees will be referred to as Conditional Phase 2 trainees.
As advised in previous e-newsletters, from February 2024, the pre-2014 training programs and their regulations will cease to exist. All pre-2014 trainees will be moved to the current curriculum and will be required to complete the full suite of WBAs, courses, exposures, and the Transition Year.Trainees who are potentially impacted by this change have been contacted via email.
CICM aims to ensure trainees are not disadvantaged. However, we do need to balance this approach with the need to consider the educational objectives of the training program and what is best practice. Trainees can contact theTraining Department to discuss further if they have any special circumstances which may warrant consideration. The Censor’s Committee will be the College Committee responsible for reviewing any applications of this nature.
Trainees who are undertaking training on the pre-2014 regulations, who have not attained Fellowship by 2024 will need to meet the requirements of any current regulations governing the training program in order to obtain Fellowship of the College of Intensive Care Medicine. However, withdrawing from the training program is an option for those who no longer intend to finish training. Please contact the Training Deprtment if you are considering this option.
Due to the rapidly changing landscape of health professions education, and the requirement for regular review and development of training by regulatory bodies, there will need to be ongoing updates and improvements to the training program. This will ensure that all trainees are exposed to a ‘best practice’ approach to teaching, learning and assessment which will only be possible if trainees are participating in a common training program. Changes will occur in consultation with the relevant committees, including the Trainee Committee.