ACCS study day 19/9/2012

Toby Elkington ICM tutor

Key points

Single / dual CCTs Complimentary specialities Training time / exams

CCTs

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

Historically

“Joint” CCT schemes Intensivists almost all from

anaesthetic backgrounds Training time not extended, no

structured exams

Now

FICM GMC approved curriculum Multiple routes in from multiple

specialities Development of single and dual CCTs

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

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

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

Dual CCTs

As you are also training in a base specialty your training time will be extended to 8.5 years

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

The future

Much easier to do ICM with medicine Better training ? Expansion in single specialty jobs

(Australian model)

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

Anaesthetic careers

Apply for ST3 anaesthesia! 7 year program Options in paeds / pain / cardiac

Questions?