Most of you would be aware that the College has been conducting a review of the training curriculum and that aspects of it came up for discussion at the recent ASM in Melbourne. In June, Ross Freebairn, the newly appointed CICM President, issued a statement through the June CICM Board Meeting minutes outlining the changes agreed to date. The plan is to have all changes finalised by the end of 2013 and to have the new curriculum implemented by the start of 2014.
The changes largely concern the conduct and administration of the curriculum, rather than its contents. Though there are details still to be worked out, here is a summary of the agreed curriculum changes to date…
Click Read more link below for details.
CICM Curriculum Review – Summary of outcomes
The review process has been completed.
Curriculum components are to be completed by end of 2013.
Curriculum is to be implemented by start 2014.
Full details available on pages 5 – 8 of the minutes of the CICM Board Meeting, June 2012
Here is a link to the February recommendations of the Curriculum Review Committe (publicly available on the CICM website). Not all of these have been adopted. Contains reasoning behind the changes and a schematic of the new proposed training program (pg15).
Training time composition.
- The minimum total ICU training time is 5.5 years; made up of ICU, medicine and anaesthetic posts
- ICU time has been increased from 3 year to 3.5 years, composed of 6 months “foundation” training, 2 years “core” training and 1 year “transition to specialist training”. The terms Basic and Advanced trainee will no longer be used. Each stage will have specific learning and competency agendas.
- Foundation =similar to what was previously called Basic training, though this term will no longer be used .
- Core: You can’t start Core training until you’ve passed the CICM Primary exam (now called the First Part Exam) and the Foundation learning and assessment requirements (see below). Remember, some of this can be done in other countries such as Hong Kong in China and Dublin and recently Cork in Ireland.
- Transition to specialist: You can’t start Transition training until you’ve passed the CICM Fellowship exam (now called the Second Part Exam) and the Core learning and assessment requirements (see below).
- No more than 24 months of the combined core and transition to specialist time may be spent in a single hospital. In other words, you must train in more than one hospital
- 1 year of medicine, composed of 6 months acute medicine (including ED. Pre-hospital medicine is not mentioned, but might be an option) and 6 months longditudinal (i.e. ward-based) medical care.
- 1 year of anaesthetics that also requires maintenance of a logbook and completion of online courses, competency assessment and an undefined airway course.
- There is a requirement of General ICU trainees to have formal paediatric exposure through one of a 6 month PICU rotation, a 12 month approved mixed general ICU or an approved course such as APLS, APICS or the recently established Paediatric BASIC course. (Probably no surprise as to which option most general trainees will choose.)
- 3 months of training will be required to be based in a rural setting, though it can be a component of any of the above; i.e. ICU, ED, medical or paediatric term.
- You must spend time in ICUs accredited for trauma, neurosurgical and cardiothoracic ICU. How this is to be achieved and whether this is to be measured by time or a logbook or some other method is not stated and may still be being worked out.
- A record of a trainee’s progress will be kept via an online portfolio and procedure logbook.
- There will be more workplace based learning and assessment, using structured time-interval in-training evaluations held with the supervisor of training, online learning and assessment packages and workplace targets to be completed.
- The Primary and Fellowship exams are now called the First Part Exam and Second Part Exam respectively.
- Once implemented, all current and future trainees will have a maximum of 5 attempts to pass each exam. That’s 5 attempts and the First Part and, independently of the number of attempts for the First Part, a maximum of 5 attempts at the Second Part. That’s it! If you want more information, go here.
Awarding the CICM Fellowship
- To be awarded the CICM Fellowship, you will need to have completed the foundation, core and transition stages satisfactorily (learning packages, courses, logbook and in-training assessments), passed the Second Part Exam and completed the formal project.