EDT can be utilised for clinical (e.g. procedure clinics, POCUS exposure, airway exposure in theatre) or non-clinical (educational/clinical supervisor meetings, reflection, e-portfolio input, preparing / delivering teaching, quality improvement, research or career exploration) activities.
Evidence of EDT activities should be captured on Lifelong Learning Platform (LLP).This could be in the form of a Personal Development Plan (PDP), Personal Activity, reflection or SLE (Supervised Learning Event).
EDT can either be fixed (built into rota patterns) or requested flexibly by the Intensivist in Training (IiT) in a similar manner to other types of leave.
If IiTs are requesting EDT flexibly:
IiTs should follow local guidance for requesting leave e.g. minimum 6 weeks’ notice or arranging swaps to cover on-call duties where necessary.
Requests for EDT should be approved promptly by the rota co-ordinator, a PDP should be considered sufficient evidence for approving an EDT activity and EDT should not be cancelled to provide service provision unless there are extraordinary circumstances.
EDT recommendations vary by medical specialty and grade of training.FICM recommends that those in stage 1 and 2 of the ICM training programme have up to two hours per week and those in stage 3 training, up to 4 hours per week.For rota management it may be easier to cohort EDT into 8 hours per month for those in stages 1 and 2, or 8 hours per fortnight for those in stage 3 training.
