The GMC do not recognise any such entity as *a* Dual CCT. There are Dual CCTs. There is the opportunity for trainees who wish to train in ICM to also concurrently train in another CCT specialty. These curricula and their respective recruitment and assessment processes are completely independent of each other, but as a result of common competencies shared by the curricula the total training time can be shortened by virtue of a Dual CCTs Programme. It cannot be emphasised enough that it is the programme that is dual. There is a commonly held misconception that trainees can be appointed to a Dual CCT: this is not the case. A trainee must be appointed to both primary specialty programmes which lead to a CCT in fair and open competition according to their suitability to train in that specialty as laid down in the eligibility criteria of the respective curriculum and according to that specialty’s selection process.
The indicative minimum timeframe for Dual CCTs with ICM and a partner specialty is 8.5 years. This is 18 months longer than standalone ICM CCT training (7 years ) and 12 months longer than the previous Joint CCT system (7.5 years). Please see the Dual CCTs guidance documents.
Acute Medicine, Anaesthetics, Emergency Medicine, Renal Medicine and Respiratory Medicine. The Dual Programme Guidance is available on the Dual CCTs page. Further specialities may have Dual Programme agreements developed over the coming months.
Please note: Arrangements for Dual recruitment are still being discussed between the FICM, the RCoA, the other partner Colleges, the Deans and the Department of Health.
The Faculty and the College appreciates the difficulties Dual CCTs Programmes may lead to for TPDs and Deans. We are in discussions currently with all our partner Colleges (RCoA, RCEM and JRCPTB), the DH and the Deans to finalise a system that allows the best doctors to be recruited to ICM fairly and openly. Importantly, entry into the standalone ICM is entirely open to any trainee who has completed one of the designated Core programmes – these appointments are not ‘badged’. Whilst you may get 4 ICM doctors with a CAT background in one year, in a second year you may get 4 with a CMT background (although naturally fluctuations of this kind are extremely unlikely).
The concept of ‘badging’ posts does not fit in well with the principles of fair and open competition on which the entirety of specialist medical recruitment is now predicated. In a system of ‘badged’ posts, the programme is set and the trainees are recruited according to programme availability. For example, a dual programme consisting of Anaesthesia and ICM would only be able to recruit doctors into ICM training who already possess an NTN in Anaesthesia. This would exclude doctors with a physician or emergency medicine background from applying for training in ICM, even though those candidates may have scored higher in interview than anaesthetic trainees who finished below them, but were offered ST3 posts in ICM because there were a greater number of Anaesthetic/ICM programme vacancies. Under those circumstances we could end up not recruiting the most suitably qualified doctors to ICM. See the National Recruitment page for more information.
Doctors will be able to apply for either specialty first and it is expected doctors may apply for both at the same recruitment episode in order to increase their appointment opportunities (please read this with reference to 'Will recruitment to Dual CCTs Programmes always be by stepped recruitment?' above). They will, however, in the event of being successful at both interviews have to choose one or other specialty. It will be down to local regions to advise their applicants based on their individual circumstances about which specialty they should apply for first.
Yes. The Faculty has agreed with COPMeD and the DH that the two CCTs should be undertaken in the same Deanery.
Yes. To support workforce planning in intensive care, it is vital that, unlike the current situation, ICM has its own set of National Training Numbers.
NTNs are, in essence, merely identifiers of how many trainees exist in each specialty. Therefore, whilst a Dual CCTs trainee would hold two NTNs, they would not need to use both of them. As long as both are allocated, one NTN would simply be greyed out against their name. For practicalities of delivery, the FICM recommends that whichever specialty the trainee enters first, be it ICM or the partner specialty, that particular NTN be used on their documentation throughout training.
When trainees are undertaking modules of full-time ICM, they will fall under the remit of ICM trainers, and vice-versa for the partner specialty. ICM trainers and TPDs will also assume responsibility for the planning of Dual trainees’ complementary modules, as dictated by the individual trainee’s requirements after completing their respective Core training (i.e. medicine for CAT trainees, anaesthesia for CMT trainees), whilst working with their partner specialty TPD counterparts to arrange the timing of those modules within the overall Dual Programme. In those areas where competencies are dual counted, such as neuro anaesthesia for ICM/Anaesthesia Dual CCTs programmes, trainees may remain under the remit of the Anaesthesia trainers; however it will be up to those trainees to ensure that the relevant assessments are completed and portfolios maintained to demonstrate the acquisition of both curriculums’ competencies as part of the ARCP process.