Whilst such trainees would indeed have to remain solely in ICM training, it is highly unlikely that this eventuality would occur. Trainees already in one partner specialty HST applying to enter the other with over a year of experience are likely to be very strong candidates; this would be analogous to ACCS (Anaesthesia) trainees applying for ST3 Anaesthesia, who do not suffer in comparison to CAT applicants. Equally, trainees are not entitled to dual training – they must apply for each component in open competition, as with any primary specialty. This was precisely the case with the Joint CCT.

Trainees undertaking blocks of ICM outside of the ICM CCT programme are expected to register as Affiliate Trainees of the Faculty. If the trainee entered HST before August 2012, they will be expected to demonstrate that they have undertaken training commensurate to Intermediate level ICM as defined by the Joint CCT in Intensive Care Medicine curriculum. If the trainee entered HST after August 2012, they will be expected to demonstrate that they have undertaken training commensurate with Stage 1 level ICM as defined by the standalone CCT in Intensive Care Medicine curriculum and as detailed in this guidance. Such trainees could then apply for Affiliate Fellowship of the Faculty (no post nominals). If these Affiliate Fellows then wished to undertake further training to Stage 2 level, they could sit the FFICM Final examination for full Fellowship of the Faculty, with the post nominals FFICM.