The ICM curriculum clearly outlines the required supervision levels across the three stages of training. Stage 1 IiTs typically require more direct supervision, while those in higher stages may be able to supervise more junior colleagues. However, the duty Intensivist always retains overall supervisory responsibility. The level of supervision should be adjusted based on factors such as the IiT’s capabilities, the acuity of the patient, and the clinical setting (e.g. remote locations).
Other Residents in Training Programmes
Doctors in Training (DiTs) from Emergency Medicine, Anaesthesia and Internal Medicine, as well as Foundation Doctors undertaking ICM placements have their own curricula and supervision requirements. These must be considered when assessing training capacity, and the same core principles of supervision apply as for IiTs.
Locally Employed (LED) and SAS Doctors working in Intensive Care
LEDs and SAS doctors working in Intensive Care are employed by the trust or health board and often have individual training requirements. While they work under different terms and conditions, it is strongly recommended that they receive the same access to learning opportunities and clinical/educational supervision as IiTs and other DiTs.
ACCPs & tACCPs
Units must ensure they have sufficient consultant capacity to deliver structured educational supervision for trainee ACCPs, in addition to meeting the demands of day-to-day clinical supervision during shifts.
