GMC report on training flexibility - "Adapting for the future"

31 March 2017

The Faculty of Intensive Care Medicine welcomes the publication of the GMC’s review of postgraduate training flexibility, Adapting for the future. Specifically:

  • Work life balance and diversity: Ensuring a happy, sustainable and diverse training workforce should be at the centre of all these discussions.  Through the work of the FICM Careers, Recruitment & Workforce Committee, we hope to bring our own specialty-specific work streams to compliment this overall work.
  • Core common training: We are glad to see that the Acute Care Common Stem (ACCS) is heralded in the report as an example of good practice in ensuring multi-specialty common training.  The Faculty, as ever, remains fully behind this essential stage and methodology of training.
  • Transferable competencies and bespoke training: We have been at the forefront of this work through the creation of the ICM Dual CCTs Programmes with our partners in Acute Medicine, Anaesthetics, Emergency Medicine, Renal Medicine and Respiratory Medicine.   The Faculty support the piloting of initiatives which enhance the flexibility within training programmes. However, it is essential these initiatives measure their success not only in the ability to deliver enhanced flexibility for doctors in training but which can demonstrate that at the same time they do not compromise the delivery of safe and effective patient care”
  • Outcome based training: The CCT in ICM is founded upon CoBaTrICE, an outcomes-based curriculum.  We look forward to being one of the earliest adopters of this model as our curriculum is readily primed for it.  We hope this will see considerable benefits for our trainee doctors and trainers, in making training more manageable and effective.
  • Credentials: We look forward to engaging with this work in the future and hope the GMC will release further information that will help to better define this work (post funding, quality management and other related areas).
  • Review of the legal framework and GMC processes: We fully support the GMC in this work.  Reducing the burden of the curriculum approval process whilst maintaining a consistent and high standard of medical training will allow the Faculty to be able to be more responsive to the needs of our trainees and trainers, our services and, most importantly, our patients.  The Faculty have significant experience in the recognition of competencies and outcomes gained in other specialties having for some time delivered dual CCT programmes with 5 partner specialties and welcome the promotion and introduction of the revised Accreditation of Transferrable Competencies Framework.  In line with our commitment to equality and diversity, the Faculty will ensure that any changes to training do not disadvantage any group of doctors in their ability to access such training.