Shape of Training


In June 2015 the Academy of Medical Royal Colleges asked Colleges and Faculties to undertake a mapping exercise of their specialty curricula to the principles outlined in the Shape of Training review.  Colleges/Faculties were requested to consider a number of aspects in their responses such as: future demand for services, patient need, and the extent to which training could be shared with any other specialties, broad based training and the utility of credentialing.

The Faculty’s full response can be found here.The Faculty also collaborated closely with the RCoA on their response, more details on the RCoA repsonse can be found here.

The FICM response highlighted the following main points:

ICM is a relatively young specialty, achieving specialty status in 1999, recruiting as a Joint CCT specialty from 2001 and recruiting to either single or dual CCT training for the first time in 2012. This comparative youth has allowed the specialty to anticipate many aspects which SHAPE has rightly seen as essential cornerstones of medical training. The ICM curriculum is designed around these tenets:

  • Flexible entry from multiple core programmes.
  • Experience in the first stage of the curriculum across the acute sphere of the hospital in ICM, anaesthetics, medicine and the emergency department.
  • Experience in the second stage in paediatric, cardiac and neurological ICM.
  • A Special Skills Year to develop additional experience in a number of key areas beneficial to multiprofessional and pan-acute working.
  • Provision of basic research training (research regulation, critical appraisal) and integration of higher levels of academic training foraspiring research-active NHS consultants or career clinical academics.
  • The potential (which the majority of ICM trainees take up) to dual train in ICM and one other specialty.
  • The final stage of training involves consolidation of clinical skills, integration of broad based skill sets from specialty critical care, working with clinicians in other disciplines in the shared care of patients plus time to develop the leadership and management skills required as a consultant in critical care.

This reflects the role Consultant Intensivists have as the generalists of the hospital, managing adult (and in some cases paediatric) patients from all specialty areas whilst also being specialists and experts in the management of acute organ failure.

The Academy of Medical Royal Colleges released a report summarising the findings from the mapping exercise undertaken by all Colleges and Faculties on behalf of their specialties.  The report sets out key messages identified by the Mapping Exercise Panel, which comprised representatives from the Academy, four home nations and the GMC. 

The Shape of Training website can be found here.