TY - JOUR
T1 - An International Survey of Training in Intensive Care Medicine
AU - Reay, Hannah
AU - Bion, Julian
PY - 2005/4/1
Y1 - 2005/4/1
N2 - Objective: The aim of this international survey of training in adult intensive care medicine (ICM) was to characterise current structures, processes, and outcomes to determine the potential for convergence to a common competency-based training programme across national borders. This survey is the first phase of a 3 year project which will use consensus methods to build an international competency-based training programme in ICM in Europe (CoBaTrICE). Methodology: A survey by questionnaire, email, and direct discussion was undertaken with national ICM representatives from seven geographical regions. Results: Responses were obtained from 41 countries (countries which share common training programmes were grouped together; n = 38). Fifty-four different training programmes were identified, 37 within the European region; three (6%) were competency-based. Twenty (53%) permitted multidisciplinary access to a common training programme; in nine (24%) training was only available within anaesthesia. The minimum duration of ICM training required for recognition as a specialist varied from 3 months to 72 months (mode 24 months). The content of most (75%) ICM programmes was standardised nationally. Work-based assessment of competence was formally documented in nineteen (50%) countries. An exam was mandatory in twenty-nine (76%). Conclusion: There are considerable variations in the structures and processes of ICM training worldwide. However, as competency-based training is an outcome strategy rather than a didactic process, these differences should not impede the development of a common international competency-based training programme in ICM.
AB - Objective: The aim of this international survey of training in adult intensive care medicine (ICM) was to characterise current structures, processes, and outcomes to determine the potential for convergence to a common competency-based training programme across national borders. This survey is the first phase of a 3 year project which will use consensus methods to build an international competency-based training programme in ICM in Europe (CoBaTrICE). Methodology: A survey by questionnaire, email, and direct discussion was undertaken with national ICM representatives from seven geographical regions. Results: Responses were obtained from 41 countries (countries which share common training programmes were grouped together; n = 38). Fifty-four different training programmes were identified, 37 within the European region; three (6%) were competency-based. Twenty (53%) permitted multidisciplinary access to a common training programme; in nine (24%) training was only available within anaesthesia. The minimum duration of ICM training required for recognition as a specialist varied from 3 months to 72 months (mode 24 months). The content of most (75%) ICM programmes was standardised nationally. Work-based assessment of competence was formally documented in nineteen (50%) countries. An exam was mandatory in twenty-nine (76%). Conclusion: There are considerable variations in the structures and processes of ICM training worldwide. However, as competency-based training is an outcome strategy rather than a didactic process, these differences should not impede the development of a common international competency-based training programme in ICM.
UR - http://www.scopus.com/inward/record.url?scp=17444400027&partnerID=8YFLogxK
U2 - 10.1007/s00134-005-2583-7
DO - 10.1007/s00134-005-2583-7
M3 - Article
SN - 1432-1238
VL - 31
SP - 553
EP - 561
JO - Intensive Care Medicine
JF - Intensive Care Medicine
ER -