An International Survey of Training in Intensive Care Medicine

Hannah Reay, Julian Bion

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    58 Citations (Scopus)


    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.
    Original languageEnglish
    Pages (from-to)553-561
    Number of pages9
    JournalIntensive Care Medicine
    Publication statusPublished - 1 Apr 2005


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