Intensive Care Assessments
During the Intensive Care Medicine module each trainee must complete both the 3-month 'Preliminary' competencies and part of the 'Core' competencies. These include assessment of competence as well as case summaries and are in addition to the workplace assessments (CbD's / DOPS etc) needed for the ACCS intensive care module. The relevant ICM documents for ACCS trainees are contained in the ACCS manual pages 257-274:
>> ACCS curriculum
The framework for the ICM CCT with the competencies and documentation is set out below and on the ICM curriculum pages.
Educational Training Record (ETR)
The ETR sets out the curriculum with training objectives and should be use throughout ICM training to assist self-directed learning and to indicate key aspects of clinical practice that could be demonstrated in order to satisfy the workplace assessments. The domains are presented as tables to track the progression of learning from basic, through intermediate, to advanced level.
Intensive Care Competencies
The ICM curriculum is competency based and requires regular assessment of abilities and knowledge in a standardised manner in the place of work and while delivering care to patients. It requires assessment during observation of clinical work while caring for a patient in the ICU. Each assessment can be conducted in its totality on one occasion, or separate items can be assessed at different times. However, the assessment should represent a summary view of the trainee's abilities over a period of time and, as for the other assessments, should represent the assessments of more than one trainer.
- >> Competency-based Training in ICM: Part 3 (Basic SHO level)
- >> Competency-based Training in ICM: Part 4 (Intermediate SpR level)
Generic Work Place Assessments
In addition to the ITBICM requirements above, trainees must complete work place assessments to demonstrate further competencies and act as a basis for formative assessment and appraisal. The Intercollegiate Board for Training in Intensive care Medicine has recently finalised new work place assessment forms and qualified the number of these required for each trainee:
- Direct Observed Procedural Skills (DOPs): 3 DOPS for initial three months of basic training plus minimum of 1 extra DOPS for intermediate training (over 6 months).
- >> DOPs form
- Mini-Clinical Evaluations (Mini-CEXs): 2 CEXs for initial three months of basic training plus minimum of 2 extra CEXs for intermediate training (over 6 months).
- >> Mini-CEXs form
- Case based Discussions (CbDs): 1 CBD for initial three months of basic training plus minimum of 2 extra CBDs for intermediate training (over 6 months).
- >> CbD form
- Multi Source Feedback (MSF): 1-2 per year
- >> MSF form
Clinical assessments should use Direct Observation of Procedural Skills (DOPS), Mini-Clinical Evaluation Exercises (mini-CEX) and Case Based Discussions (CBD) as the fundamental tools in conjunction with the ICM competency documents above. Assessments of a more general nature should be carried out using a multisource feedback (MSF) process during the ICM module. Copies of the outcome of these assessments must be held by the trainee, the Board Tutor-ICM, and the primary speciality College Tutor. They will need to be produced at the time that the trainee undergoes the formal intensive care RITA, together with the educational training record and other relevant documentation (e.g.: educational agreements, personal portfolio).
Case Summaries: Core (Intermediate) syllabus
During Core Training it is a requirement that each trainee compiles ten case summaries. (See Part II, the Educational Training Record). The purpose of this exercise is to educate in the specific disease state and process described, to train in the arts of searching for information and writing medical text coherently, and to permit reflection on practice.