Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Intensive Care Medicine
Published in: Intensive Care Medicine 4/2005

01-04-2005 | Original

An international survey of training in adult intensive care medicine

Authors: H. Barrett, J. F. Bion

Published in: Intensive Care Medicine | Issue 4/2005

Login to get access

Abstract

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.
Appendix
Available only for authorised users
Literature
1.
Lonbay J (2004) Reflections on education and culture in European Community law. In: Craufurd-Smith R (ed) Culture and European Union law. Oxford University, Oxford
2.
De Lange S, Van Aken H, Burchardi H (2002) European Society of Intensive Care Medicine statement: intensive care medicine in Europe—structure, organisation and training guidelines of the Multidisciplinary Joint Committee of Intensive Care Medicine (MJCICM) of the European Union of medical Specialists (UEMS). Intensive Care Med 28:1505–1511
3.
Nicholas S (1994) Mobility of doctors—the theory and the practice. In: Neale P (ed) Facing the European challenge: the role of the professions in a wider Europe Volume 1- Creating European Professionals. University of Leeds, Leeds
4.
Garcia-Barbero M, Such JC (1996) Teaching critical care in Europe: analysis of a survey. Critical Care Med 24:696–704
5.
Bion JF, Ramsay G, Roussos C, Burchardi H on behalf of the Task Force on Educational issues of the European society of intensive care medicine (1998) Intensive care training and speciality status in Europe: international comparisons. Intensive Care Med 24:372–377
6.
Wiklund L (1994) Education of specialists in anaesthesia and intensive care in Europe—a Swedish perspective. Ann Acad Med Singapore 23:623–629
7.
Clarke GM, Harrison GA (1993) The training/examination programme in Intensive Care; Australian and New Zealand College of Anaesthetists. 1. Training Anaesth Intensive Care 21:848–853
8.
Phillips GD, Willis RJ (1994) Specialist training and examinations in anaesthesia and intensive care in Australia and New Zealand. Ann Acad Med Singapore 6:149
9.
Dobb GJ (1998) Critical care medicine in the Western Pacific region. Ann Acad Med Singapore 27:381–386
10.
Vincent JL, Baltopoulos G, Bihari D, Blanch L, Burchardi H, Carrington da Costa RB, Edwards D, Iapichino G, Lamy M, Murrillo F, Raphael JC, Suter P, Takala J, Thijs LG (ESICM task force) (1994) Guidelines for training in intensive care medicine. Intensive Care Med 20:80–81
11.
Thijs LG, Baltopoulos G, Bihari D, Burchardi H, Carlet J, Chioléro R, Dragsted L, Edwards DJ, Ferdinande P, Giunta F, Kari A, Kox W, Planas M, Vincent JL, Pfenninger J, Edberg KE, Floret D, Leijala M, Tegtmeyer FK (ESICM & ESPNIC task force) (1996) Guidelines for a training programme in intensive care medicine. Intensive Care Med 22:166–172
12.
Anonymous (1997) Guidelines for advanced training for physicians in critical care. American College of Critical Care Medicine of the Society of Critical Care Medicine. Crit Care Med 25:1601–1607
13.
Dorman T, Angood PB, Angus DC, Clemmer TP, Cohen NH, Durbin CG, Falk JL, Helfaer MA, Haupt MT, Horst HM, Ivy ME, Ognibene FP, Sladen RN, Grenvik ANA, Napolitano LM (2004) Guidelines for critical care medicine training and continuing medical education. Crit Care Med 32:263–272
14.
Barrett H, Bion JF on behalf of the CoBaTrICE collaboration (2004) CoBaTrICE survey of national training programmes in intensive care medicine. Intensive Care Med 30[Suppl 16]:047
15.
The Royal College of Physicians and Surgeons of Canada CanMEDS 2000 Project (September 1996) Skills for the new millennium: report of the societal needs working group. Ontario
16.
Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S (2002) General competencies and accreditation in graduate medical education. Health Affairs 21:103–111
17.
Alspach JG (1984) Designing a competency-based orientation for critical care nurses. Heart Lung 13:655–662
18.
Leung W (2002) Competency based medical training: review. BMJ 325:693–695
19.
Harden RM, Crosby JR, Davis MH (1999) AMEE Guide 14: Outcome-based education: part 1-An introduction to outcome-based education. Med Teach 21:7–14
20.
Gonczi A (2000) Review of international trends and developments in competency based education and training. In: Arguëlles A, Gonczi A (eds) Competency based education and training: a world perspective. Conalep, Mexico
Metadata
Title
An international survey of training in adult intensive care medicine
Authors
H. Barrett
J. F. Bion
Publication date
01-04-2005
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 4/2005
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-005-2583-7

Other articles of this Issue 4/2005

Intensive Care Medicine 4/2005 Go to the issue

Editorial

End-of-life decisions in ICU and cultural specifities

Editorial

Immunonutrition in the critically ill: from old approaches to new paradigms

News

Regulations of education and training of intensive care medicine in Germany and their structural consequences

Brief Report

Surface triggering receptor expressed on myeloid cells 1 expression patterns in septic shock

Editorial

Clinical value of pulse pressure variations in ARDS. Still an unresolved issue?

Announcements

April 2005