ICM & PHEM

Intensive Care Medicine

You may do ICM as part of ACCS training, core anaesthetic training, specialist training in anaesthetics or as a 5 year training scheme leading to a CCT in ICM.

You can choose to do a CCT in ICM alongside a CCT programme in Anaesthetics, Emergency Medicine or Medicine or as a single CCT programme.

Information regarding ICM training as part of an anaesthetic training scheme is in Annex F of the RCoA curriculum www.rcoa.ac.uk

Information regarding training for a CCT in ICM is available from FICM www.ficm.ac.uk

For further information, please contact:
Dr Matt Dallison, RCoA Regional Adviser in Intensive Care Medicine, Morriston Hospital, Swansea
Matthew.Dallison@wales.nhs.uk
Dr Teresa Evans, ICM Training Programme Director, Royal Gwent Hospital, Newport
Teresa.Evans@wales.nhs.uk

Pre-Hospital Emergency Medicine (PHEM)

Pre-hospital Emergency Medicine is a sub-specialty training option within the RCoA Curriculum. Two posts are available in Wales through national competitive selection. Trainees from Anaesthetics and Emergency Medicine at ST4 level can apply for the 12 month training scheme.

Listen to trainee Dr Gareth Roberts views on Latest news and updates page and here is his feedback on completing the PHEM post as its 1st trainee:

  • In 2013 the PHEM sub-specialty Training Programme was launched in the UK. I was fortunate enough to be the first Welsh trainee through this challenging and exciting year. I have summarized my experience with some useful tips if you are considering this as a career. Trainees of ST4 or above in Anaesthesia, Emergency Medicine, Intensive Care Medicine or Acute Medicine are invited to apply. Showing an interest in the pre-hospital world will stand you in good stead for the application process. This may include voluntary work with organisations such as St John Ambulance or being part of a BASICS (British Association for Immediate Care) scheme. These posts are recruited as part of the National recruitment process. The training lasts for twelve months (which can be spread over two years), and includes an initial assessment of competency followed by both direct and indirect consultant supervision. The year is mostly based on the air ambulance, but also includes shifts on the road working on rapid response vehicles. This ensures exposure to both high and low acuity jobs. There is a lot of travelling involved and working away from home, which may be worth bearing in mind for trainees with family commitments. Work Place Based Assessments and National Summative Assessments (NSA) 1 and 2 need to be completed in order to obtain the CCT. The NSAs are the Diploma and Fellowship Immediate Medical Care, which are examined in Edinburgh. Travel and accommodation expenses may be claimed. The examination fees are not covered are therefore must be paid for by the candidate.
  • The training and the work is demanding, frustrating and often stressful, at the same time it is character building and rewarding. You will have the opportunity to work in a completely different environment with a very different workforce in a whole spectrum of clinical situations. I returned to hospital medicine as a more rounded, confident doctor with new skills under my belt: a lot of which were non-technical. I made new friends and found that new doors and avenues opened in my career path. It is a fantastic year out with steep learning curves and hard graft. Good luck for those applying and please feel free to contact me if you have any questions on bigg@doctors.org.uk
  • Dr Gareth Roberts, ST7 Anaesthetics / PHEM, Welsh School of Anaesthesia

The Intercollegiate Board for Pre-Hospital Emergency Medicine (IBTPHEM) is responsible for the supervision and quality assurance of the training in PHEM. The Board has a website with useful information which can be found at www.ibtphem.org.uk

For further information regarding the PHEM training requirements, please contact:
Dr Ian Bowler
PHEM Training Programme Director
Llandough Hospital, Cardiff
Ian.Bowler2@wales.nhs.uk