Intensive Care Medicine

Newly Appointed August 2024 ICM New Starters

If you have been appointed to the London ICM programme for a August 2024 start date, please read the letter below:

London School of Intensive Care Medicine (LSICM) Welcome Letter

 

Introduction

Welcome to the London Intensive School of Care Medicine LSICM webpage.

Whether you are considering a career in our exciting and rewarding speciality, planning to apply for ICM training in London, or are an existing London ICM Trainee/Trainer we hope you will find the information on our webpage helpful. 

In addition to core information about training in LSICM you will be guided towards generic training related resources and guidelines to support you.  The ICM Operations Team can help you with any unanswered queries you may have so please submit your questions through the PGMDE Support Portal.

For up to date news related to the school please don’t forget to take a look at our Bulletin (which is also regularly circulated to London ICM Trainees, Faculty Tutors and Regional Advisors by email). 

 

Meet the Team

London School of Intensive Care Medicine (LSICM) is responsible for the quality and commissioning of training in Intensive Care Medicine and related sub specialities within the London Region

Head of School

Dr Charlotte Anderson MBBS FRCA FFICM (Consultant Intensivist, King's College Hospital NHS Foundation Trust, London

Stage 1 ICM Training Programme Director

Dr Louise MA, (Intensive Care and Acute Medicine Consultant, Whittington Hospital NHS Trust)

Stage 2 ICM Training Programme Director & Operational Lead

Dr Russell Hewson (Consultant in Intensive Care & Anaesthesia, Bart’s Health NHS Trust)

Stage 3 ICM Training Programme Director

Dr Viplaw Shukla (Consultant Intensivist, Epsom & St Helier Hospital NHS Trust)

Academic TPD

Dr Nishkantha Arulkumaran (honorary associate professor at UCL Department of Medicine and Consultant in Intensive Care Medicine and Consultant in Intensive Care Medicine at UCL Hospital)

Simulation Training Lead

Dr David Melia (Consultant in Intensive Care Medicine & Anaesthesia, Whipp’s Cross University Hospital, Leytonstone)

Regional Training Events Lead

Dr Gonzalo De La Cerda (Consultant Intensivist, Barking, Havering and Redbridge University Hospitals NHS Trust)

London intensive Care Medicine Trainee Representatives

Jo-Anne Strul (j.strul@nhs.net)

I did my undergraduate training in South Africa, and moved to the UK post my Foundation Years. I started off doing Core Medicine, and then applied for the FICM programme. My intention is to dual train with Anaesthesia, and I’m in the process of applying for an Anaesthetics training number, to join in my ITU number. I work LTFT at 70% to try balance childcare and life. I have a particular interest in well-being (at work and in general) and enjoy travelling, meditation and yoga, running, scuba diving and cooking.

 

Alastair White (alastair.white@doctors.org.uk)

I’m a single-specialty ICM trainee having done my core training in Medicine. As a London trainee rep I’m particularly interested in preventing training inequalities throughout the region and between individuals. Optimising the feedback loop between trainees and educational leadership is also something I’d like to focus on so please email me if you think I can help.

 

Sittiga Hassan-Reshat (Tig) (sittiga.hassan-reshat@nhs.net)

I am a dual ICM/acute medicine trainee.  I am well versed in most of the London Hospitals having grown up in London, studied at Barts and then spent my training rotating through the various London deaneries. I am currently working full time although as a mother of a toddler, I find I have little time for hobbies although I enjoy running, digital art and travelling. My hope is by being a trainee representative for ICM I can be a source of support for full-time/LTFT parents and also for dual medicine trainees, who may sometimes find the transition to ICM overwhelming.

Tim Snow (Timothy.snow@doctors.net.uk)

Dr Tim Snow is the London ICM Academic Trainee Representative

I am an academic trainee in ICM & Anaesthesia who has worked in London, Essex & New Zealand. Having completed an Academic Clinical Fellowship at St George’s, I am currently completing a lab-based sepsis immunology PhD at University College London.

Navigating the academic world as a trainee can be complex and daunting, but ultimately rewarding. I’m more than happy to provide advice, help and support to anyone undertaking, or taking their first steps towards, an academic career. 

Thanks

Tim
 

LSICM Trainee Representative Job Description – can be found below:

https://london.hee.nhs.uk/sites/default/files/icm_trainee_representative_role_2024.pdf

 

The Faculty of Intensive Care Medicine
The Faculty of Intensive Care Medicine is the professional and statutory body for Intensive Care Medicine, the doctors who lead critical care and Advanced Critical Care Practitioners.  The faculty works to promote education and standards, influence and define national policy and improve outcomes for patients and their families. FICM has appointed 5 ICM Regional Advisor’s (RA’s) in the London Region with whom LSICM closely works. The RA is the local point of contact for those trainees interested in training in ICM and has regional responsibility for the promotion of ICM and the provision of advice to trainees. The RA’s are supported at a local level by Faculty Tutors; consultants appointed to supervise the training of doctors undertaking training programmes in ICM. Each Intensive Care Unit in London has a Faculty Tutor, and their contact details can be found via the RA: https://www.ficm.ac.uk/trainingexamsregionaladvisorsfacultytutors/region...

 

 

 

 

 

 

 


About the Programme

About the Programme

The Pan-London Intensive Care Medicine programme provides high quality training in teaching centres throughout the Capital which equips trainees with the skills and experience needed to meet the challenges and demands of the NHS today and tomorrow. The diverse nature of London's population offers unparalleled clinical exposure. ICM trainees undertake training placements in world renowned centres of excellence across the capital including district general hospitals, teaching hospitals, research units and specialist tertiary referral hospitals.

The London programme has more than 200 trainees who enter higher specialist ICM training from core training programmes and equivalence pathways.

Both single and dual (anaesthesia, emergency medicine, renal, respiratory and acute medicine) specialty training are well represented and each trainee undertakes a bespoke and individually tailored programme designed to meet their training needs and personal career ambitions.

London ICM Training sites include:

  • Barnet Hospital
  • Charing Cross Hospital
  • Chelsea and Westminster Hospital
  • Great Ormond Street Hospital
  • Guy's & St Thomas' Hospital
  • Hammersmith Hospital
  • Homerton University Hospital
  • King's College Hospital
  • Kingston Hospital
  • National Hospital for Neurology & Neurosurgery, Queen Square
  • Newham Hospital
  • Northwick Park Hospital
  • Queen's Hospital, Romford
  • St Bartholomew's Hospital
  • St George's Hospital
  • St Helier Hospital
  • St Mary's Hospital
  • The Royal Brompton Hospital
  • The Royal Free Hospital
  • The Royal London Hospital
  • The Royal Marsden Hospital
  • University College London Hospital
  • University Hospital Lewisham
  • Whipps Cross Hospital

For more information on specific Intensive Care Units please refer to the FICM webpage here.

Each department has a Faculty Tutor.  Their contact details are available via the relevant FICM Regional Advisor.

Recruitment

Annual recruitment to Intensive Care Medicine training in London is via the National Recruitment process run by HEE West Midlands (for August commencement at ST3+). For more information on eligibility criteria, the application and selection process please click here

Trainees intending to dual train must be appointed by each specialty programme within the London region in a stepped approach. Doctors will accept a National training Number (NTN) on one CCT programme at one recruitment episode (e.g. ICM in August 2022) before applying for another CCT programme at a second recruitment episode (e.g. Anaesthetics in August 2023). If you already hold a training number in ICM or a partner specialty and plan to apply for dual training please ensure you discuss this with your TPD in advance of making your application.  Currently the GMC has approved 5 specialities for dual training with ICM:

  • Acute Medicine
  • Anaesthetics
  • Emergency Medicine
  • Renal Medicine
  • Respiratory Medicine

The Faculty of Intensive Care Medicine has an excellent careers hub which provides comprehensive information on careers in Intensive Medicine, single and dual training in ICM and links to useful online resources to support you in career planning and applications to ICM training.  Please click here for more information.

ICM Curriculum

The new ICM Curriculum: Supporting Excellence was implemented on 4th August 2021.  All ICM Specialty Registrars (StRs) single CCT and dual, moved to the new ICM curriculum except for those within 12 calendar months of attaining their Certificate of Completion of Training (CCT) who wished to remain on the 2010 Curriculum. 

Information regarding the 2021 and previous ICM curricula (including transition guidance, key dates & documents) can be found on the FICM Website:  https://www.ficm.ac.uk/trainingexamstrainingcurriculaandassessment/icm-curriculum

Please use this resource to ensure your are familiar with the curriculum and capability outcomes that need to be achieved and evidence in training.

In each training placement (whether an ICM or dual specialty post) trainees should be assigned an ICM educational supervisor (ES) who will be able to provide local support and guidance.  If you are not placed on the ICM programme as a dual trainee then it is likely that your Faculty Tutor will not be aware of you and will need to be contacted directly.  Your Regional Advisor or TPD will be able to help identify the Faculty Tutor if needed.

Your ES is responsible for the overall supervision and management of a doctor’s educational progress during a placement or a series of placements. Trainees should regularly meet with their ICM Educational Supervisor (at the start, middle and end of a placement as a minimum) to review progress and achievement of learning outcomes. They are also responsible for the educational agreement, and for bringing together all relevant evidence to form a summative judgement about progression at the end of the placement or a series of placements. If at any stage, you are concerned or running into difficulty please contact your ES, Faculty Tutor (FT) or TPD as soon as possible.

If you are a current ICM trainees and do not have an ICM Educational Supervisor, please contact the local ICM Faculty Tutor (FT) who will be able to help.  Your Regional Advisor or TPD will be able identify the Faculty Tutor if needed.

 

Special Skills Year (SSY)

The LSICM is keen to be able to support single specialty ICM trainees in their choice of a Special Skills Year, we have been successful in either placing within the programme or facilitating via an OOPT everyone’s first or second choice SSY over the last few years.   On joining the programme we recommend that you read the handbook (https://www.ficm.ac.uk/sites/ficm/files/documents/2021-10/icm_curriculum_handbook_special_skills_year_section_0.pdf) and have a think about what you would like to achieve within your SSY year.  If there is something very specific that you hope to do which is covered by the handbook and you wish to actively pursue an OOPT then this will likely be supported though if not in a centre that usually provides ICMN training it will be subject to GMC and FICM approval.  If you are planning this then please include the stage 2 TPD in your thoughts as they may well be able to advise on the workability of the plan, or even suggest options for specialty clinical fellow posts.

Otherwise you will be contacted by the stage 2 TPD to arrange it at least a year in advance and your top three choices will be asked for, in general we will do this in order of your ranking at national recruitment to HST, but this will not always be possible as every ICM trainee has a bespoke training timeline and programme.  We will do our best to accommodate your requests within programme and if not possible to advise on possible centre to contact for clinical fellow posts.

 

E-Portfolio and Exams

Eportfolio

In tandem with the roll out of the 2021 ICM curriculum in August 2021 a new e-portfolio was introduced by FICM; the Lifelong Learning Platform (LLP).  All trainees on the 2021 ICM Curriculum will need to record their training/progress on the LLP. 

If you already have an LLP login and username (for example as an ACCS Anaes trainee or trainer) then you will need to contact the Faculty so that your ICM role can be added to your pre-existing account. This will mean that you do not need to log in and out of the LLP in order to access your different roles within it.

There are a number of excellent resources on the FICM website to help support your familiarisation with the LLP: https://www.ficm.ac.uk/ficm-lifelong-learning-platform

Importantly at ARCP the panel will only be able to see ESSRs that have been fully completed and signed off by both your educational supervisor and your faculty tutor.  Your faculty tutor will not always be sent an email reminder to do the final signoff so you may need to contact them directly.  Additionally, for dual Anaesthetic/ICM trainees please ensure any evidence you wish to have considered is on the ICM side of your LLP as the panel will not have access to the  Anaesthetic side

Exams

The FFICM examination is taken during stage two of training and must be completed before moving into stage three ICM training. For ICM/anesthetic trainees you will progress into stage 3 training 2 years before CCT date so that stages of training are aligned between your specialties.  As this means you have two specialty exams in quick succession (final FRCA and FFICM) there is a pre existing GMC derogation to allow you to move into stage 3 training on outcome 2 s longer as the FFICM is complete before your clinical stage ICM which in the London school would normally be 1 year from CCT.

The qualification comprises two parts – an MCQ and an OSCE/Structured Oral Examination. Please click here for the FFICM examinations calendar.  If you wish to apply for FFICM MCQ before you are in stage 2 there is the capability to sit in the final seven weeks (WTE) of stage 1 this would have to be ratified by your Regional Advisor to say you are on course to complete your stage 1.

The full details including example questions, resources to support exam preparation, application deadlines and exam dates can be found on the Faculty of Intensive Care Medicine website.   In addition to FICM, national and regional exam preparation courses ICM training departments also provide exam practice – please contact your local Faculty Tutor for further information.

 

 

 

ARCPs

It is a requirement of training programmes that an Annual Review of Competence Progression (ARCP) is undertaken each year.  In London School of ICM, we try to align the timing of your annual ICM ARCP with critical progression points eg end of stage.  This means your ARCP may not be at the end of an academic year.  If you are a dual trainee, please also be aware you will have an ARCP in both specialities on an annual basis and only your ICM portfolio can be accessed and reviewed at the ICM ARCP.  The ICM Operations Team will email you with the intended ARCP date and what information/evidence is required so please keep an eye out for this communication and read it carefully.  All ICM ARCP’s are held in absentia.

Whilst the ARCP process can seem quite daunting, it should be relatively straightforward with steady preparation during each academic year.  In addition to regular meetings with your Educational Supervisor (ES) we recommend liaising with them and your Faculty Tutor as soon as you are made aware of your ARCP date so they can support you in your ARCP preparation and compile & submit an Educational Supervisor’s Structured Report (ESSR) with plenty of notice.

The exact requirements for each year’s ARCP vary and will depend on your stage of training.  These are outlined in the FICM checklist found here

For the purposes of revalidation you will also need to upload a form R which outlines your full scope of practice (including any additional work, paid or not, which requires GMC registration). This applies even if you are on statutory leave or out of programme.

Please note the following and avoid common pitfalls:

·       You will receive a comprehensive email from the HEE Operations Team outlining what you need to submit for your ARCP.  Please read this carefully and include everything detailed in the communication

·       The Educational Supervisors Structured Report is a vital and essential piece of information which helps inform the ARCP panel and anything that needs to be viewed by the panel must be linked to the ESSR. 

·       Please be aware that the “Document Store” cannot be viewed ARCP panels

·       The ESSR must cover the full date range from your previous ARCP – linked evidence outside the date range is not visible to an ARCP panel.

·       Please ensure you link a logbook summary.  The panel will want to view cumulative numbers of procedures and as well as numbers of procedures undertaken since your last ARCP.  FICM has a number of recommended logbook resources: https://www.ficm.ac.uk/trainingexamslifelonglearning/logbook-resources

·       All evidence INCLUDING FORM R must be linked before submission and Educational Supervisor & FT “sign off” otherwise it cannot be viewed by the ARCP panel.

Please ensure you upload the Form R itself (not the notification of completion of form R). The link to complete the Form R can be found in your ARCP invite

·       If you are a Dual Anaesthesia/ICM trainee, please be aware that the panel can only view evidence in your ICM portfolio (even if you have linked it through from your anaesthesia portfolio to your ICM ESSR).  Therefore, any evidence in your anaesthetic portfolio which needs to be reviewed by the ICM ARCP Panel needs to be loaded onto the ICM section of LLP and linked accordingly

·       You will be notified via the Lifelong Learning Platform when your outcome form has been completed by the ARCP panel. Please remember to review this form and accept it. The panel will provide feedback on the form, please note any objectives and if a provisional next ARCP date under 1 year has been set by the panel. If you are unsure of any of the comments on the form or objectives that have been set, please discuss these with your TPD. 

For more information on ARCP’s & FAQ’s please click here:

End of Stage

Your end of stage will be assessed at an ARCP and as well as the usual evidence  the panel will be looking to see completion of the curricular requirements documented in HiLLOs and completion of the FFICM for the end of stage 2.  If you unsure of your current end of stage date then please contact your TPD and have plenty of notice to prepare.

For stage 1 the end of stage 1 date should be confirmed at recruitment and if it changes due to LTFT, dual specialty recruitment etc. reconfirmed.  As a rule of thumb your end of stage 2 date will be 1 year WTE before CCT for a standalone trainee, 2 years WTE before CCT for a dual anaesthetic trainee and 1.5 years WTE before CCT for other dual trainees.  Your end of stage 3 date is your CCT date and that should be confirmed at each ARCP.

When you have successfully completed your end of stage ARCP the panel will confirm that your end of stage certificate can be issued, will reconfirm the end of stage date and ask you to send the certificate to your regional advisor.  There are 5 regional advisors covering London (NW, NC, NE, SW and SE), and for the purposes of your end of stage certificate we’ll advise you to contact the RA that covers the Trust you have completed your stage in.  Please read your ARCP outcome form for this information.

Approaching CCT

There are a number of steps you as the trainee will need to take in the lead up to, and after, completion of training in order to be added to the specialist register.  Please click here for more information

Local arrangements to streamline process in London:

  • Within 4 months of CCT/CESR-CP please complete the FICM notification of completion of training form (link above) and forward to your Stage 3 TPD.  
  • Towards the end of the CCT/CESR-CP training programme (usually within the last 3 months), you will undergo a final ARCP.  If successful, an ICM ARCP Recommendation for Completion of Training (Outcome 6) will be logged by the panel on LLP.
  • Once trainees have achieved an Outcome 6 at their ICM ARCP the trainee’s ICM Regional Advisor will complete the Stage 3 Certificate on their ICM e-portfolio.
  • The stage 3 TPD will then complete the FICM notification of completion of training form including CCT date and forward to FICM with the trainee and the regional adviser in cc. 

To expedite the process please avoid common mistakes by providing all the information requested on the notification form. Please ensure: 

· All periods which contribute towards training are included NB this includes core training posts (which count towards the 4 years of stage 1). Dual Specialty Higher specialist Training placements also need to be included 

· All periods of training are listed in chronological order 

· Subspecialty 3 month Cardiac/Neuro and Paeds modules are clearly documented 

· Special Skills Module training is included

Regional Training Days

Regional Training Days are organised by NHS England and the Faculty of Intensive Care Medicine. There will be 10 half day (2pm - 5pm) sessions per annum, being held once a month excluding August and January.

Each hospital that receives trainees from the Intensive Care Medicine training programme will be expected to organise a half day programme for the trainees, which at present are being held via MS Teams. The Healthcare Education England team will assist in organising publication of the agenda and will also help with the smooth transition between talks and speakers. ICM trainees must register to access the London School of Intensive Care Medicine RTD catalogue on the NHS Learning Hub to view previous training day content.

The training days will be delivered as a two year rolling system covering the entire Intensive Care Medicine curriculum.

For all Regional Training Day and event information please access the Events Calendar section of the website by clicking here. Once on the calendar use the search functions on the calendar to find the RTD programme or event required. 

Please contact Dr De la Cerda (ICM Regional Advisor for NE Thames g.de-la-cerda@nhs.net or the Health Education Team via the PGMDE Support Portal for any queries about the RTD programme.

London ICM Regional Training Days Timetable

Renal 7th May 2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/adeb872...
Obstetrics 4th June 2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/151dbbf...
TBC 2nd July 2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/c5a84a5...
Neuro 3rd September 2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/fb1c52b...
TBC  1st October 2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/c9e5fc5...
TBC 5th November 2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/7255b77...
Trauma 3rd December 2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/b537fbc...

 

Simulation

Dr David Melia MBBS FRCA FFICM

Dave is a Consultant in Intensive Care Medicine and Anaesthesia at Whipps Cross University Hospital, Barts Health. He completed training in Intensive Care Medicine in London and Australia, before undertaking an Advanced Fellowship in Adult General, Neuro, and Cardiac ICM at Prince of Wales Hospital, Sydney, where he led on critical care simulation.

Along with his role as the school Sim Training Lead, he served as Simulation Lead for the Faculty of Intensive Care Medicine's Sub Committee on Education.

 

Simulation:

We have recently piloted a fully immersive, high fidelity, simulation training day aimed at specialist modules and common high stakes encounters, aimed at our Stage 2 trainees.

We are rolling this out across ten dates per academic year in two centres, which should allow trainees to select a date and centre most convenient to them. It is free of cost to you, and we hope that all Stage 2 trainees will partake in the course before entering Stage 3.

In years to come we hope to further expand our simulation training opportunities at school wide level, and respond to learning needs/requests of our trainees to tailor these opportunities.

London ICM Simulation Timetable

Name Date  Registration Link
(Pan London, ICM, Sim, 2024) London ICM Sim Feb 2024 05/02/2024 CANCELLED
(Pan London, ICM, Sim, 2024) London ICM Sim April 2024 11/04/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/556ce2e...
(KSS, ICM, Sim 2024) KSS ICM Sim day ST4-ST7 April 2024 17/04/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/1fb8f88...
(Pan London, ICM, Sim 2024) London ICM Sim day April 2024 Stage 1-2 22/04/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/633ac7f...
(Pan London, ICM, Sim, 2024) London ICM Sim May 2024 (Cancelled) 01/05/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/db8a3b7...
(Pan London, ICM, Sim, 2024) London ICM Sim May 2024 (Cancelled) 30/05/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/0cf587c...
(Pan London, ICM, Sim, 2024) London ICM 07/06/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/e8da95d...
(Pan London, ICM, Sim, 2024) London ICM Sim July 2024 08/07/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/bbd2882...
(Pan London, ICM, Sim, 2024) London ICM Sim August 2024 13/08/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/f375ce7...
(Pan London, ICM, Sim, 2024) London ICM Sim September 2024 24/09/2024 https://lasepgmdeevents.hee.nhs.uk/events/regional-training-days/f375ce7...

 

 

Study Leave

NHS England London have published lists per specialty on the PGMDE Support Portal which details the courses each School considers mandatory to support curriculum requirements and those that are optional. 

For more information about Study Leave - click here.

The London School of ICM course list can be found here

In the event you wish to undertake a course outside the mandatory and optional lists please make a prospective application following the Discretionary Course process. This includes seeking support from your TPD.  Please email the TPD and include the points below which provides details of the course, estimated costs and justification for attending the course and justification if it is outside of London.  If your TPD approves your request then it will be sent to the HoS/DHoS for approval before final approval is given. If at any point along the approval process your request is declined you will be emailed and informed why.

Details to be included for DISCRETIONARY STUDY LEAVE REQUEST

  • Name of course
  • Course location
  • Course dates
  • Course fees
  • Estimated travel/accommodation expenses
  • Justification for attending the course*, linked to trainee’s PDP and learning objectives and confirmation that the trainee has not already received funding for an international event during the current period of training (i.e. Foundation or core or higher training programmes, trainees in run through or dual programmes can apply for international events every 3 years as a maximum)
  • Justification for attending a course located outside of London, Kent, Surrey & Sussex.

* Please note that trainees seeking leadership training should in the first instance be encouraged to access the free NHS Leadership Academy Edward Jenner or the LEEP programme delivered by an NHS Trust or HEE and should only consider any other options when these courses are not available. Please confirm you have explored these options in your application.

 

Flexibility in Training: Less than full time training (LTFT) and taking time Out of Programme (OOP)

LSICM is committed to enhancing junior doctors working lives and there are many initiatives available to ICM trainees to train more flexibly. These include Less Than Full Time (LTFT) training as well as the opportunity to take time Out of Programme to address personal circumstances/requirements or advance career development.  Please discuss your LTFT and OOP plans with your TPD (both specialities if dual training) as soon as possible.

For more information about Less Than Full Time Training and the application process,  please click here Less Than Full Time (LTFT).  The Faculty for Intensive Care Medicine also have some useful resources to help navigate a number of considerations here.

For more information about Out of Programme including different types of OOP please click here Out of Programme

In order to plan your OOP and make a successful application please aware of the following:

  • OOP is not normally supported in stage 1 training and will only be considered under exceptional circumstances.
  • OOP is not normally supported in the final year of training and trainees must be back in the UK and in programme for the final six month of training.
  • OOP applications will be reviewed by LISCM within windows to aid decision making.  If a trainee applies in advance of the intended OOP/start date their application will be added to the next window.
  • If a trainee wants to apply for an OOP, however the job advertisement or interview falls within the 6 months notice period, the trainee should discuss with their TPD and apply for OOP in advance to meet the HEE notice period.  The panel can approve the application, noting that this is pending successful outcome at interview.
  • if you are dual trainee please ensure both programme TPDs have been consulted and support your application.

Windows

OOP start date

Deadline for OOP Application

(at least 6 months in advance for OOPs)

OOP Panel review window

1

Beginning of February

Beginning of August

1st 10 days of Sept

2

Beginning of May

Beginning of November

1st 10 days of Nov

3

Beginning of August

Beginning of February

1st 10 days of Feb

4

Beginning of November

Beginning of May

1st 10 days of May

Trainee planning for an OOP should utilise the support return to training resources starting by completing the pre absence form which can be found by clicking here

Professional Support and Wellbeing

In addition to support provided locally by Educational Supervisors, ICM Departments and Trusts & TPD’s, NHS England have a number of resources to help support you during your training including:

The Professional Support Unit (PSU) provides a free service primarily aimed at supporting the progression of postgraduate training for healthcare professionals. The PSU operates independently from training programmes and provides confidential support and advice, by self referral, on many aspects of professional development including:

  • Confidential 1;1 advice or support via Single Point of Contact (SPOC) service
  • Coaching
  • Careers advice
  • Psychological support for doctors & dentists
  • Specialist communication and linguistics skills support
  • Access to dyslexia assessments and specialist and dyslexia coaching
  • Access to neurodiversity resources
  • Support for those Returning to Practice
  • Courses, Groups, Workshops & e-learning
  • Individual Support Team (IST) support
  • Access to wellbeing & self management resources

Further information can be found on the Professional Support Unit website

The Supported Return to Training (SuppoRTT) programme is a resource which aims to support all trainees to safely and confidently return to training after a sustained period of absence. This applies to all trainees absent for 3 months or more, regardless of reason.  Further information can be found on the SuppoRTT website.  

Advanced Critical Care Practitioner (ACCP) Training

Advanced Critical Care Practitioner Training Programme Director, London: Jo-Anne Gilroy

"I joined the NHS in 2009 as a registered adult nurse and have worked within critical care for the last 11 years, undertaking a variety of roles including practice education, clinical sister and interim matron.

I completed my ACCP training in November 2018 and gained FICM accreditation in February 2019.

In July 2019 I was awarded an MSc in Advanced Clinical Practice from Kings College London. 

I’m excited to have been appointed as TPD for London ACCPS and look forward to supporting the expansion and development of the role going forward."

Jo’s was appointed in March 2021.  Her role includes integrated working with existing and prospective Postgraduate Trainers & ACCP's, the Faculty for Intensive Care Medicine and higher education institutions to support high quality education, training, and supervision within the Advanced Critical Care Practitioner workforce.

Please use the ACPenquirieslondon@hee.nhs.uk inbox for any queries or messages for the HEE Advancing Practice team.

Useful resources:

The Centre for Advancing Practice: https://advanced-practice.hee.nhs.uk

Further information regarding ACCP training and Careers: https://www.ficm.ac.uk/careersworkforce/accps

 

 

 

 

Useful Resources

About the London ICM Programme

About training:

To view the latest edition of the Gold Guide: A Reference Guide for Postgraduate Foundation and Specialty Training in the UK, please click here.

Colleges and Societies:

Specialty Bulletin

Please see below for London School of Intensive Care Medicine bulletin:

Contact Stage 1 Training Programme Director
Louise Ma
Stage 1 London Intensive Care Medicine TPD
Stage 2 & Lead Training Programme Director
Russ Hewson
Stage 2 Lead London Intensive Care Medicine TPD
Contact Stage 3 Training Programme Director
Viplaw Shukla
Stage 3 ICM TPD
London Intensive Care Medicine Head of School
Charlotte Anderson
London Intensive Care Medicine Head of School
Contact Regional Training Day Lead Training Programme Director
Gonzalo De La Cerda
London Intensive Care Medicine Regional Training Day Lead
Contact Simulation Lead Training Programme Director
David Melia
London Intensive Care Medicine Simulation Lead
Academic Training Programme Director
Nishkantha Arulkumaran
Academic Training Programme Director