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A&E/ICU interface: training in intensive care medicine
  1. M P Shelly
  1. Intensive Care Unit, Withington Hospital, Nell Lane, Manchester M20 2LR, UK
  1. Correspondence to: Dr Shelly (marie.oliver{at}

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Accident and emergency (A&E) medicine and intensive care have obvious clinical links. Critically ill patients are often managed by A&E physicians before admission to the intensive care unit (ICU) (submitted data). These clinical links are being strengthened by managerial and training links so that A&E staff at all levels may now have significant input into intensive care, and vice versa. The document Comprehensive critical care1 provides a framework in which these links can be developed further.

The training programme in intensive care medicine (ICM) provides an opportunity for trainees from all disciplines to have more formal training in intensive care and A&E trainees have been quick to seize this opportunity. The aim of this article is to outline the structure of training currently available in ICM. Other sources of information are suggested at the end of the article and each region has a regional advisor in ICM who knows the training opportunities locally. Details of how to contact each regional advisor in ICM are available from the Intercollegiate Board for Training in Intensive Care Medicine (IBTICM).


As long ago as 1992, an Intercollegiate Committee for Training in Intensive Therapy was formed that reported directly to the Presidents of the Royal Colleges of Physicians, Surgeons and Anaesthetists. There was also representation from the Intensive Care Society. The primary responsibility of this committee was to set standards for training in ICM.

This committee has evolved into the Intercollegiate Board for Training in Intensive Care Medicine (IBTICM). It still has powers delegated to it by the various Royal Colleges and has now implemented the training programme devised by the previous committee and established the Diploma in Intensive Care Medicine. In addition, the IBTICM sought specialty recognition for ICM; on the 6 June 1999, this was granted.

Training in intensive care medicine

The IBTICM has recognised ICUs throughout …

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