Stage learning outcome
- Provides safe and effective care for critically ill patients under close supervision
Key capability A
| A |
Recognises the limitations of intensive care; employs appropriate admission criteria |
Examples of evidence
- SLEs throughout stage of training for relevant cases.
Suggested Supervision level
- FICM capability level 2 (see below for details).
Cross links with other domains and capabilities
- Resuscitation and Transfer
Key capability B
| B |
Performs safely and effectively the clinical invasive procedures required to maintain respiratory, cardiovascular and renal, support |
Examples of evidence
- SLEs throughout stage of training for relevant cases, assessing skills in:
- central venous line insertion
- insertion of venous access line for renal replacement therapy
- insertion of arterial lines
- ultrasound-guided intravenous cannula insertion
- needle thoracocentesis (simulation)
- chest drain insertion (simulation)
- Procedures can be completed in theatre or ICU settings during the stage of training.
Suggested Supervision level
- FICM capability level 2 (see below for details)
- Anaesthetics capability level 2a - supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals.
Cross links with other domains and capabilities
- Resuscitation and Transfer
Key capability C
| C |
Recognises, assesses and initiates management for acutely ill adults across the spectrum of single or multiple organ failure |
Examples of evidence
- SLEs throughout stage of training for relevant cases
- simulation training including adult resuscitation courses.
Suggested Supervision level
- FICM capability level 2 (see below for details).
Cross links with other domains and capabilities
- Resuscitation and Transfer
Key capability E
| E |
Recognises and manages the patient with sepsis and employs local infection control policies |
Examples of evidence
- SLEs throughout stage of training for relevant cases.
Suggested Supervision level
- FICM capability level 2 (see below for details).
Cross links with other domains and capabilities
- Perioperative medicine and Health Promotion
Key capability F
| F |
Undertakes and evaluates laboratory and clinical imaging investigations to manage patients while critically ill during their intensive care stay |
Examples of evidence
- SLEs throughout stage of training for relevant cases.
Suggested Supervision level
- FICM capability level 2 (see below for details).
Cross links with other domains and capabilities
- Resuscitation and Transfer
Key capability G
| G |
Manages the medical / surgical needs and organ support of patients during their critical illness, including the holistic care of patients and relatives |
Examples of evidence
SLEs throughout stage of training for relevant cases.
Suggested Supervision level
- FICM capability level 2 (see below for details).
Cross links with other domains and capabilities
- Resuscitation and Transfer
Key capability H
| H |
Plans and communicates the appropriate discharge of patients from intensive care to healthcare professionals, patients and relatives |
Examples of evidence
- SLEs throughout stage of training for relevant cases.
Suggested Supervision level
- FICM capability level 2 (see below for details).
Cross links with other domains and capabilities
- Professional Behaviours and Communication
Key capability I
| I |
Manages end of life care within the intensive care environment with patients, relatives and the multi-professional team |
Examples of evidence
- SLEs throughout stage of training for relevant cases.
Suggested Supervision level
- FICM capability level 1 (see below for details).
Cross links with other domains and capabilities
- Perioperative Medicine and Health Promotion
- Resuscitation and Transfer
Key capability J
| J |
Liaises with transplant services when appropriate, can perform brain stem death testing and provides the physiological support of the donor |
Examples of evidence
- SLEs throughout stage of training for relevant cases
- simulation training
- personal activity and reflection: journal article, e-Learning.
Suggested Supervision level
- FICM capability level 0 (see below for details).
Cross links with other domains and capabilities
Key capability K
| K |
Supports clinical staff outside the ICU to enable the early detection of the deteriorating patient |
Examples of evidence
- SLEs throughout stage of training for relevant cases.
Suggested Supervision level
- FICM capability level 1 (see below for details).
Cross links with other domains and capabilities
- Resuscitation and Transfer
FICM Capability Levels
| Level |
Task orientated capability |
Knowledge orientated capability |
Patient management
capability |
| 1 |
Performs task under direct supervision.
|
Very limited knowledge; requires considerable guidance to solve a problem within the area. |
Can take history, examine and arrange investigations for straight forward case (limited differential diagnosis). Can initiate emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these. |
| 2 |
Performs task in straightforward circumstances, requires help for more difficult situations. Understands indications and complications of task. |
Sound basic knowledge; requires some guidance to solve a problem within the area. Will have knowledge of appropriate guidelines and protocols. |
Can take history, examine and arrange investigations in a more complicated case. Can initiate emergency management. In a straightforward case, can plan management and manage any divergences in short term. Will need help with more complicated cases. |
| 3 |
Performs task in most circumstances, will need some guidance in complex situations. Can manage most complications, has a good understanding of contraindications and alternatives. |
Advanced knowledge and understanding; only requires occasional advice and assistance to solve a problem. Will be able to assess evidence critically. |
Can take history, examine and arrange investigations in a more complex case in a focused manner. Can initiate emergency management. In a most cases, can plan management and manage any divergences. May need specialist help for some cases. |
| 4 |
Independent (consultant) practice. |
Expert level of knowledge. |
Specialist. |
