2021 Curriculum learning syllabus: stage 1

Published: 04/02/2021

Intensive Care

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.

Suggested Supervision level

  • FICM capability level 2 (see below for details).

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 D

D

Recognises the acutely ill child and initiates management of paediatric emergencies

Examples of evidence

  • SLEs throughout stage of training for relevant cases
  • simulation training including paediatric resuscitation courses.

Suggested Supervision level

  • FICM capability level 1 (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.