2021 Curriculum learning syllabus: stage 2

Published: 09/02/2021

Intensive Care

Stage learning outcome

  • Provides safe and effective care for critically ill patients with specialist help and guidance

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.

Supervision Level

  • FICM capability level 3 (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.

Supervision Level

  • FICM capability level 3 (see below for details)
  • Anaesthetics supervision level 3 - supervisor on call from home for queries able to provide directions via phone or non-immediate attendance.

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.

Supervision Level

  • FICM capability level 3 (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.

Supervision Level

  • FICM capability level 3 (see below for details).

Cross links with other domains and capabilities

  • Resuscitation and Transfer

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.

Supervision Level

  • FICM capability level 3 (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.

Supervision Level

  • FICM capability level 3 (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.

Supervision Level

  • FICM capability level 3 (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.

Supervision Level

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

Cross links with other domains and capabilities

  • Perioperative Medicine and Health Promotion

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.

Supervision Level

  • FICM capability level 1  (see below for details).

Cross links with other domains and capabilities

  • Professional Behaviours and Communication

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.

Supervision Level

  • FICM capability level 2 (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.