Dual training in Anaesthetics and Intensive Care Medicine

Transition to 2021 Curriculum for doctors following a Dual Anaesthetics and ICM CCT Programme

The integration of both 2021 curricula and training plans is documented in the Dual Training guidance; a copy can be downloaded below.

ICM is moving all their Stage 1 and 2 doctors in training onto their new curriculum simultaneously in Aug 21 as the new Lifelong Learning platform (LLp) becomes available, and the NES portfolio is phased out. Those doctors in their Stage 3 final year may choose to remain on the old curriculum as long as they are due to CCT by 31 August 2022, otherwise they will have to move to the new curriculum and LLp.

The transition plan for Anaesthetics is to move to the new curriculum as soon as practicable after August 2021 – see the detailed transition plan on the RCoA website.

Doctors undertaking dual training in ICM and Anaesthetics have a programme that allows attainment of capabilities in both curricula to be gained during their placements. It is anticipated that the move to both new curricula will be done as soon as practicable from Aug 21. 

It is appreciated that every doctor has an individual bespoke training plan so precise transition arrangements should be discussed and agreed with the training programme directors (TPDs) to allow as smooth a transition as possible.

It is recognised that this may mean doctors are temporarily on two different curricula, but as ICM moves its portfolio to the LLp, documentation of completion of capabilities in both curricula should be easier to document and record.

Where the CT3 capabilities for the new Stage 1 Anaesthetics training programme need to be obtained in order to be eligible to enter Higher Specialist Training, we would encourage local initiatives to facilitate this, in whatever manner is suitable to the local trainers, TPDs and Postgraduate Deans.

For more information on dual training with the new curriculum, this presentation was recorded at the Curriculum Webinar on 06 May 2021:

Frequently asked questions

Only one placement is allowed at a time so they should choose whichever part of the LLp is most appropriate; they will be able to link assessments across both curricula.

Yes. Those in the Dual Anaesthetics and ICM training programme will be able to combine 2010 Anaesthetics with 2021 ICM on the LLp.

Yes. The special skills year is 12 months of Anaesthetics, which is part of stage 2 of the Anaesthetics curriculum.

We have been working hard not to disadvantage any anaesthetist in training. The simplest approach would be to take a year out of ICM training to do the CT3 equivalent Anaesthetics post. This should be discussed with the Training Programme Directors.

In the transition to the new curricula stages 1 and 2 will become a little more mixed up, so a more flexible approach is needed. However, capabilities for both curricula will need to be evidenced in order for this training to count to both. Additional ICM capabilities may be required but the whole placement may not need to be repeated.

Stage 2 of the dual ICM and Anaesthetics programme is 2 years in duration with 1 year of ICM placements and 1 year of Anaesthetics.

Yes, ICM and Anaesthetics can be done in either order, although both should be in 1-year blocks.

Increased flexibility means that this is now possible. However, there will need to be suitable evidence that the learning outcomes have been achieved in order for this to count.

No, the anaesthetic 12-months within stage 2 is equivalent to either ST4 or ST5. The year of Anaesthetics at stage 3 is to complete the requirements of stage 3 of the Anaesthetics programme.