The Joint Faculty of Intensive Care Medicine (JFICM) was established by the Australian and New Zealand College of Anaesthetists (ANZCA) and the Royal Australasian College of Physicians (RACP) in February 2002. It is responsible for all aspects of vocational training in intensive care on behalf of its two parent colleges. The training program is designed to allow intensive care training to be undertaken concurrently with both the RACP and the ANZCA training programs.
Training ProgramThere are basic and advanced components of the JFICM training program, both requiring three years full-time. Details of the program and subjects covered are outlined in Objectives of Training in Intensive Care available on the JFICM web site.
The majority of trainees undertake dual training or have completed training in a primary specialty, such as anaesthesia, medicine or emergency medicine.
The intensive care training program provides for interrupted and part-time training, which is permissible in any year of training. Part-time training must result in the equivalent time being spent in training as required by full-time trainees and the minimum trainee commitment must be 20% of a full-time trainee.
Trainee SelectionTrainees must be registrable in their region of training, have completed 12 months general hospital experience, are free from alcohol and chemical abuse, and agree to comply with the JFICM regulations relating to training. Selection to positions within an intensive care unit (ICU) is conducted by the employing authority not the JFICM. The RACP trainees entering the joint intensive care medicine program need to have completed basic physician training and the FRACP written and clinical examinations prior to joining. Further details are outlined in the Joint Faculty's Trainee Selection Policy.
Trainee AssessmentIn basic training there is annual assessment by the supervisor. The subjects for the fellowship examination are the theory and practice of intensive care, including relevant aspects of the basic sciences and related disciplines. The examination consists of written and oral sections. The medical Australian Donor Awareness Program (ADAPT) is required in basic or advanced training.
Overseas Trained SpecialistsThe assessment process is outlined in the JFICM OTS Policy document. Applicants are assessed against equivalence with Australian specialists. Applicants not assessed as equivalent may be required to undertake a clinical practice assessment in an approved post and/or all or part of the clinical performance assessment.
AccreditationAssessment criteria are outlined in the JFICM Accreditation Policy documents. Criteria include, but are not limited to the following:
- the case load and case mix to which trainees will be exposed;
- sufficient numbers of staff in the unit, including FJFICMs and ancillary staff;
- suitable operational requirements, such as auditing procedures, educational programs for trainees and staff, research programs, quality assurance, clerical support;
- appropriate ICU design, including office space; and
- appropriate ICU equipment and facilities.