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TRAINING INFORMATION
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General
 | All intensive care training is
supervised by the College of
Intensive Care Medicine (CICM).
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| It is possible to obtain an endorsement
in paediatric intensive care by completing
the training requirements and sitting the
Fellowship Examination in that subspecialty.
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| Further information on training is
available in the Faculty publication
Objectives of Training in Intensive Care and
on the Faculty web site.
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Entry requirements and Application procedures
Applicants must be registered with the
Medical Council of New Zealand and must have at
least two years of postgraduate hospital
experience, of which no more than six months can
be in general practice or any combination of
anaesthesia, intensive care or pain medicine.
Length of training
Training lasts a minimum of six years.
The programme is divided three years of basic
training and three years of advanced training:
core intensive care training (two years),
clinical anaesthesia (one year), clinical
medicine (one year).
Examinations and milestones
| The Australian and New Zealand College
of Anaesthetists administers the Primary
exam. Further information on the content and
format of this exam can be found in the
chapter on ‘Anaesthetics.’
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| The CICM now has its own primary
examination, but also accepts the ANZCA,
FRACP and ACEM primary as equivalent.
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| The Fellowship Examination in intensive
care consists of written exams (two short
answer question papers) and oral exams
(clinical discussions, a cross-table viva
and an Objective Structured Clinical Exam).
The oral exam consists of two patient
oriented cases, cross table vivas, equipment
and communication stations.
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| There are various courses available in
Australia for candidates preparing for the
two exams. Pass rates vary from year to
year, but in 2001 the first time pass rate
for the Fellowship Examination was
approximately 65%.
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| The Faculty also requires that trainees
complete a formal research project. This can
be undertaken at any stage during training.
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| In-training assessments are performed
twice each year to monitor each registrar’s
progress.
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| FANZCA training & its Part 1 exam or
FRACP training & its Part 1 exam or FACEM
training & its Part 1 exam count can usually
be accepted as the basic ICU training years,
so that one only needs to do 24
months of advanced ICU
training, 12 months of anaesthesia
and 12 months of medicine and
the Final ICU exam
and a formal
project (see above) to be awarded FCICM.
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Application procedures
Application forms are available from the
Faculty office in Melbourne. Documentation of 24
months of general hospital appointments must be
supplied on original hospital letterhead. At the
time of applying it would be worthwhile
discussing your plans with an intensive care
specialist (preferably a supervisor of training)
who can advise on how best to plan your training
programme.
Posts available
For the purposes of training the Faculty
recognises several categories of ICU, defined in
terms of maximum number of months that would be
recognised towards the ICM Fellowship (typically
24 months, 12 months and 6 months). The Faculty
requires that during fellowship training, half
of the core ICU training period should be an
unbroken 12 month period spent in one core
training ICU. This definitely requires early
discussion and planning with the ICU in
question. Each of the New Zealand ICUs that
offers 12-24 months of recognised training has
between five and seven registrar posts. Many of
these posts are filled by other specialty
trainees (including those in anaesthesia,
internal medicine, and emergency medicine) who
are gaining elective or compulsory ICU
experience. Space would almost certainly be
made, however, for intensive care medicine
specialty trainees.
As at November 2010,
the CICM accredits
intensive care training undertaken at the
following locations in New Zealand:
a) In the Auckland area
| Auckland Hospital (DCCM
for 24 months,
CVICU for 12 months)
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| Middlemore Hospital (for 24 months)
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| Starship Hospital (for 24 months)
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| North Shore Hospital
(for 6 months) |
b) Nationally
| Christchurch Hospital (for 24 months)
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| Waikato Hospital (for 24 months)
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| Wellington Hospital (for 24 months)
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| Hawke's Bay Hospital (24 months) |
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