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    Does anyone know if you can specialise in Intensive Care Medicine without going via Anaesthetics?

    E.g - ACCS > EM > ICU?

    What are the main routes into Intensive Care Medicine?
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    (Original post by carcinoma)
    Does anyone know if you can specialise in Intensive Care Medicine without going via Anaesthetics?

    E.g - ACCS > EM > ICU?

    What are the main routes into Intensive Care Medicine?
    There are several different routes into ICM currently, but it's all a bit complicated. By far the most common route is via anaesthetics training, during which time you have to add at least 6 months acute medicine experience (most easily done by going through ACCS) and some extra ICU time - I think currently a year but I'm not sure.

    It is also possible to get a CCT in ICM, usually dual-certified, by going through Emergency Medicine or Acute Medicine training, but at some point you would have to do extra time in anaesthetics and medicine (if going via EM). There is talk that it may be possible to do it via a surgical training route as well, but I know nothing more about this.
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    Looking at this now has me scared. I need to grow up and stop mucking about...
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    (Original post by carcinoma)
    Does anyone know if you can specialise in Intensive Care Medicine without going via Anaesthetics?

    E.g - ACCS > EM > ICU?

    What are the main routes into Intensive Care Medicine?
    at the moment you do ACCS(EM), ACCS(Anaesthetics) or Anaesthetics.

    The hurdle is in thefirst few years of core training, because one you are through that they are screaming out for intensivists (rather than theatre anaesthetists)
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    (Original post by Jamie)
    at the moment you do ACCS(EM), ACCS(Anaesthetics) or Anaesthetics.

    The hurdle is in thefirst few years of core training, because one you are through that they are screaming out for intensivists (rather than theatre anaesthetists)
    So it is possible to become an intensivist even if you do ACCS Emergency Med sweet!
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    (Original post by carcinoma)
    So it is possible to become an intensivist even if you do ACCS Emergency Med sweet!
    Its possible.
    However I'm organising a pack of vigalante A&E docs to hunt down and knee cap all those deserters taking EM training slots and then fooking off to other specialties.

    THEY TOOK OUR JOBS!
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    (Original post by Jamie)
    Its possible.
    However I'm organising a pack of vigalante A&E docs to hunt down and knee cap all those deserters taking EM training slots and then fooking off to other specialties.

    THEY TOOK OUR JOBS!
    My Ideal career progression would be ACCS EM, specialise in EM but possibly jointly specialise in EM and Critical/Intensive Care Medicine.

    I would then spend most of my time in the ED, and eventually divide my time between ED and ICU.

    Could something like that be percived or too impractical?
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    (Original post by Becca-Sarah)
    How do you apply to attend as an observer? I presume/hope the £550 fee wouldn't apply??
    a while ago our Emergency Med Soc had a few places as actors and you'd get a certificate for being an "observer" but they were gone within minutes of the email going out! I'll let you know if it happens again
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    (Original post by carcinoma)
    My Ideal career progression would be ACCS EM, specialise in EM but possibly jointly specialise in EM and Critical/Intensive Care Medicine.

    I would then spend most of my time in the ED, and eventually divide my time between ED and ICU.

    Could something like that be percived or too impractical?
    Once upon a time it would be possible.
    But ICM is going solo and becoming its own specialty. When it does the dual CCT will lengthen considerably in training length.
    Not to mention few places having need for a part timer in either area.

    Very big in Oz/NZ though
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    (Original post by Jamie)
    The hurdle is in thefirst few years of core training, because one you are through that they are screaming out for intensivists (rather than theatre anaesthetists)
    D'you reckon that's a really short-term thing or something a person half-way through their medical school training could capitalise on?
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    (Original post by Kinkerz)
    D'you reckon that's a really short-term thing or something a person half-way through their medical school training could capitalise on?
    Will carry on for next 4 years or so at least.
    They have an excess of anaesthetists so many will divert into ITU if it gives a certain consultant post at the end.
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    Hey guys, I'm a fifth year medical student studying in Turkey. It is 6 years in total, the last year being the 'internship'. I was wondering whether I could get any information about the PLAB test and other requirements to get into university hospitals like oxford and kings and imperial?
    also is there a list for me to look at to actually decide which hospital is good at which specialty?
    I ve read that it is really competitive but couldn't find anything about what should I do or what my chances are. I also couldnt get my hear around whether I need to do the Foundation year 2 or not? and either way, do I go straight to my specialty training afterwards or is there anything else?

    I'm really close to the end and want to get started with this, I would appreciate it a lot you could help me out with this,

    Thanks!!=)
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    (Original post by leuthil)

    Hey guys, I'm a fifth year medical student studying in Turkey. It is 6 years in total, the last year being the 'internship'. I was wondering whether I could get any information about the PLAB test and other requirements to get into university hospitals like oxford and kings and imperial?
    also is there a list for me to look at to actually decide which hospital is good at which specialty?
    I ve read that it is really competitive but couldn't find anything about what should I do or what my chances are. I also couldnt get my hear around whether I need to do the Foundation year 2 or not? and either way, do I go straight to my specialty training afterwards or is there anything else?

    I'm really close to the end and want to get started with this, I would appreciate it a lot you could help me out with this,

    Thanks!!=)
    If your medical qualification in Turkey includes a proper internship year and results in full registration with your medical council, then you may not have to do FY1, but you would almost certainly have to do FY2. The reason for this is that you need to demonstrate that you have achieved "foundation competencies" before applying for specialist training, and it is very unlikely you would have done that in your internship year alone. You can apply for standalone FY2 posts, though there aren't very many of those, so you may need to apply for FY1 anyway. Have a look at the foundation programme website for more details, and you can contact them with more detailed enquiries. If you got into an FY2 programme, you would apply for specialty training during that year and start it once FY2 was completed.

    You don't generally apply directly to specific hospitals for foundation training or for early specialist training - you apply for a region, and then get allocated to hospitals. However, for standalone FY2 posts you may have to apply directly - the UKFPO would be able to tell you, I think. Until you are much further on in specialty training, it doesn't really matter how "good" your hospital is at a particular specialty - they will all teach you the basics.

    I'm afraid I don't know anything about the PLAB as I didn't need to take it. You must understand though, if you are considering coming to the UK, as a non-EU graduate you would be at a major disadvantage compared with UK/EU doctors and thus may well struggle to get into a specialty training programme.
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    Could someone clarify something please. For the CMT applications the additioal achievements are scored from 10 to 0. The description for 8 points is ..

    "high-achievement award for primary medical qualification (eg honours or distinction typically given to only the top 10%)"

    This might be atupid but when it says primary medical qualification does it only refer to the MBBS portion of the course? If someone received a 2nd prize (out of lets say 100 students) for an intercalated BSc would this not count?

    Does a BSc prize count for lets say 4 points..

    "one prize / distinction / merit relate to parts of the medical course"

    since it seems to make a differentiation between "primary medical qualification" and "medical course"?

    Thanks
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    Just to ask anyone who knows then - my reading of the scoring system is that once you have done one "data-gathering" audit, there really is no benefit (outside of gaining "connections" which may or may not be of any use) to doing any more. Is this right? As a fourth year student who has already had the role of notes-chaser in one audit, I'm wondering if I should volunteer myself again or if my time would be better spent elsewhere.
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    (Original post by woodblock)
    Just to ask anyone who knows then - my reading of the scoring system is that once you have done one "data-gathering" audit, there really is no benefit (outside of gaining "connections" which may or may not be of any use) to doing any more. Is this right? As a fourth year student who has already had the role of notes-chaser in one audit, I'm wondering if I should volunteer myself again or if my time would be better spent elsewhere.
    Audits aren't marked at Foundation applications, unless you've presented/postered them at a conference. They really count for CT/ST applications. Once you start work, it's relatively easy to do audits - I've done an average of 1 per rotation without too much effort.
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    (Original post by Captain Crash)
    Audits aren't marked at Foundation applications, unless you've presented/postered them at a conference. They really count for CT/ST applications. Once you start work, it's relatively easy to do audits - I've done an average of 1 per rotation without too much effort.
    Thanks for your reply (again!). I will save the worrying about audits for after I've graduated.
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    Will getting involved in audits or research early in medical school be beneficial at all, or just a waste of time?
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    (Original post by Someone123123)
    Will getting involved in audits or research early in medical school be beneficial at all, or just a waste of time?
    Shouldn't you be in the pub early in medical school? Will be far more opportunities in clinical years for this kind of thing.
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    Blimey. This thread scares me. My CV looks so, so, SO bare. I really need to fix up and start getting things done.
 
 
 
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