Minimum Standards for Training Accreditation

CICM accredits units on a five-year cycle for the type and duration of training that may occur in a given unit. CICM expects units to demonstrate:

General Requirements

The ICU must:

  • Fulfill minimum standards for an ICU
  • Offer a broad experience and acceptable case load, including within ICU (as distinct from HDU)
  • Offer participation in out-of-hours rosters and outreach roles
  • Maintain safe working hours
  • Advertise available positions and appoint them following an approved process
  • Allow access to ANZICS CORE data
  • Provide a directed education program for general intensive care, and both exams
  • Adequate access to educational resources
  • Allow CICM to assess the unit for training suitability
  • Notify CICM about changes in director, SoT, workload, case-mix, acuity, or ↓ in FTE

Training Time

Units are divided into:

  • General Training/C24/Unrestricted Core training
    • For Level III ICU and PICU
    • Major intensive care unit
    • Diverse case-mix; >1000 patients/year with >400 ventilated patients
    • >12 months must be spent in one of these units
    • Entire core training may occur in one of these units
  • General Training/C12/Limited 12 months core training
    • For Level III ICU, PICU< and occasionally level II ICU
    • Adequate case mix; >750 patients/year with >300 ventilated patients
    • Considered unsuitable for entirety of training time
  • Limited General Training/C6/Limited to 6 months core
    • More limited case mix that indicates lack of suitability for >6 months of training
      No more than 6 months of core training can occur in any C6 unit.

In addition to the above, other requirements include:

  • Neurosurgical ICU training
    >100 cases/year.
  • Cardiac ICU training
    >250 cases/year.
  • Trauma ICU training
    >100 cases/year.
  • PICU training
    • 12 months required if >50/year
    • 6 months required if >100/year
  • Rural term

Overseas Training

Training time in an ICU outside of Australia, Aotearoa New Zealand, or Hong Kong must:

  • Be in an ICU that meets the CICM standards
  • Be for up to 12 months of core training
    • The 12 months contiguous core training must occur in a CICM unit

References

  1. CICM. IC-3 Minimum Standards for Intensive Care Units Seeking Accreditation for Training in Intensive Care Medicine. 2021.