Return to Practice

Any specialist returning to practice following an absence should have the opportunity to upgrade their:

CICM states it “has no program to assist impaired doctors”, and that any concerns about impairment of an intensivist should be raised with the clinician and the regulator.

Re-entry Programs

Programs should be individualised based on the:

  • Experience, skills, and personality of the intensivist
  • Duration of absence
    Formal re-entry program required after 3 years of absence.
  • Nature of returned practice

In general, programs should:

  • Be planned by the fellow with the aid of a mentor
    • Plan should be submitted to the Chair of the Fellowship Affairs Committee
  • Include some period of supervised practice
    ~4 weeks for each year of absence.

Re-training Programs

Re-training may be:

  • Requested in writing to the CICM president or CEO by:
    • Fellows
    • Medical boards
    • Regulatory bodies
  • Reviewed by the Chair of the Fellowship Affairs Committee
    • If approved, will collaboratively develop a program with the fellow and supervisor that:
      • Goals specific to the areas of concern
      • Expected outcomes
      • Timeframes
      • Feedback processes
      • Supervision requirements
      • Indemnity for CICM and the fellow
    • On completion, will communicate outcomes to the fellow and the requester

Special Circumstances

  • Retired fellows seeking re-instatement must apply in writing to the CICM president or CEO

References

  1. CICM. IC-15 Recommendations on Practice Re-entry, Re-Training and Remediation for Intensive Care Specialists. 2019.