Subspecialty Training Requirements in Adult Critical Care Medicine

2011 EDITORIAL REVISION – MARCH 2016 VERSION 1.1

These training requirements apply to those who begin training on or after July 1st, 2012.

ELIGIBILITY REQUIREMENTS There are two routes of entry into adult Critical Care Medicine.

1. Royal College Certification in Anesthesiology, Cardiac Surgery, Emergency Medicine, General Surgery, or Internal Medicine, or enrolment in a Royal College approved training program in one of these areas (see requirements for these qualifications). Three (3) years of one of these primary specialties must be completed prior to the entry into the Critical Care Medicine program. OR

2. Entrance from other specialties may occur but must follow completion of the primary specialty training which must have included a minimum of: A. Three (3) months in a general medical/surgical intensive care unit (ICU) B. Fifteen (15) months of clinical rotations in Internal Medicine and / or General Surgery

MINIMUM TRAINING REQUIREMENTS

Two (2) years of adult Critical Care Medicine residency, which must include:

1. One (1) year of adult Critical Care Medicine clinical rotations, including direct patient care, consultation, and administration at an appropriate graded level of responsibility advancing to junior attending

2. Minimum of six (6) months of additional clinical training relevant to Critical Care Medicine, as approved by the program director. This training must be selected from any of the following rotations: 2.1. Any of the recognized Royal College medical or surgical subspecialties 2.2. Anesthesiology 2.3. Burn management 2.4. Cardiac Surgery 2.5. Palliative care 2.6. Echocardiography

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2.7. Neurosurgery 2.8. Transplantation 2.9. Transport Medicine 2.10. Trauma 2.11. Toxicology 2.12. Pediatric Critical Care 2.13. Emergency Medicine

3. Six (6) months of research relevant to the educational objectives in Critical Care Medicine and/or other clinical or scholarly activity acceptable to the residency program director

NOTES:

One (1) year of training in section 1, Minimum Training Requirements may be undertaken conjointly with one of the entry specialties with the joint approval of the program director in the primary specialty and the program director of the Critical Care Medicine program.

Two (2) years of adult Critical Care Medicine residency may not be undertaken combined with another Royal College subspecialty. If the resident is accepted into another subspecialty, it can be undertaken consecutively.

The educational program must ensure and document clinical exposure to all aspects of Critical Care Medicine, regardless of the entry discipline. This must include relevant unit based experience with all of the following patient populations: cardiac patients (surgical and medical), neurological patients (surgical and medical), trauma patients, and general medicine and surgical patients who require ICU treatment.

One (1) year of training in an American Board of Surgery ACGME Surgical Critical Care Training program is accepted as equivalent to one (1) year of training in Adult Critical Care Medicine residency. To meet the minimum training requirements, an additional one (1) year of Adult Critical Care Medicine residency may be taken at a Canadian site accredited by the Royal College. If an additional year of training is undertaken at an ACGME site, the content of training must be assessed by the Royal College to determine fulfillment of the criteria listed under minimum training requirements. This would require the candidate to spend six months in a medical intensive care unit and six months of elective time in medical subspecialties (such as Infectious Disease, Respirology, or Nephrology).

REQUIREMENTS FOR CERTIFICATION

Royal College certification in adult Critical Care Medicine requires all of the following:

1. Certification in Anesthesiology, Cardiac Surgery, Emergency Medicine, General Surgery, Internal Medicine, or other Royal College approved specialty, as per the Eligibility Requirements 2;

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2. Successful completion of a 2-year Royal College accredited program in adult Critical Care Medicine;

3. Successful completion of the certification examination in adult Critical Care Medicine.

The 2-year program outlined above is to be regarded as the minimum training requirement. Additional training may be required by the program director depending on the results of the in-training evaluation to ensure that clinical competence has been achieved.

APPROVED – SSRC – December 2011 EDITORIAL REVISION – Office of Specialty Education – March 2016

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