{"id":5568,"date":"2019-03-18T12:17:45","date_gmt":"2019-03-18T02:17:45","guid":{"rendered":"https:\/\/metronorth.health.qld.gov.au\/tpch\/?page_id=5568"},"modified":"2022-10-11T13:42:39","modified_gmt":"2022-10-11T03:42:39","slug":"intensive-care","status":"publish","type":"page","link":"https:\/\/metronorth.health.qld.gov.au\/tpch\/careers\/medical-careers\/guide\/intensive-care","title":{"rendered":"Intensive Care"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-first\" style=\"--awb-bg-size:cover;width:75%;width:calc(75% - ( ( 4% ) * 0.75 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><h1 id=\"s-lg-guide-name\">Intensive Care<\/h1><\/h1><\/div><div class=\"fusion-text fusion-text-1\"><p>Intensive care medicine practice includes assessment and management of critically ill patients, admitted usually from ED, wards or operating theatres.<\/p>\n<p>Intensive care medicine meets the needs of doctors seeking not only intellectual satisfaction of practicing cutting edge, advanced clinical medicine that demands diagnostic reasoning and problem solving skills but also provides opportunities to maintain practical procedural skills<\/p>\n<h2>Advantages of Starting a Career at TPCH<\/h2>\n<ul>\n<li>24 hour on site supervision by advanced trainees and specialists<\/li>\n<li>Structured education program that caters to all levels of trainees starting with the junior most viz. basic trainee, new to the specialty, to the most senior viz. pre and post fellowship exam candidates.<\/li>\n<li>Dedicated teaching time every week which includes a simulation session<\/li>\n<li>Workshops conducted in-house for ICU specific procedures such as basic ultrasound familiarization and ultrasound guided vascular access placement i.e. central and arterial lines, renal replacement therapy (dialysis modes), IABP (intra-aortic balloon pump), basic bronchoscope dexterity.<\/li>\n<li>Participation in inter-hospital and inter-departmental education sessions e.g. Best of Grand Round series was won by the ICU presenter in 2012.<\/li>\n<li>Support for trainees sitting for their primary or Fellowship ICU exams in the form of practice exam cases\/ vivas etc.<\/li>\n<li>Exposure not only to the \u2018standard\u2019 critically ill medical\/ surgical patients but also to complex cardiac and respiratory patients e.g. heart and lung transplants and patients requiring advanced mechanical cardiac\/ respiratory support such as ECMO, VADs, etc.<\/li>\n<li>Research opportunities via CCRG (Critical care research group) which is the research arm of TPCH Adult Intensive Care Service (AICS). CCRG is well represented at the local (hospital) level and also at the wider national and international intensive care level. A couple of the research project winners of the prestigious Felicity Hawker prize, awarded for the best research project by a trainee at the annual scientific meeting of the college (CICM ASM) , have been TPCH ICU trainees.<\/li>\n<\/ul>\n<\/div><div class=\"fusion-text fusion-text-2\"><h2>Training Overview<\/h2>\n<h3>Entry requirements to Training Program<\/h3>\n<ul>\n<li>General or Limited Registration with AHPRA<\/li>\n<li>General hospital experience for 12 months post graduation<\/li>\n<li>Apply to register with the College of Intensive Care Medicine<\/li>\n<li>Apply for positions through QH RMO Campaign<\/li>\n<li>Selection is usually by a centralised selection process; however direct contact with the unit director or supervisor of training to present one\u2019s candidacy for prospective jobs may be possible<\/li>\n<\/ul>\n<h3>\u00a0Overview of Training Program<\/h3>\n<p>Six year training program comprising: 36 months of basic training and 36 months of advanced training.<\/p>\n<p>An overview of the current CICM (College of Intensive Care Medicine) training requirements is attached below. Modifications to some aspects of the training pathway by the college are anticipated to occur in the near future. Other relevant details can be obtained from the CICM or QITP (Queensland Intensive Care Training Pathway) websites.<\/p>\n<h3>Are there accelerated training pathways?<\/h3>\n<ul>\n<li>A specialist degree in intensive care from another country or<\/li>\n<li>Another specialty degree e.g. FACEM, FANZCA or<\/li>\n<li>Significant training in another specialty.<\/li>\n<\/ul>\n<p>All above may be taken into account towards basic training. It must be noted that this is entirely at the discretion of the College of Intensive Care Medicine.<\/p>\n<h3>What rotations are recommended prior to applying for training<\/h3>\n<ul>\n<li>ICU exposure [preferable]<\/li>\n<li>Emergency Medicine<\/li>\n<li>Anaesthetics<\/li>\n<\/ul>\n<h3>How to improve your chances of selection<\/h3>\n<ul>\n<li>BASIC Intensive Care Course<\/li>\n<li>Any other acute medicine related courses e.g. critical care events management course<\/li>\n<li>Any research related to acute medicine maybe beneficial<\/li>\n<li>Demonstration of having an open mind, a hardworking attitude and enthusiasm to learn are attributes that will be given consideration<\/li>\n<\/ul>\n<p><a href=\"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-content\/uploads\/sites\/3\/2019\/03\/cicm-training-requirement.pdf\">CICU Training Requirements<\/a><\/p>\n<\/div><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Frequently Asked Questions<\/h2><\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:16px;--awb-content-font-size:1rem;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#e2e2e2;--awb-background-color:#ffffff;--awb-divider-color:#e2e2e2;--awb-divider-hover-color:#e2e2e2;--awb-icon-color:#ffffff;--awb-title-color:#3366cc;--awb-content-color:#000000;--awb-icon-box-color:#212934;--awb-toggle-hover-accent-color:#0067a4;--awb-title-font-family:&quot;Noto Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:1.2143rem;--awb-content-font-family:&quot;Noto Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-5568-1\"><div class=\"fusion-panel panel-default panel-3a4dc9e10155c160c fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_3a4dc9e10155c160c\"><a aria-expanded=\"false\" aria-controls=\"3a4dc9e10155c160c\" role=\"button\" data-toggle=\"collapse\" data-target=\"#3a4dc9e10155c160c\" href=\"#3a4dc9e10155c160c\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Why did you choose this specialty and what do you like most about it?<\/span><\/a><\/h4><\/div><div id=\"3a4dc9e10155c160c\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_3a4dc9e10155c160c\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li>it offers the intellectual satisfaction of practicing clinical medicine which necessitates diagnostic\u00a0reasoning and problem solving skills and also provides\u00a0 opportunities to be proficient at practical\u00a0and procedural skills<\/li>\n<li>no outpatient clinics<\/li>\n<li>generalist approach<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ddaab6666e6f04610 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ddaab6666e6f04610\"><a aria-expanded=\"false\" aria-controls=\"ddaab6666e6f04610\" role=\"button\" data-toggle=\"collapse\" data-target=\"#ddaab6666e6f04610\" href=\"#ddaab6666e6f04610\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What particular abilities are important in this specialty?<\/span><\/a><\/h4><\/div><div id=\"ddaab6666e6f04610\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ddaab6666e6f04610\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li>An open mind, a hardworking attitude and enthusiasm to learn are attributes that are necessary<\/li>\n<li>The ability to cope with \u2018after-hours\u2019 and \u2018on call\u2019 work is also desirable<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-b5387de0dfc9919fa fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_b5387de0dfc9919fa\"><a aria-expanded=\"false\" aria-controls=\"b5387de0dfc9919fa\" role=\"button\" data-toggle=\"collapse\" data-target=\"#b5387de0dfc9919fa\" href=\"#b5387de0dfc9919fa\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">When working as a specialist in this area, what are your usual hours? <\/span><\/a><\/h4><\/div><div id=\"b5387de0dfc9919fa\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_b5387de0dfc9919fa\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>This varies from unit to unit but usually periods of clinical work eg a week at a time including weekends\u00a0(1: 6-7) and some on call components through the weekdays ( 0- 2 pw).<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-2a2f6cc0806e0a854 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_2a2f6cc0806e0a854\"><a aria-expanded=\"false\" aria-controls=\"2a2f6cc0806e0a854\" role=\"button\" data-toggle=\"collapse\" data-target=\"#2a2f6cc0806e0a854\" href=\"#2a2f6cc0806e0a854\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What advice would you give to someone thinking about this specialty?<\/span><\/a><\/h4><\/div><div id=\"2a2f6cc0806e0a854\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_2a2f6cc0806e0a854\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li>provides a good balance of intellectual and procedural practical skills<\/li>\n<li>satisfaction of playing a substantial role in the recovery of extremely sick patients<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-79493ee888686cbc8 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_79493ee888686cbc8\"><a aria-expanded=\"false\" aria-controls=\"79493ee888686cbc8\" role=\"button\" data-toggle=\"collapse\" data-target=\"#79493ee888686cbc8\" href=\"#79493ee888686cbc8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How realistic is it to take time out of this specialty to travel, have children etc? <\/span><\/a><\/h4><\/div><div id=\"79493ee888686cbc8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_79493ee888686cbc8\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li>Deferred training or part time training is feasible<\/li>\n<li>Rosters usually flexible to allow time for recreational, research or professional development activities<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-f0a701066cb8ff470 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_f0a701066cb8ff470\"><a aria-expanded=\"false\" aria-controls=\"f0a701066cb8ff470\" role=\"button\" data-toggle=\"collapse\" data-target=\"#f0a701066cb8ff470\" href=\"#f0a701066cb8ff470\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How has your specialty impacted on your family? <\/span><\/a><\/h4><\/div><div id=\"f0a701066cb8ff470\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_f0a701066cb8ff470\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li>None from the perspective of an Intensivist!<\/li>\n<li>The after-hours and \/ or on call work may be considered a deterrent for trainees considering any acute medicine specialities (e.g. ICU\/ ED\/ Anaesthesia) and most clinical medicine specialities (e.g. general surgery\/ medicine )<\/li>\n<li>Future specialist job prospects have raised questions in most specialities including ICM but with an\u00a0expanding population that is living well into their 80\u2019s with more co-morbid conditions, the demand for\u00a0more intensive care units and therefore intensive care specialists is inevitable.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-last rhs-col\" style=\"--awb-bg-size:cover;width:25%;width:calc(25% - ( ( 4% ) * 0.25 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last contact-us\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><h2>Contact us<\/h2>\n<p><strong>Medical Education\u00a0Unit<\/strong><br \/>\n<strong>Email: \u00a0<\/strong>\u00a0<a href=\"mailto:TPCH-Medical-Education@health.qld.gov.au\" target=\"_blank\" rel=\"noopener\">TPCH-Medical-Education@health.qld.gov.au<\/a><br \/>\n<strong>Phone:<\/strong> (07)&nbsp;3139&nbsp;4221<\/p>\n<p><strong>Further Information<\/strong><br \/>\nDr Jayshree Lavana &#8211; contact via ICU Administration Officer<br \/>\n<strong>Phone:<\/strong> (07)&nbsp;3139&nbsp;5488<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-1 content-boxes-icon-with-title content-left side_panel\" style=\"--awb-hover-accent-color:#65bc7b;--awb-circle-hover-accent-color:#65bc7b;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<h2>College<\/h2>\n<p><a href=\"http:\/\/www.cicm.org.au\/\" target=\"_blank\" rel=\"noopener\">College of Intensive Care Medicine of Australia and New Zealand<\/a><\/p>\n<p><a href=\"http:\/\/www.health.qld.gov.au\/clinedq\/html\/qmet_icutp.asp\" target=\"_blank\" rel=\"noopener\">Queensland Intensive Care Training Pathway (QITP)<\/a><\/p>\n<p><em>TPCH has current College accreditation for basic and advanced training<\/em><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-2 content-boxes-icon-with-title content-left side_panel\" style=\"--awb-hover-accent-color:#65bc7b;--awb-circle-hover-accent-color:#65bc7b;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<h2>Workforce Projections<\/h2>\n<p>Growing specialty however, training positions are competitive and selection is based on merit.\u00a0 There were 69 training positions in Qld in 2014.<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":0,"parent":5189,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_searchwp_excluded":"","footnotes":""},"tags":[],"class_list":["post-5568","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/pages\/5568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/comments?post=5568"}],"version-history":[{"count":2,"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/pages\/5568\/revisions"}],"predecessor-version":[{"id":9081,"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/pages\/5568\/revisions\/9081"}],"up":[{"embeddable":true,"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/pages\/5189"}],"wp:attachment":[{"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/media?parent=5568"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/metronorth.health.qld.gov.au\/tpch\/wp-json\/wp\/v2\/tags?post=5568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}