Training in PICM is currently accredited by the Royal College of Paediatrics and Child Health (details here).
It is currently overseen by the Paediatric Intensive Care Medicine Intercollegiate Specialty Advisory Committee (PICM ISAC; previously ICTPICM).
PICM training can be approached from both Paediatric and Anaesthetic training programmes. The PICM training programme consists of two years that may be based in one or more PICUs (though many people opt to get more experience). Paediatricians will be expected to gain 6 months anaesthetic experience (arranged by your programme) whilst Anaesthetists must gain 6 months paediatric or neonatal experience.
A full description of how to apply for a place in the national training programme can be found on the RCPCH website linked above.
Paediatric trainees can only become accredited as paediatric intensivist by gaining a national grid post. You must apply for this during your ST5 or ST6 years at the latest. Without a grid post in PICM, a paediatrician’s training in PICU (no matter how extensive) will not allow them to be recognised as having a CCT in PICM.
The route in for Anaesthetic trainees is detailed here. You must also apply for a national grid post in PICM. You will currently, on completion of your training, NOT be recognised with dual accreditation to include ICM and PICM, but will receive a certification from PICMISAC to recognise the time spent training in PICM. To undertake Grid training and achieve a CCT in Anaesthesia requires approval of a bespoke training programme and approval from the RCoA. It will require an extension to a trainee’s predicted CCT date. A number of trainees have taken this route and this should not discourage anaesthetic trainees from pursuing a career in PICM.
If you are a current PICM Grid Trainee, navigate to “Surviving PICM Grid Training” for further information.