PICM training is accredited by the Royal College of Paediatrics and Child Health (details here).
It is overseen by the RCPCH Paediatric Intensive Care Medicine Intercollegiate Specialty Advisory Committee ‘RCPCH PICM ISAC’.
There is a route into PICM training from either Paediatric or Anaesthetic training backgrounds. PICM training consists of two years of sub-speciality training (NTN Grid) based in one or more UK PICUs. In addition to these two years, Paediatricians must gain 6 months anaesthetic experience and Anaesthetists must gain 6 months paediatric or neonatal experience.
A full description of how to apply for RCPCH PICM sub-speciality (national training grid programme) can be found on the RCPCH website.
Paediatric trainees can only become accredited as a paediatric intensivist by gaining a national grid post. You must apply for this during your ST5 or ST6 years. 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 for trainees from an Anaesthetic background 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.