title: An international survey of training in adult intensive care medicine.
abstract: OBJECTIVE
  The aim of this international survey of training in adult intensive care medicine (ICM) was to characterise current structures, processes, and outcomes to determine the potential for convergence to a common competency-based training programme across national borders. This survey is the first phase of a 3 year project which will use consensus methods to build an international competency-based training programme in ICM in Europe (CoBaTrICE).
  
  
  METHODS
  A survey by questionnaire, e-mail, and direct discussion was undertaken with national ICM representatives from seven geographical regions.
  
  
  RESULTS
  Responses were obtained from 41 countries (countries which share common training programmes were grouped together; n=38). Fifty-four different training programmes were identified, 37 within the European region; three (6%) were competency-based. Twenty (53%) permitted multidisciplinary access to a common training programme; in nine (24%) training was only available within anaesthesia. The minimum duration of ICM training required for recognition as a specialist varied from 3 months to 72 months (mode 24 months). The content of most (75%) ICM programmes was standardised nationally. Work-based assessment of competence was formally documented in nineteen (50%) countries. An exam was mandatory in twenty-nine (76%).
  
  
  CONCLUSIONS
  There are considerable variations in the structures and processes of ICM training worldwide. However, as competency-based training is an outcome strategy rather than a didactic process, these differences should not impede the development of a common international competency-based training programme in ICM.
authors.affiliation: University Department of Anaesthesia and Intensive Care, N5 Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK. h.barrett@bham.ac.uk
authors.forename: H
authors.initials: H
authors.lastname: Barrett
authors.forename: J F
authors.initials: JF
authors.lastname: Bion
mesh_terms: D000328:Adult; D003422:Critical Care; D003625:Data Collection; D019049:Developed Countries; D004501:Education, Medical / Q000458:organization & administration*; D006801:Humans; D038622:Internationality; D017145:Models, Educational; D018794:Problem-Based Learning / Q000458:organization & administration*; D011361:Professional Competence; D013038:Specialization