title: Training in intensive care medicine. A challenge within reach.
abstract: The medical training model is currently immersed in a process of change. The new paradigm is intended to be more effective, more integrated within the healthcare system, and strongly oriented towards the direct application of knowledge to clinical practice. Compared with the established training system based on certification of the completion of a series or rotations and stays in certain healthcare units, the new model proposes a more structured training process based on the gradual acquisition of specific competences, in which residents must play an active role in designing their own training program. Training based on competences guarantees more transparent, updated and homogeneous learning of objective quality, and which can be homologated internationally. The tutors play a key role as the main directors of the process, and institutional commitment to their work is crucial. In this context, tutors should receive time and specific formation to allow the evaluation of training as the cornerstone of the new model. New forms of objective summative and training evaluation should be introduced to guarantee that the predefined competences and skills are effectively acquired. The free movement of specialists within Europe is very desirable and implies that training quality must be high and amenable to homologation among the different countries. The Competency Based training in Intensive Care Medicine in Europe program is our main reference for achieving this goal. Scientific societies in turn must impulse and facilitate all those initiatives destined to improve healthcare quality and therefore specialist training. They have the mission of designing strategies and processes that favor training, accreditation and advisory activities with the government authorities.
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address: acastellanos@humv.es.
authors.forename: A
authors.initials: A
authors.lastname: Castellanos-Ortega
authors.affiliation: Department of Intensive Care Medicine, University Hospital of Bern, Berna, Suiza.
authors.forename: H U
authors.initials: HU
authors.lastname: Rothen
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario de Móstoles, Móstoles, Madrid, España.
authors.forename: N
authors.initials: N
authors.lastname: Franco
authors.affiliation: Servicio de Medicina Intensiva, Hospital Son Espases, Palma de Mallorca, España.
authors.forename: L A
authors.initials: LA
authors.lastname: Rayo
authors.affiliation: Servicio de Medicina Intensiva, Hospital de Sabadell, Corporació Sanitària Universitària Parc Taulí, Sabadell, Barcelona, España.
authors.forename: I
authors.initials: I
authors.lastname: Martín-Loeches
authors.affiliation: Servicio de Medicina Intensiva, Hospital La Fe, Valencia, España.
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.affiliation: Servicio de Medicina Intensiva, Hospital La Fe, Valencia, España.
authors.forename: J
authors.initials: J
authors.lastname: Cuñat de la Hoz
mesh_terms: D002983:Clinical Competence; D003422:Critical Care; D004501:Education, Medical; D006801:Humans
keywords: Competences; Competencias; Formación especializada; Intensive Care Medicine; Medicina Intensiva; Specialized training