Supporting Information
1. CORE TRAINING ROUTE AND QUALIFICATIONS
Please use this section to inform the Intensive Care Medicine National Recruitment Office of your eligibility to apply by selecting which core training route and which qualifications you will be using to apply for ICM. As stated in the ICM person specification, applicants must have the qualifications that relates to and assesses their core programme (e.g. MRCP for Internal Medicine Training or ACCS Internal Medicine)
Please select which core training entry route you will be using to prove your eligibility:
- Core Anaesthetics/ACCS Anaesthetics
- Core/Internal Medicine or ACCS Internal Medicine Training
- ACCS Emergency Medicine
- Anaesthetics Equivalence
- Core/Internal Medicine or ACCS Internal Medicine Training Equivalence
- ACCS Emergency Medicine Equivalence
- ACCS Emergency Medicine DRE-EM
2. ADDITIONAL UNDERGRADUATE DEGREES AND QUALIFICATIONS
Please list any additional completed undergraduate qualifications with dates. Include intercalated BSc/ equivalent degree here, if you have one. Do not include details of your pre-university school education/ exam results.
If you do not have any additional undergraduate degrees and qualifications please add and just enter none
For each qualification enter:
- Name
- Qualification
- Place of Study
- Grade / Result
- Date Completed
3. POSTGRADUATE DEGREES AND QUALIFICATIONS
Please give details of any completed postgraduate medical qualifications/ other degrees/ diplomas/ certificates (e.g. MD, MRCP, etc.). Where a qualification is partly completed please state your exam status e.g. MRCP (Part 1) etc. For an MD please state whether this is linked to your primary medical qualification or the result of an independent research thesis. Please include here any relevant qualifications listed as desirable on the person specification.
If you do not have any postgraduate degrees and qualifications please add and just enter none
For each qualification enter:
- Name
- Subject / Qualification
- Place of Study
- Grade / Result
- Date Completed
4. ADDITIONAL ACHIEVEMENTS – PRIZES, AWARDS, AND DISTINCTIONS
Prizes, awards, and other distinctions (please include specialty and qualifying distinction). Please indicate whether these were awarded to you as an undergraduate or postgraduate.
If you do not have any additional achievements please add and just enter none
For each prize/award/distinction enter:
- Name
- Prize/Award/Distinction
- Awarding Body
- Date Completed
5. TRAINING COURSES ATTENDED
Include in this section the most relevant training courses to this specialty that you have attended and details of courses that you are currently undertaking. Please include any Advanced Life Support or similar courses mentioned in the Person Specification.
If you do not have any training courses please add and just enter none
For each course enter:
- Name
- Course Title
- Training Provider
- Duration of Course
- Date Completed
Self-Assessment
1. ST3 SELF ASSESSMENT
Please note: Unless stated otherwise, all domains are measured as at the time of application
Additional Degrees & Qualifications
- I have no additional degrees or qualifications : 0
- I have a partially completed postgraduate qualification, that has not been used for application eligibility (e.g. MRCP part 1 as non-physician) Note – Not including EDIC which is counted in Domain 8 : 1
- I have a full postgraduate qualification, that has not been used for application eligibility (e.g. full MRCP for non-physician) Note – Not including EDIC which is counted in Domain 8 : 2
- I have a Masters level degree e.g. MSc, MPhil or equivalent in addition to time spent and qualifications gained as part of my original medical degree Note – excluding qualifications scored in Domain 6 – Teaching skills or Domain 8 – Achievements specific to ICM training : 3
- I have a PhD or postgraduate MD (UK definition) – 2 years original research or equivalent in addition to time spent and qualifications gained as part of my original medical degree : 4
Additional Achievements and Prizes relevant to medicine
- I have no additional prizes or distinctions : 0
- I have one or more poster prizes OR other undergraduate prizes : 1
- I was awarded an overall distinction/honours in my original medical degree (within top 18% of cohort) : 2
- I have a prize or award at postgraduate level by a regional medical organisation : 3
- I have a prize or award at postgraduate level by a national or international medical organisation : 4
Publications (excluding audit, and publication of posters)
- I have no publications or abstracts : 0
- I have been co-author on one or more publications that are NOT PubMed-cited. This includes letters, e-publications, e-learning modules, case reports etc. : 1
- I have been first author on one or more publications that are NOT PubMed-cited. This includes letters, e-publications, e-learning modules, case reports etc. : 2
- I have been co-author on a commissioned chapter in a published medical book OR I have been co-author on a PubMed-cited publication : 3
- I have been first author on a commissioned chapter in a published medical book OR I have been first author on a PubMed-cited publication : 4
Presentations (excluding teaching trainees/ students)
- I have not made any presentations or shown any posters : 0
- I was first or second author on a poster presented at a local or regional medical meeting : 1
- I was first or second author on a poster displayed at a national or international medical meeting : 2
- I was first or second author on a poster presented orally at a national or international medical meeting – this includes side sessions, poster presentation sessions : 3
- I have presented orally in the main auditorium at a national or international medical meeting : 4
Clinical audit and quality improvement projects
- I have not participated in any audit or quality improvement projects : 0
- I have participated in a completed audit or quality improvement project (e.g., local data collection) : 1
- I have designed or led a completed audit or quality improvement project : 2
- I have designed or led an audit or quality improvement project which has resulted in a demonstrable improvement OR I have led a regional collaborative multi-centre project : 3
- I have led a national or international collaborative multi-centre project : 4
Teaching Skills
- I have no experience of delivering teaching and I have no training in teaching methods : 0
- I have taught healthcare professionals or medical students with evidence of formal, positive feedback OR I have attended a basic teaching methodology course : 1
- I have provided regular teaching as part of a course for healthcare professionals or medical students with evidence of formal/positive feedback OR I have been certified as an instructor for a postgraduate medical course : 2
- I have designed or led a regional teaching programme consisting of multiple sessions with evidence of formal, positive feedback OR I have completed over half of a formal teaching qualification (e.g. PGCertEd) : 3
- I have designed or led a national or international teaching programme consisting of multiple sessions with evidence of formal, positive feedback OR I have completed a formal higher teaching qualification (e.g. PGCertEd) : 4
Progress through training and Excellence
- I do not have any educational supervisor reports which contain reference to performance that is excellent / at a high level / above the usual expected : 0
- I have one or more educational supervisor reports which contain reference to performance that is excellent / at a high level / above the usual expected : 2
- My educational supervisor reports cover every year of my training (UK and/or overseas) and every report contains a reference to performance that is excellent / at a high level / above the usual expected : 4
Achievements Specific to ICM Training
- I have no additional achievements specific to ICM training : 0
- I have evidence of CPD of benefit to working in ICM e.g. regional or national ICM meetings : 1
- I have 2 or more ICM related courses (e.g. critical care transfer course) OR I have completed a qualification in Point of Care Ultrasound : 2
- I have completed more than one qualification in Point of Care Ultrasound OR I have completed an ICM specific postgraduate qualification e.g. EDIC, ICM PgDip or PgCert : 3
- I have an ICM specific Masters level degree or above e.g. MSc, MPhil or PhD, in addition to time spent and qualifications gained as part of my original medical degree OR I have completed accreditation with The British Society of Echocardiography or equivalent : 4
Leadership and management
- I do not have any leadership or management experience : 0
- I have held a local or regional leadership or management role for 6 months or more and I can demonstrate I made a positive impact : 2
- I have held a national or international leadership or management role for 6 months or more and I can demonstrate I made a positive impact : 4