1. The JFICM supervises all advanced training in intensive care medicine. On completion of the Joint Faculty training program, physician trainees will be eligible for Fellowship of the RACP and of the JFICM.
   
   
2. At the completion of the training program, trainees will be expected to have experience and expertise in:

• evaluation and resuscitation of critically ill patients;
• evaluation and management of patients with vital organ and system failures;
  
• physiological monitoring and clinical measurement including complex biochemical and haematological indices;
  
• cardiopulmonary resuscitation;
  
• airway management including translaryngeal intubation and tracheostomy;
  
• invasive haemodynamic monitoring including central venous, arterial and pulmonary artery cannulation and the interpretation and clinical use of derived variables;
  
• advanced respiratory monitoring (respiratory mechanics, arterial blood gases);
  
• communication with critically ill patients and their families;
  
• fibreoptic bronchoscopy;
  
• continuous renal replacement therapy;
  
• mechanical ventilation including a comprehensive range of ventilatory modes and strategies;
  
• tube thoracostomy;
  
• pleural, pericardial and abdominal paracentesis;
  
• transportation of critically ill patients;
  
• enteral and parenteral nutritional support.
  
  

3. It is desirable that trainees also acquire expertise and experience in the indications for and performance of other modalities including:

• intraortic balloon counterpulsation;
  
• echocardiography;
  
• intracranial pressure monitoring;
  
• gastrointestinal endoscopy;
• extra corporeal support techniques including cardiopulmonary bypass, ECMO, ECCO2R and ventricular assisted devices.
  

Project Report
Trainees are required to submit a satisfactory project report during the period of advanced training. Completion of training cannot be certified nor Fellowship recommended until a satisfactory report has been received and appropriately reviewed.

The report must be based on a research project in which the trainee has participated to a significant degree. The trainee must prepare the report as if for publication in a scientific journal. Although publication is not mandatory, it is encouraged and manuscripts submitted for publication may also be submitted as the project report. The project must be substantial; individual case reports are not acceptable. Presentation of the project in an appropriate forum is compulsory. The project report is to be evaluated by the trainee's supervisor. The supervisor's evaluation (including an assurance that the trainee has been a major contributor to the project, is the principal author of the report and has presented the project in a suitable forum) is to accompany the report when submitted. The JFICM will undertake final evaluation.

The relevant documents entitled Formal Project Guidelines and Supervisor's Project Evaluation Report are available from the Secretariat.

Research
Experience in clinical or laboratory research is an essential component of training in intensive care medicine. Knowledge of the principles of EBM is similarly essential. See Project Report for details.

Training Sites
ICUs are accredited on the basis of inspection for 6, 12 or 24 months of core training. While the entirety of core training can be undertaken in a unit classified as 'C24', training in more than one institution is encouraged. Secondment for a period of 3 months from a centre accredited for core training may be possible. Sites accredited for secondment are classified as 'S3'. Only one period of 'S3' training is allowed during the 24 months of core training.

Accreditation of Training Sites
Training site are accredited by the Hospital Accreditation Committee of the Faculty on the basis of cyclical site inspections. Factors relevant to accreditation and to the duration of accredited training in individual sites include the number and case mix of patients, available clinical and educational resources, an appropriate education program and adequate trainee supervision.

Examination
All trainees will be assessed by Written and Clinical Examination. The Faculty Fellowship examination can be undertaken after the completion of one core of advanced training. Successful examination candidacy is a prerequisite for admission to Fellowship of the Joint Faculty and for JFICM support for admission to Fellowship of the RACP.