FFICM Education and Training 5

Question 1

A senior ICM trainee is asked to supervise a junior colleague performing arterial line insertion for the first time. Which supervision level is MOST appropriate?

Accepted Answer

Be present in the same room, providing real-time guidance and ready to take over if needed

Answer

Leave the junior alone with written instructions

Answer

Watch via a video monitor from a separate room

Answer

Allow the junior to proceed after a brief verbal briefing, with supervision only on request

Question 2

In the context of ICM training, what is the FICM's position on less-than-full-time (LTFT) training?

Accepted Answer

Trainees can apply for LTFT training and must complete all competencies within a proportionally extended training period

Answer

It is not permitted under any circumstances in ICM

Answer

LTFT automatically reduces required competency evidence proportionally without time extension

Answer

Only academic trainees are eligible for LTFT training

Question 3

Which of the following BEST describes 'deliberate practice' as it applies to ICM procedural training?

Accepted Answer

Structured repetitive practice with specific performance goals, immediate feedback, and focused error correction

Answer

Performing procedures as frequently as possible during busy clinical shifts

Answer

Watching senior consultants perform procedures without direct participation

Answer

Completing simulation exercises once per year at a mandatory training day

Question 4

A trainee disagrees with a consultant's decision to withdraw treatment for a patient in the ICU. What is the MOST professionally appropriate action?

Accepted Answer

Raise concerns respectfully through appropriate clinical and ethical channels, including seeking a second senior opinion if necessary

Answer

Unilaterally reverse the decision without discussion

Answer

Document disagreement in the patient record and take no further action

Answer

Report the consultant directly to the GMC without internal discussion first

Question 5

What is the main purpose of the Annual Review of Competence Progression (ARCP) in ICM training?

Accepted Answer

To formally review a trainee's progress against curriculum requirements and make decisions about advancement or remediation

Answer

To determine consultant salary increments

Answer

To allocate trainees to hospital posts for the following year

Answer

To conduct a peer review of the training programme itself

Question 6

Which of the following is the MOST important principle when providing constructive feedback to an ICM trainee after a clinical encounter?

Accepted Answer

Balance specific acknowledgement of strengths with clear, actionable suggestions for improvement tied to observable behaviours

Answer

Focus exclusively on what the trainee did wrong to prevent recurrence

Answer

Deliver feedback only in writing to avoid emotional responses

Answer

Wait until the end of the rotation to consolidate all feedback into one session

Question 7

A dual ICM/anaesthesia trainee is approaching the end of training. Which body awards the Certificate of Completion of Training (CCT) that confirms specialist recognition?

Accepted Answer

The General Medical Council

Answer

The Faculty of Intensive Care Medicine

Answer

NHS England

Answer

The Royal College of Anaesthetists