All applications will be assessed against the essential criteria outlined in the 2027 Intensive Care Medicine (ICM) ST3 Person specification.

Intensive Care Medicine (ICM) ST3 Person specification.

Applicants that fail to demonstrate that they meet all the essential criteria by the closing date for applications will not progress any further.

It is the applicant's responsibility to fully demonstrate their eligibility for the post applied for.

Assessment of Core Competencies

It is an essential eligibility requirement that applicants hold the appropriate level of core competences in their core route to be able to apply. 

Entry routes

You can enter Intensive Care Medicine higher specialist training through one of three core-level specialty training routes:

  • Anaesthesia
  • Emergency Medicine
  • Internal Medicine

Applicants from an Anaesthetics background

Single ICM CCT after 2 years of core-level Anaesthetics training

You must have achieved CT1 and CT2 competences from a UK Anaesthetics core training programme by the advertised post start date. You can provide evidence through one of the following routes:

  • You are currently employed in a UK Anaesthetics core training programme at CT2 level when you apply. You must submit with your application evidence of ARCP Outcome 1 for CT1 and confirmation from your Educational Supervisor/ College Tutor that you are on track to complete CT2. ARCP Outcome 1 for CT2 is mandatory before you start ICM higher specialist training
  • You have successfully completed CT1 and CT2 in a UK Anaesthetics core training programme. You must submit ARCP Outcome 1 for both CT1 and CT2 with your application

All other applicants from an Anaesthetics background applying for single or dual ICM CCT training

You must have achieved the Stage 1 Domains of Learning in Anaesthetics and Intensive Care Medicine, including the Initial Assessment of Competency, or equivalent. You can provide evidence through one of the following routes:

  • You are currently employed in a UK Core Anaesthetics or ACCS Anaesthetics training programme when you apply, and the programme will lead to achievement of all required Stage 1 Domains of Learning by the advertised post start date. This must be evidenced by a Stage 1 Certificate or Stage 1 Equivalence Certificate; or
  • You have completed a UK Anaesthetics or ACCS Anaesthetics Core Training Programme by the time of application. This must be evidenced by a Stage 1 Certificate or Stage 1 Equivalence Certificate; or
  • You are currently employed in a UK Anaesthetics non-training-grade post when you apply and have achieved all required Stage 1 Domains of Learning by the time of application. This must be evidenced by a Stage 1 Certificate or Stage 1 Equivalence Certificate by the time of application; or
  • If you have not completed a UK core training programme, you must use the Confirmation of Stage 1 Equivalence Certificate and have all required competencies by the time of application
  • If you have taken time out, worked out of programme, completed a fellowship or undertaken research, a Basic Level Training Certificate (BLTC) or Core Level Training Certificate (CLTC) for Anaesthesia dated on or before August 2021 may be accepted for consideration for entry to a single ICM CCT

Experience

By the advertised post start date, you must have at least 24 months of experience in Anaesthetics and/or Intensive Care Medicine, excluding Foundation modules. At least 18 months should be in Anaesthetics.

Professional examination

You must have passed all components of the primary Fellowship of the Royal College of Anaesthetists (FRCA) by the offer date.

Applicants from an Emergency Medicine background

Capabilities and competences

You must have achieved CT1/ST1, CT2/ST2 and CT3/ST3 ACCS Emergency Medicine competences by the advertised post start date. You can provide evidence through one of the following routes:

  • You are currently employed in a CT3/ST3 Emergency Medicine training programme that will lead to successful completion of ST3 competences by the advertised post start date
  • You have successfully completed a UK ACCS Emergency Medicine programme. You must submit evidence of a satisfactory ARCP outcome with your application
  • You submit a completed Alternative Certificate of Readiness to Enter Higher Emergency Medicine Specialist Training at the time of application

Experience

You must have evidence of 36 months of training at CT1/ST1, CT2/ST2 and CT3/ST3 level in ACCS specialties. This must include at least:

  • 12 months in Emergency Medicine
  • 3 consecutive months in Acute Medicine
  • 6 consecutive months in Anaesthesia
  • 6 consecutive months in Intensive Care Medicine
  • 3 consecutive months in Paediatric Emergency Medicine

Each period of experience must be gained in a post specifically within the named specialty and not in a post combined with another specialty.

For posts that are not GMC-approved for Emergency Medicine or ACCS training, you must submit both of the following at the time of application:

All required ACCS Emergency Medicine experience must be gained and evidenced by the time of application.

Professional examination

By the offer date, you must have either the Royal College of Emergency Medicine (MRCEM) or the Royal College of Emergency Medicine (FRCEM) Intermediate Certificate.

Applicants from an Internal Medicine background

Capabilities and competences

You must have achieved the capabilities required by completion of year 2 of the Internal Medicine Stage 1 curriculum. You can provide evidence through one of the following routes:

Experience

By the advertised post start date, you must have sufficient whole-time-equivalent experience in medical specialties, excluding Foundation-level experience. This can be demonstrated by completing 1 of the approved training routes listed in the person specification or by having at least 24 months of whole-time-equivalent experience in medical specialties, including at least 12 months care of acute medical in-patients. Experience in certain acute care common stem specialties can be counted towards the 24 months in some circumstances.

Professional examinations

You must have any of the following:

  • MRCP(UK) Part 1 at the time of application and the full MRCP(UK) diploma by the offer date
  • Completion of Irish Basic Specialty Training in Medicine and the full Membership of the Royal College of Physicians of Ireland (MRCPI) diploma by the offer date

Key evidence deadlines

  • At the time of application
    • Examples of requirements: Certificates and evidence specifically required with the application, including applicable ARCP evidence and alternative certificates
  • By the offer date
    • Examples of requirements: Primary FRCA for Anaesthetics applicants; MRCEM or FRCEM Intermediate for Emergency Medicine applicants; applicable full physician diploma requirements for Internal Medicine applicants
  • By the advertised post start date
    • Examples of requirements: Capabilities, competences and experience where the person specification expressly allows completion by the post start date

Document upload

As applicants progress through the recruitment process, they may be required to upload additional evidence to their application on Oriel to allow ICMNRO to assess their eligibility. If applicants are required to do this, then to help ICMNRO, the following steps must be followed.

Applicants must:

  • Ensure that the document is appropriately named
  • Ensure the document is uploaded to the correct section
  • Upload the document as one single upload and not as multiple pages where possible
  • Ensure all required documentation is uploaded by the set deadlines

ICMNRO reserves the right to request re-submission of documentation if the above process is not followed.

Important: Applicants are advised not to upload anything other than documents to support the longlisting process at this stage.

Page last reviewed: 5 November 2026
Next review due: 5 November 2028