Intensive care medicine
Doctors working in intensive care medicine manage the sickest patients in the hospital: critically ill patients who already have organ dysfunction and organ failure.
They also care for patients at risk of developing such problems and who a require level of care and observation than cannot be offered on a normal ward.
Life in intensive care medicine (ICM)
You will be part of the multi-disciplinary team providing care for these very sick and at risk patients. You will work closely with other doctors, ACCPs (advanced critical care practitioners), nurses, physiotherapists, pharmacists and other allied health professionals. Together this effective and integrated team work to provide continuous, high-quality health care for the sickest and most vulnerable patients in the hospital. The work will include providing organ system support and the investigation, diagnosis and treatment of acutely ill patients.
You'll also learn about patient safety, how to care for patients at the end of their life, how to support their families, and how the intensive care unit (ICU) fits into the rest of healthcare provision.
You will learn to support patients and treat a wide range of conditions:
- heart and cardiovascular failure
- renal failure
- liver failure
- patients with reduced levels of consciousness or neurological impairment
- gastrointestinal failure
- respiratory failure
- sepsis and septic shock
- patients who have been involved in trauma
- acute intoxications and poisoning
- patients recovering from major surgery
- pregnancy related illnesses and complications
Doctors in ICM use practical skills and perform procedures to help monitor and manage their patients. You will need to learn how to assess, monitor and review a patient with, or at risk of developing, critical illness.
You will also learn to support and monitor organs which are failing through:
- cardiovascular system support, by use of fluids, inotropes (drugs that stimulate the heart) and vasopressors (drugs that raise reduced blood pressure)
- respiratory support, using ventilators or other devices to assist breathing
- invasive monitoring, including arterial and central venous cannulation
- airway interventions such as intubation and tracheostomy
- measurement of cardiac output and blood flow around the body
- renal support using kidney replacement therapies (haemodialysis or haemofiltration)
- how to safely transfer critically ill patients for specialist investigations and interventions such as a CT scan
How much can I earn?
You’ll first earn a salary when you start your foundation training after medical school. Find out details of current salary ranges for foundation and specialty training, SAS doctors and consultants on the 'Pay for doctors' page.
How about the benefits?
- make a difference to patients and their families
- work in one of the strongest multidisciplinary teams in healthcare
- excellent supervision during your training
- work flexibly or part-time
- high income early in your career
- work anywhere in the world
- part of an excellent pension scheme
- good holiday entitlement
- NHS discounts in shops and restaurants
Must-have skills
- excellent communication skills to manage a wide range of relationships with colleagues, and patients and their families
- emotional resilience, a calm temperament, and the ability to work well under pressure
- teamwork and the capacity to lead multidisciplinary teams
- inquisitive mind and excellent problem-solving and diagnostic skills
- organisational ability, effective decision-making skills, first class time management and be prepared to learn how to use available resources to benefit your patients
Entry requirements
Your first step is medical school. Typically, you will need excellent GCSEs and three A or A* passes at A level including chemistry for a five-year undergraduate degree in medicine. Many medical schools also ask for biology and others may require maths or physics.
If you already have a degree, you could study for a four-year postgraduate degree in medicine.
You’ll need to pass an interview and admissions test. You’ll be asked to show how you demonstrate the NHS values such as compassion and respect.
Some medical schools look to recruit a mix of students from different backgrounds and geographical areas, so your educational and economic background and family circumstances could be considered as part of your application.
What are my chances of starting a career in intensive care medicine?
There are approximately 783 doctors training in intensive care medicine (ICM) in the NHS in England. In 2021, there were 595 applications for 203 specialty training places.
How to become a doctor in intensive care medicine
After medical school, you’ll join the paid two-year foundation programme where you’ll work in six placements in different settings.
After your foundation programme, you will need to spend three to four years in a paid training programme that provides initial training in ICM. There are several options available: ACCS (Acute Care Common Stem), anaesthesia and internal medicine (IMT). In each of these programmes you will gain experience in intensive care along with experience in at least one other specialty. Spending time in specialties allied to ICM benefits your training enormously by broadening your experience. Remember that patients from all medical specialties and disciplines can need looking after in the intensive care unit when they become very unwell.
On completion of one of these initial training programmes you can apply for paid specialty training in intensive care medicine. You may choose to specialise in ICM alone, or to train in ICM along with another specialty such as anaesthesia, emergency medicine or one of the acute medical specialties (for example acute medicine, respiratory medicine, renal medicine).
You may be able to train part time, for example for health reasons or if you have family or caring responsibilities.
Where a career as a doctor working in intensive care medicine can take you
During higher training in ICM you will have the opportunity to develop a ‘special skill’ or interest during your training. The intensive care medicine curriculum currently includes the following ‘special skills’:
- academic research
- cardiac intensive care medicine
- echocardiography
- extra-corporeal membrane oxygenation
- education
- home ventilation
- neuro intensive care medicine
- paediatric intensive care medicine
- pre-hospital emergency medicine
- quality improvement in healthcare
- transfer medicine
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Consultant in Intensive Care
Oldham, OL1 2JH
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- Northern Care Alliance NHS Foundation Trust
-
Locum Consultant Intensive Care
Maidstone & Tunbridge Wells, ME16 9QQ
- Salary :
- £109725.00 to £145478.00
- Type :
- Locum
- Employer :
- Maidstone and Tunbridge Wells NHS Trust
-
Consultant in Intensive Care
Truro, TR1 3LJ
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- Royal Cornwall Hospitals Trust
-
Consultant in Intensive Care
Maidstone & Tunbridge Wells, ME16 9QQ
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- Maidstone and Tunbridge Wells NHS Trust
-
Consultant in Intensive Care
Boston or Lincoln, PE21 9QS
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- United Lincolnshire Hospitals NHS Trust
-
Consultant in Paediatric Intensive Care
London, SW17 0QT
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- St George's University Hospitals NHS Foundation Trust
-
Consultant in Paediatric Intensive Care
Southampton, SO16 6YD
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- University Hospital Southampton NHS Trust
-
Consultant in Anaesthesia & Intensive Care Medicine
Blackpool, FY3 8NR
- Salary :
- £105504.00 to £139882.00
- Type :
- Permanent
- Employer :
- Blackpool Teaching Hospitals NHS Foundation Trust
-
Locum Consultant in Paediatric Intensive Care
London, SW17 0QT
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- St George's University Hospitals NHS Foundation Trust
-
Consultant Psychiatrist (Home Treatment & Psychiatric Intensive Care)
Bangor, LL57 2PW
- Salary :
- £106000.00 to £154760.00
- Type :
- Permanent
- Employer :
- Betsi Cadwaladr University Health Board
-
Health Care Assistant - Intensive Care Unit
Oldham, OL1 2JH
- Salary :
- £24937.00 to £26598.00
- Type :
- Permanent
- Employer :
- Northern Care Alliance NHS Foundation Trust
-
Senior Clinical Fellow in Intensive Care Medicine (ST3)
Ashford, TN24 0LZ
- Salary :
- £65048.00
- Type :
- Fixed-Term
- Employer :
- East Kent Hospitals University NHS Foundation Trust
-
Band 7 Ward Manager/Sister Intensive Care Unit
Carlisle, CA2 7YH
- Salary :
- £47810.00 to £54710.00
- Type :
- Fixed-Term
- Employer :
- North Cumbria Integrated Care NHS Foundation Trust
-
High Intensity User Care Coordinator
Gloucester, GL2 2FY
- Salary :
- Negotiable
- Type :
- Fixed-Term
- Employer :
- Rosebank Health
-
Consultant Psychiatrist - North Wiltshire Intensive Service
Devizes, SN10 5DS
- Salary :
- £105504.00 to £139882.00
- Type :
- Permanent
- Employer :
- Avon & Wiltshire Mental Health Partnership NHS Trust
-
High Intensity Therapist
North Dorset or PED, DT11 8SW
- Salary :
- £28686.00 to £32826.00
- Type :
- Fixed-Term
- Employer :
- Dorset HealthCare University NHS Foundation Trust
-
362 Intensive Engagement Worker
Hull, HU2 8HP
- Salary :
- £24531.00 to £27603.00
- Type :
- Permanent
- Employer :
- The Alcohol & Drug Service
-
High Intensity CBT Therapist
Shrewsbury, SY1 4RQ
- Salary :
- £47810.00 to £54710.00
- Type :
- Fixed-Term
- Employer :
- Midlands Partnership NHS Foundation Trust
-
Trainee High Intensity Therapist - Counsellor
Liverpool, L2 2AH
- Salary :
- £38682.00 to £46580.00
- Type :
- Fixed-Term
- Employer :
- Mersey Care NHS Foundation Trust
-
Trainee High Intensity Therapist - Leicester
Leicester, LE1 5WW
- Salary :
- £37338.00
- Type :
- Permanent
- Employer :
- Vita Health Group
-
Trainee High Intensity CBT Practitioner
Dudley or Wolverhampton, DY1 1RN
- Salary :
- £38682.00 to £46580.00
- Type :
- Permanent
- Employer :
- Black Country Healthcare NHS Foundation Trust
-
High Intensity CBT Trainee - CAMHs
Bournemouth, BH1 4LB
- Salary :
- £38682.00 to £46580.00
- Type :
- Fixed-Term
- Employer :
- Dorset HealthCare University NHS Foundation Trust
-
Deputy Manager Intensive Support Service
Leatherhead, KT22 7AD
- Salary :
- £39205.00 to £47084.00
- Type :
- Permanent
- Employer :
- Surrey and Borders Partnership NHS Foundation Trust
-
Trainee High Intensity Therapist - Nottingham
Nottingham, NG7 2UH
- Salary :
- £37338.00
- Type :
- Permanent
- Employer :
- Vita Health Group
-
Team Secretary - Autism Intensive Support Team
Truro, TR4 9LD
- Salary :
- £24937.00 to £26598.00
- Type :
- Fixed-Term
- Employer :
- Cornwall Partnership NHS Foundation Trust
-
Trainee High Intensity Cognitive Behavioural Therapist
Shrewsbury, SY1 4RQ
- Salary :
- £38682.00 to £46580.00
- Type :
- Fixed-Term
- Employer :
- Midlands Partnership NHS Foundation Trust
-
IAPT High Intensity Therapist - Talking Therapies
Worcester, WR5 1JG
- Salary :
- £47810.00 to £54710.00
- Type :
- Fixed-Term
- Employer :
- Herefordshire and Worcestershire Health and Care NHS Trust
-
Trainee High Intensity Therapist - Kent and Medway
Kent and Medway, DA12 1AU
- Salary :
- £37338.00
- Type :
- Permanent
- Employer :
- Vita Health Group
-
High Intensity Psychotherapeutic Counselling Trainee (DIT Pathway)
Crouch End, London, N8 8PH
- Salary :
- £35763.00 to £43466.00
- Type :
- Fixed-Term
- Employer :
- Whittington Hospital NHS Trust
-
Talking Therapies PCE CfD - High Intensity Trainee
Worcester, WR5 1JG
- Salary :
- £38682.00 to £46580.00
- Type :
- Permanent
- Employer :
- Herefordshire and Worcestershire Health and Care NHS Trust
-
Talking Therapies Hi Intensity CBT Therapist - Band 7
Rugby, CV21 2AW
- Salary :
- £47810.00 to £54710.00
- Type :
- Permanent
- Employer :
- Coventry and Warwickshire Partnership Trust
-
Band 6 Learning Disability Crisis Intensive Support Team Practitioner
Leicester, LE7 7GX
- Salary :
- £37338.00 to £44962.00
- Type :
- Permanent
- Employer :
- Leicestershire Partnership NHS Trust
-
Speciality Doctor in Special Care Dentistry
London, WC1E 6DG
- Salary :
- £61542.00 to £99216.00
- Type :
- Permanent
- Employer :
- University College London Hospitals NHS Foundation Trust
-
Specialty Doctor in Care of the Elderly
Boston, PE21 9QS
- Salary :
- £61542.00 to £99216.00
- Type :
- Permanent
- Employer :
- United Lincolnshire Hospitals NHS Trust
-
Specialty Doctor in Adult Mental Health Urgent Care
Middlesbrough, TS4 3AF
- Salary :
- £61542.00 to £99216.00
- Type :
- Permanent
- Employer :
- Tees Esk and Wear Valleys NHS Foundation Trust
-
Senior Lecturer Doctorate Social Work and Social Care
London, NW3 5BA
- Salary :
- £64156.00 to £71148.00
- Type :
- Fixed-Term
- Employer :
- Tavistock and Portman NHS Foundation Trust
-
Consultant Midwife Intrapartum Care
London, E11 1NR
- Salary :
- £80025.00 to £91336.00
- Type :
- Permanent
- Employer :
- Barts Health NHS Trust
-
Consultant in Critical Care
Blackburn, BB2 3HH
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- East Lancashire Hospitals NHS Trust
-
Trust Doctor (ST3+) in Cardiothoracic Anaesthesia and Critical Care
London, EC1A 7BE
- Salary :
- £44170.00 to £67610.00
- Type :
- Fixed-Term
- Employer :
- Barts Health NHS Trust
-
Urgent and Inpatient Care Consultant Psychiatrist
Torquay , TQ2 7AA
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- Devon Partnership NHS Trust
-
Care of the Elderly Consultant
Cramlington, NE23 6NZ
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- Northumbria Healthcare NHS Foundation Trust
-
Consultant Psychiatrist in Acute Care
Bodelwyddan, LL18 5UJ
- Salary :
- £91722.00 to £119079.00
- Type :
- Permanent
- Employer :
- Betsi Cadwaladr University Health Board
-
Consultant In palliative Care Medicine
Cottingham, HU16 5JQ
- Salary :
- £105504.00 to £139882.00
- Type :
- Permanent
- Employer :
- Hull University Teaching Hospitals NHS Trust
-
Consultant in Special Care Dentistry
Chesterfield, S40 2AB
- Salary :
- £105504.00 to £139882.00
- Type :
- Permanent
- Employer :
- Community Dental Services CIC
-
Locum Consultant and Specialty Doctor BANK
Oxford/Bucks, OX3 7JX
- Salary :
- Negotiable
- Type :
- Bank
- Employer :
- Oxford Health NHS Trust
-
Consultant in Care of The Elderly
Sunderland, SR4 7TP
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- South Tyneside and Sunderland NHS Foundation Trust
-
Consultant Physician Care of the Elderly
Barnsley, S75 2EP
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- Barnsley Hospital NHS Foundation Trust
-
Specialist Doctor/Locum Consultant in Radiology - Neuro
Winchester, SO22 5DG
- Salary :
- £100870.00 to £145478.00
- Type :
- Locum
- Employer :
- Hampshire Hospitals NHS Foundation Trust
-
COMMUNITY CONSULTANT PAEDIATRICIAN & NAMED DOCTOR FOR SAFEGUARDING
London, E17 3LA
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- NELFT North East London Foundation Trust
-
Consultant General Paediatrics & Named Doctor Children’s Safeguarding
London, SE5 9RS
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- King's College Hospital NHS Foundation Trust
-
Elderly Care Consultant with Special Interest in Acute Geriatrics
Dorchester, DT1 2JY
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- Dorset County Hospital NHS Foundation Trust
-
Consultant in Health Care for Older People
Sutton Coldfield, B75 7RR
- Salary :
- £109725.00 to £145478.00
- Type :
- Permanent
- Employer :
- University Hospitals Birmingham NHS Foundation Trust
-
Locum Consultant in Paediatric High Dependency Care
Manchester, M13 9WL
- Salary :
- £109725.00 to £145478.00
- Type :
- Fixed-Term
- Employer :
- Manchester University NHS Foundation Trust
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These organisations have further information about being a doctor in intensive care medicine, particularly as your career progresses. Take a look.
Royal College of Physicians of Edinburgh
Royal College of Physicians and Surgeons of Glasgow
The Faculty of Intensive Care Medicine
European Society of Intensive Care Medicine
And hear from people working in intensive care medicine:
A career in intensive care medicine (BMJ)
A consultant in critical and intensive care medicine (HEWM)
Dr Dale Gardiner, consultant in intensive care medicine (HEEM)