A presentation by Gisli Sigurdsson at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine. All available content from SSAI2017: https://scanfoam.org/ssai2017/ Delivered in collaboration between scanFOAM, SSAI & SFAI.

1. Gisli H Sigurdsson,
Reykjavik

2.  Started in 1998
 2 year program: 5 four day courses
 17th program started in Jan 2017
 18th program expected to start in Jan 2018
 Admit 20 - 30 candidates per yr
 All Scandinavian countries have participated
 Except….

3.  440 have finished the program
 Now most major Scandinavian ICUs are run
by former participants of the program
 Scandinavian intensive care medicine is in the
international forefront clinically.
 The network created is functional.

4.  Two years of clinical training in different
kinds of ICUs,
 Participation in 5-6, 4-day courses held in
the different Scandinavian countries,
 Tutor system
 Networking.

5.  Exchange program with university clinics in other
countries (2002)
 European Diploma of Intensive Care Medicine (EDIC I
& II) examination (2002).
 ICU research project (2007-09)
 European educational material (PACT) (2008-10)
 European curriculum in intensive care (COBATRICE)
(2009-11)
 European logbook (CobaFolio) (2010-15)
 EDIC I examination before application to the program
– The NEW Program

6.  Despite apparent appreciation of the
program,
 judged by a large number of participants and
positive course evaluations
 the SSAI-IC Steering Committee decided to
revise the program.

7. Revision of the SSAI-IC program

8. Revision of the SSAI-IC program:
The extended expert group

9.  European Diploma in Intensive Care Part I
(EDIC I) is requested before application.
 Basics are expected to be known from
 Textbooks,
 Cobatrice,
 PACT and
 EDIC I.

10.  Prepare the next generation ICU specialists and
ICU directors in Scandinavia for their ever more
complicated tasks.
 Further integration with Europe (ESICM)
COBATRICE, PACT, EDIC.
 However this will not change the old goals such
as “networking”.

11.  Although the majority of participants in the
SSAI-IC program has come from university
hospitals in the past, many come from larger
district hospitals.
 It is still an important goal of the program to
also provide doctors that work with intensive
care outside the university hospitals
opportunity for comprehensive training which
includes access to university hospital training
in intensive care medicine.

12.  Greater focus is being put on
◦ interactive problem oriented presentations,
◦ hot topics,
◦ pro – contra,
◦ controversies etc.
◦ more pre-course preparation and greater active
participation
 The content of the program has been adapted to the
needs of Scandinavian intensive care medicine.
 Academic focus has been sharpened.

13.  34 applicants in Sep 2016 for the 17th program
30 were accepted and started 1 Jan 2017

14.  Denmark 5,
 Finland 2,
 Iceland 1,
 Norway 3,
 Sweden 19

15.  More motivated participants
 More active participants

16. □1 Completed 2 year training in host clinic(s):
…………………………….……………………from……………to…………………
…………………………….……………………from……………to…………………
…………………………….……………………from……………to…………………
…………………………….……………………from……………to…………………
□ 2 CoBaTrICE Portfolio (optional)……………..
□3 Completed SSAI-IC courses:
 Stockholm/Uppsala, Date: ……………..
 Copenhagen, Denmark Date: ……………..
 Gothenburg, Sweden Date: ……………..
 Bergen, Norway Date: …………….
 Reykjavik, Iceland Date: ……………...
□4 Completed “ICU project” Manuscript date……………
Project title: ……………………………………………………….… ………………
□5 EDIC II……………date
□6 Completed clinical exchange program in another country
Clinic…………………………….……………from……………to………………

Clinic…………………………….……………from……………to……………
□7 Membership in SSAI from……………to…………………

17.  Most participants finish all requirements of the
program except
 foreign exchange stay
 and/or
 Final examination EDIC
 Renewing the Steering Committee
 Training the trainers

18.  In April 2015 the Icelandic health authorities
formally recognized the SSAI-IC fellowship
program in intensive care medicine.
 That qualifies anesthesiologists for
subspecialty title in intensive care medicine.

19.  The program has now been run for almost
two decades and 440 have finished the
program
 During this time the program has developed
and become more demanding for the
participants
 Still there appears to be great interest in
participating and
 heads of ICU departments continue to
support their doctors who are interested in
joining the program

20. That’s all folks
Gisli H Sigurdsson
Landspitali University Hospital
Reykjavik Iceland

21. Questions - Comments
Gisli H Sigurdsson
Landspitali University Hospital
Reykjavik Iceland

22.  The basic specialty training in anesthesia and
intensive care medicine has developed and
improved in recent years, so that more of the
formal knowledge required in the SSAI-IC
program is covered during that training.
 The need for the future is to strengthen the
competence to extract evidence from the
current literature and presentations at
meetings.
 To meet this extended aim the program
needs to be reorganized.

23.  The ICU project
◦ Project proposal in the application
◦ Presentation of projects at the first course in
Uppsala/Stockholm.
 Discussion
Final presentation at the last course in Reykjavik