CICM First Part study materials
CICM First Part study resources

CICM First Part study guide

CICM First Part · Work through your exam, one topic at a time.

The First Part Examination is one of the assessments administered within the training and education program of the College of Intensive Care Medicine (CICM), the body responsible for intensive care medicine specialist training and education in Australia and Aotearoa New Zealand. It sits within a broader assessment framework that CICM describes as including a mix of in-training evaluations, exams, Workplace Competency Assessments, Observed Clinical Encounters and Formal Projects. The examination is intended for trainees working toward intensive care medicine specialist practice, and the College's training program spans both general and paediatric intensive care, preparing specialists for a full scope of practice. Because the First Part Examination is a knowledge-based hurdle taken early in training, candidates typically prepare by building a structured, spaced revision plan across the core sciences underpinning intensive care, anaesthesia and internal medicine, then testing recall under timed conditions rather than relying on passive reading. The CICM First Part study guide has 4 sections and about 1,331 words.

01

General Intensive Care Medicine: Physiology, Resuscitation and Organ Support

Candidates must be fluent in oxygen delivery and consumption (DO2/VO2), the oxygen-haemoglobin dissociation curve and its shifts, and the determinants of mean arterial pressure. Understand shock phenotypes (hypovolaemic, cardiogenic, distributive, obstructive) and the bedside tools that separate them: lactate, central venous oxygen saturation, capillary refill, echocardiography, and dynamic measures of fluid responsiveness such as pulse pressure and stroke volume variation.

354 words, about 2 min
02

Paediatric Intensive Care: Developmental Physiology and Age-Specific Pitfalls

Paediatric intensive care rests on developmental physiology. Infants have higher metabolic and oxygen consumption rates, limited physiological reserve, and a compliant chest wall with horizontal ribs, predisposing to early fatigue and apnoea.

336 words, about 2 min
03

Anaesthesia and Pain Medicine: Pharmacology, Airway and Analgesia

Candidates must understand the pharmacokinetics and pharmacodynamics of induction agents, volatile agents, neuromuscular blockers, opioids and local anaesthetics. Know the context-sensitive half-time concept, minimum alveolar concentration and factors that alter it, and the triad of anaesthesia: hypnosis, analgesia and muscle relaxation.

331 words, about 2 min
04

Internal Medicine and Related Specialties for the Intensivist

Intensive care questions frequently test internal medicine reasoning. Understand the diagnosis and management of acute coronary syndromes, heart failure and arrhythmias, including the indications for rate versus rhythm control and anticoagulation.

310 words, about 2 min