The suggestions and guidelines below are intended to assist you in planning for your course. The FDM Coordinator at the Society of Critical Care Medicine (SCCM) will also be happy to answer questions or to discuss your plans with you.
If you are a NEW FDM course site please submit an FDM Course Application using the interactive PDF form. Existing FDM sites should use the Fundamentals Portal to order site licenses and books.
- ICU microcosm with disaster medical response
- Augmenting critical care capacity during a disaster
- Mass casualty burn care and critical care management of conventional explosion
- Critical care response to natural disasters and mass casualty crush syndrome
- Critical care during epidemics
- Critical care management of radiological exposures
- Special populations: caring for critically ill children and chronically critically ill people during disasters
- Sustained mechanical ventilation outside traditional ICUs
- Disaster triage and allocation of scarce critical care resources
- Personal protective equipment and procedures
- Alternative positive pressure ventilation
- Fluid-impervious gowns
- Powered air purifying respirator
- N95 respirators (ideally in multiple sizes)
- Face shields
- Mannequin that can undergo endotracheal intubation
- Portable negative pressure with HEPA filter unit
- Test lung
- Impact Uni-vent Eagle 754 ventilator (if possible, in kits similar to Strategic National Stockpile), with ventilator circuit
- LTV-1200 with ventilator circuit, external PEEP valve or similar model
- Oxygen cylinder with 50-55 psi connection on cylinder
Course Design and Responsibilities
Modular design concept: The curriculum is presented as a series of largely independent subject sections or modules. This organization allows emphasis or de-emphasis of some modules according to the existing knowledge base of the participants. It is important to remind the participants that the post-test will include items from all areas of the text, lectures, and skill stations. Thus, the FDM textbook should be carefully read so that participants may attain a minimum score of (70%) on the post-test to successfully complete the course.
Although this course is normally given in one day, it is possible to have a modular schedule and spread the course over a longer period, if that seems necessary.
Instructor latitude: To assure the quality and integrity of the standardized FDM curriculum, instructors must present the course content according to the textbook, instructor slides, and skill station lesson plans. Personal bias should not be revealed.
FDM consultant: An SCCM-approved consultant experienced in the delivery and management of the FDM program serves as a planning and on-site resource to the course director. The FDM course consultant is required for the first course only.
Course director: An SCCM-approved FDM director or candidate assumes faculty leadership and assures the course is conducted according to SCCM standards. The course director responsibilities include:
- Assumes full responsibility for course quality.
- Determines pass/fail standards for skill stations, attendance and other aspects of the course, except for the post-test.
- Presents introductory lecture reviewing purpose of course and expectations of participants (70% correct on post-test; satisfactory passing of skill stations) and Is present for the duration of the course.
- Issues the final decision during any conflicts throughout the course and is the liaison to SCCM for any appeal/grievance initiated by participants. Assumes responsibility for approving pre-course planning, course coordination, arrangements, etc.
Faculty: Please see instructor criteria. A minimum of three faculty members is logistically necessary to conduct the course. SCCM requires at least two SCCM-approved FDM instructors on the faculty for any FDM course. SCCM recommends 50% of the faculty be FDM trained. The other 50% of the faculty should be from the sponsoring institution and represent as many specialties as possible. A multiprofessional approach is recommended.
Course coordinator: Manages the clerical and logistical responsibilities of the course. The FDM coordinator for the licensed sponsor needs to work closely with the FDM coordinator in the SCCM office and an experienced course manager. The course director must be immediately available for assistance once a course has been approved.
Continuing Medical Education Credit
SCCM does not have direct involvement in traditional, live, licensed courses (coordination of faculty, participants, budgets, etc.); therefore, SCCM cannot take responsibility for issuing CME/CE credit to course participants. If the hospital or course sponsor is a national or state-accredited CME/CE provider, CME/CE credit may be issued for the course. Typical credit for a one-day course would be 8.00 CME for physicians, 8.0 contact hours for nurses and pharmacists.
The Society of Critical Care Medicine does offer 6.5 hours of continuing education credit for physicians, nurses and pharmacists who particpate in the Self Directed or online licensed versions of the course with the integrated skills stations.