The intensive care medicine resident doctors undertake training in various areas: emergencies, medical specialities, surgery and, mainly, high-acuity areas, such as the General Intensive Care Unit and the Traumatology and Burns.

Its caring activities are characterised by a constant presence in high-acuity areas, as well as hospital duty shifts throughout the residency. Residents are therefore familiarised with intensive care medicine and acquire the ability to address the problems of critical patients and carry out necessary therapies from the first day of their residencies. They learn the basics of haemodynamics, mechanical ventilation, extracorporeal treatment, the pharmacological management of vasoactive drugs and antibiotics, among other things. Furthermore, they are an essential part of the cardiorespiratory arrest emergency and care team.

The acquisition of the speciality's specific skills is complemented by training in cross-cutting abilities, such as communication, teamwork and leadership, which allows residents to progressively acquire autonomy, always under the supervision of the appropriate specialists.

We are a teaching unit with various research groups, including the Respiratory Pathology, Sepsis, Haemodynamics, Infections, Neurocritical Patients, Renal Medicine, Polytrauma and Burns Group. In the Vall d'Hebron Research Institute (VHIR), we are represented by the SODIR (Shock, Organic Dysfunction and Resuscitation) Group, which is very active in a wide range of projects and clinical trials. Furthermore, we are part of the UNINN (Neurotraumatology and Neurosurgery Research Unit) and with the Plastic Surgery and Burns group, which are worldwide pioneers in achieving the first full-face transplant and the treatment of burns with enzymatic debridement.

The Department promotes and facilitates the presentation of communications in congresses concerning the speciality and the drafting of articles for the sector's most influential journals, activities which lay the foundations for developing the doctoral theses of their members.

Why practise this speciality at Vall d'Hebron?

• We are one of the Intensive Care Medicine Teaching Units that have a Smart ICU and three monographic ICUs (Post-operative Cardiac Surgery, Polytrauma and Burns) and two semicritical units.
• We are a leading centre for lung transplants, ECMO, spinal cord injuries, burns, oncohematology and serious obstetric pathology. We also have extensive experience with neurocritical patients, with the most advanced neuromonitoring systems.
• From the first day, our residents are always included in all the unit's activities, as it is the first rotation in their training itinerary.
• We develop specific courses for residents, where we include simulation as an essential methodology for their training (technical abilities, diagnostic algorithms and teamwork).
• We are part of the SODIR (Shock, Organic Dysfunction and Resuscitation) research group in the VHIR, which facilitates work with renowned researchers at national and international levels.

Pneumology deals with the physiology and pathology of the respiratory system. Its principle purpose is the study of the aetiology, epidemiology, physiopathology, diagnosis, treatment, prevention and rehabilitation of respiratory diseases. The therapeutic and diagnostic principles of respiratory medicine are similar to those of internal medicine, although there are differences that clearly distinguish each of the specialisations. The most important difference is their reliance on and mastery of specific techniques. Diagnostic techniques include lung function analysis, respiratory or thoracic endoscopy, polysomnography and cardiorespiratory polygraphy; while mechanical rehabilitation and ventilation are used therapeutically.

Why specialise at Vall d’Hebron?

• Because as a participant on the Pneumology training programme you will observe, study and treat patients (hospital admissions and outpatients) with a wide range of respiratory diseases.
• Because at the end of the residency you will be able to show competency and technical expertise in the diagnosis and treatment of a broad spectrum of acute and chronic respiratory conditions, both within and outside the hospital environment.
• Because you will be able to implement programmes related to prevention, healthcare promotion and education with patients, their families and their communities.
• Because you will have come into contact with experimental and/or epidemiological clinical research that will help you approach scientific literature with a critical mindset and develop the foundation for continuous self-learning.