重症医学应当成为独立的临床医学专科，抑或是其他医学专科的亚专科，在国内外均存在争议。但是，目前重症医学的培训模式已逐渐由亚专科模式倾向于专科模式。中国的重症医学培训还处于多模式并存状态，并呈现向重症医学专科培训方向发展的趋势。目前，重症医学专科培训模式与亚专科培训模式需要寻求合作共赢。

It remains controversial whether the intensive care medicine should be acknowledged as a primary specialty or a subspecialty of other specialties. However, the training model of intensive care medicine has gradually shifted from the subspecialty model to the specialty model worldwide. While in China, we have observed a trend toward specialty training model despite the fact that multiple models co-exist in the field of intensive care medicine. The specialty training model and the subspecialty model will seek for collaboration and win-win situation.