Research Article

Intensive Care Unit Rotations and Predictors of Career Choice in Pulmonary/Critical Care Medicine: A Survey of Internal Medicine Residency Directors

Table 1

Program and rotation characteristics.

TotalUniversityCommunity valueǂ

Residency/ICU characteristics
Urban location, n (%)70 (65.4)49 (80.3)21 (45.7)<0.001
Class size, median (IQR)20 (12–30)25.5 (18–38)12 (9–16)<0.001
ICU > 20 beds, n (%)57 (53.8)38 (62.3)19 (42.2)0.05
Primary MICU, n (%)58 (54.2)39 (63.9)19 (41.3)0.03
Closed ICU, n (%)73 (68.2)54 (88.5)19 (41.3)<0.001

Education and the ICU rotation
Formal curriculum, n (%)92 (86.0)55 (90.2)37 (80.4)0.17
Online curriculum, n (%)58 (57.4)32 (57.1)26 (57.8)1.00
Extremely likely to receive formal training in invasive procedures, n (%)62 (57.9)37 (60.7)25 (54.4)0.56
Residents serve as code leaders, n (%)75 (70.8)42 (70.0)33 (71.7)1.000
Percent of time on rounds spent teaching, median (IQR)30 (20–50)27.5 (20–33)33 (25–50)0.02
Total months of ICU rotations, median (IQR)5 (3–5)5 (3.5–5.5)4.25 (3–5)0.71
Central lines performed, median (IQR)10 (5–15)10 (6–12)8 (5–17.5)0.25

Team structure
More than one attending per team, n (%)18 (17.0)10 (16.7)8 (17.4)1.00
Programs with residents from other specialties, n (%)66 (62.9)50 (83.3)16 (35.6)<0.001
Programs with midlevels, n (%)41 (39.1)30 (50.0)11 (24.4)0.01
Programs with non-PCCM attendings, n (%)23 (21.5)15 (24.6)8 (17.4)0.48
Programs where PCCM most frequently serve as attendings, n (%)100 (94.3)56 (93.3)44 (95.7)0.70
Programs where PCCM are most heavily involved in education and mentorship, n (%)100 (93.5)55 (90.2)45 (97.8)0.24

ǂ values are based on two-sided Fisher’s exact tests for categorical variables and Kruskal–Wallis tests for continuous variables.