Attracting Emergency Medicine-Trained Residents to Surgical Critical Care: The Implications From a Nationwide Survey of Emergency Medicine Trainees Interested in Critical Care
Authors' conclusion
Given the complexity of the modifiable barriers for EM-SCC matriculation, a multifaceted approach is necessary to increase matriculants.
Study context
- Population
- Emergency medicine (EM) trainees (residents and fellows) interested in critical care, from 4 national EM societies67 matched
- Participants
- 111 participants
- Exposure
- Fellows vs Residents
- Fellowsn = 42
- Residentsn = 69
- Outcome
- Top factors leading to pathway selection
Methodological detailssurvey, nationwide
- Survey
- Nationwide
Main finding
As reported in the abstract
Top factors for pathway selection
- Top factors: exposure to specialty units, geography and specialty multidisciplinary teams
- p < 0.05
Observational data: associations, not effects.
Secondary outcomes
Intended fields of practice
- Anesthesiology critical care (CC) (26 matched)
- 49
- Medicine CC (29 matched)
- 58
- Neurology CC (1 matched)
- 2
- Resuscitation (1 matched)
- 6
- Surgical critical care (SCC) (8 matched)
- 15
- Non-CC (2 matched)
- 5
Exposure to surgical critical care
- Exposure to EM-SCC fellowships at residency institution
- 28%
- Exposure to surgical intensivists during training
- 42%
- Envisioned practicing in a surgical ICU
- 41%
- No surgical ICU/trauma ICU/trauma service exposure before application season
- 8.2%
- No medical ICU exposure before application season
- 3.2%
Factors for entering CC
- Highest-ranking: intellectual appeal over job opportunities and lifestyle
- P < 0.05
Fellowship program components of interest
- CC knowledge, institutional value of EM/critical care medicine, and ECMO exposure ranked highly
Original publication
Attracting Emergency Medicine-Trained Residents to Surgical Critical Care: The Implications From a Nationwide Survey of Emergency Medicine Trainees Interested in Critical Care. Crit Care Med. Published 31 October 2025. doi:10.
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