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658: “MY BIGGEST CONCERN…”: TRANSITIONING FROM FELLOW TO FACULTY

Learning Objectives: The importance of training in professional and career development during Graduate Medical Education is increasingly acknowledged, but to date is not specialty specific. There is a lack of published data on assessment of career development needs for trainees who are transitioning to their first job in Critical Care Medicine (CCM). We sought to evaluate the career-oriented concerns of CCM professionals during transition from training to their first job. Methods: We conducted a survey during the In-training session of the SCCM Annual Congress in 2015. Participants were asked to write down their two principal concerns when considering the transition from training to first CCM job. Responses were examined for themes. Results: 59 participants of the session responded with a total of 81 concerns. Six themes emerged: Concerns related to competency, logistics, new responsibilities, administration, End of Life (EOL) care and work-life balance. The most common was competency related (41 %)perception of new colleagues, fear of inadequate clinical competence, earning support and trust of senior staff. The second most common area was related to logistics (20%) learning the hospital infrastructure, policies, efficient documentation and billing. Demands of new responsibilities -leading evidence-based rounds for trainees or making decisions leading to a bad outcome was third on the list (18%). Administrative concerns (10%) centered on juggling multiple responsibilities and taking on a leadership role in the ICU was fourth. EOL care concerns (6%) related to provision of futile care and making EOL decisions was next. Interestingly, work-life balance concerns such as work hr, burnout and inadequate time with the family was least likely to be mentioned (5%). Conclusions: Career-related concerns on transition from training to first job are common among critical care professionals and are varied, the commonest being related to overall competency. These observations may form the foundation for a broad assessment of attitudes related to transitioning from trainee to faculty and to better prepare junior intensivists.