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Research Snapshot Theater: Professional Development and Education, Adult I

Timing Is Everything: Benchmarking Surgical-Trauma ICU Presentations by Provider Experience

Sunday, March 22, 2026
9:45 AM - 10:45 AM Central Time
Location: Connections Central - RST 15

  • Renford Cindass, Jr., MD, FACS

    Atrium Health Carolinas Medical Center, North Carolina

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • PW

    Perry Wiseman, MD

    General Surgery Resident
    Womack Army Medical Center

    Disclosure information not submitted.

  • RB

    Rita Brintzenhoff, MD, FACS

    Surgical Critical Care Fellowship Program Director
    Atrium Health Carolinas Medical Center

    Disclosure information not submitted.

  • AM

    Addison May, MD, MBA, FCCM

    Chief, Acute Care Surgery
    Atrium Health Carolinas Medical Center

    Disclosure information not submitted.

Introduction: Efficient patient presentations are critical to multidisciplinary decision-making during ICU rounds, especially in academic centers with diverse provider experience. No studies have quantified how clinical experience affects presentation duration in a surgical-trauma ICU (STICU). This prospective cohort study benchmarks presentation times by provider experience and identifies areas to streamline rounds without compromising care.


Methods: STICU rounds at a single Level I Trauma Center were observed prospectively from October 2024 to May 2025. Presentation durations were recorded by a single SCC fellow while on service via a custom iPhone app (AI-assisted development). Presentation time spanned from the first clinical statement to the end of the treatment plan. Bedside examinations were excluded. Interruptions paused timing. Total rounds duration spanned from the first clinical statement though the final patient's bedside exam. Providers were categorized as advanced practice providers (APP), postgraduate year (PGY) 1–3, fourth-year medical students (MS4), and APP-Fellows. The primary outcome was presentation duration by provider level; the secondary outcome was total rounds duration.


Results: 1,036 presentations were recorded. Mean (95% CI) total rounds and presentation durations were 188.1 min (178.8-197.4) and 11.0 min (10.6-11.4), respectively. Presentation times differed significantly by provider (APP: 9.0 min [8.6-9.4]; PGY1: 11.2 min [10.5-11.9]; PGY2: 13.5 min [12.5-14.4]; PGY3: 11.6 min [9.1-14.1]; MS4: 18.5 min [14.2-22.9]; APP-Fellow: 15.3 min [13.1-17.4], p< 0.001). APP presentations were significantly shorter than all trainees (p < 0.002). PGY2 presentations exceeded PGY1 by 2.3 min (95% CI, 0.5-4.0, p=0.003). PGY3 times did not significantly differ from other groups.


Conclusions: This study provides the first quantitative benchmark across multiple provider levels in a STICU. APPs complete faster presentations likely due to EMR familiarity and concise plan presentations, and PGY2s tend to present more complex patients at our institution. This study highlights an experience-dependent efficiency gap that can target educational interventions (e.g., structured templates, early rotation orientation, EMR restructuring and optimization) to improve efficiency without affecting patient care.