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

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.