摘要Background:We sought to characterize the impact of critical care training pathways on subsequent employment opportunities.Methods:A survey assessing the postfellowship work environment and barriers to employment in a preferred setting was electronically distributed on September 1 6,201 9,to program directors and coordinators at all US adult critical care fellowships with instructions to for-ward it to the prior year's graduates.Results:Data collection was interrupted by the coronavirus disease 201 9 pandemic.Fifty-nine participants were included,reflecting a low rate of return.Most worked in urban areas(76.6％)at academic hospitals(81.7％).Graduates of internal medicine critical care(IMCC)were more likely than pulmonary critical care(PCC)to report their fellowship as a barrier to employment(50％vs 0％;P＜0.05).Emergency medicine graduates were more likely than internal medicine to report their residency as a barrier to employment(83.3％vs 4.6％;P＜0.05).Inability to find a desired position at an academic center(50％vs 5.9％;P＜0.05)and in the preferred metropolitan setting(37.5％vs 0％;P＜0.05)were more common among IMCC than PCC.Conclusion:In this survey of critical care graduates,residency in emergency medicine and fellowship in IMCC were associated with in-creased barriers to finding desired employment.