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where their directors thought exposure was insufficient (five cases per faculty per year) and those where their directors thought exposure was sufficient (seven cases per faculty per year) Data from tertiary PEDs have similarly shown lowfrequency exposure to TI for PED faculty, with fewer than half of PED faculty performing TI during a year of typical clinical experience, and supervising TI performance a median of four times per year Published data on exposure to pediatric TI among trainees in pediatrics and pediatric EM also show scant—and possibly diminishing—experience Multiple studies have shown that pediatric residents are exposed to opportunities for attempting TI less often A study of video-recorded TI attempts from a tertiary PED demonstrated success rates of 33% for residents and 50% for PEM fellows Multihospital registry data on pediatric TI in the ICU have shown a significant positive association between residents attempting TI and the occurrence of adverse events In 2013, the Accreditation Council for Graduate Medical Education removed nonneonatal TI from the core competencies for house staff training in pediatrics Finally, while historically reported as uncommon, physiologic deterioration during intubation may be more common than previously appreciated in children In the previously mentioned study of video-recorded cases of pediatric emergency intubation, oxyhemoglobin desaturation (defined as pulse oximetry of

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