Hi everyone, I just started my critical care fellowship this past month and I am very unhappy with the lack of teaching & structure in the program. I did a subspecialty fellowship prior to this at an institute that valued teaching and its a huge culture shock for me. In addition, when we rotate in other ICUs - their census is about 25-30 and you are the only fellow available there with no supervision in the afternoon or evening(and no didactics). Some might say its too early to judge but its a culture that seems very pervasive here. I want to essentially transfer to another program but its not easy - I am looking for advice in navigating the situation.