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001). There was no statistically significant difference in TIAEs (resident 22%, fellow 20%, and attending 25%; p = 0.34). Desaturation occurred more frequently with residents (60%), compared to fellows and attendings (46 and 53%; p 0.001). In multivariable analysis, adjusted odds ratio of the first-attempt success was 0.18 (95% CI 0.11-0.3 for residents and 0.80 (95% CI 0.51-1.24) for fellows. PTL was not independently associated with adjusted odds of TIAEs or severe oxygen desaturation. Higher PTL was associated with increas