Be careful when you say closed. Generally only MICUs are closed; the main criterion is who calls the shots,. Many times it's still the surgeon. There are exceptions to this rule, but only in few places.
To quote one of the surgeons I overheard talking to a SICU resident: "The surgical team is primary and takes most decisions, but you are the ICU team, so you get to micromanage, based on the surgical team's plan." That's the definition of an open unit, regardless how it's officially labeled.
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Your Residency ICU: Is it open or closed? A List.
