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INTRODUCTION: 20-40% of ICU admissions require mechanical ventilation in the US. Indications for mechanical ventilation, often represent more serious illness, requiring a more comprehensive discussion during patient rounds. Palliative medicine focuses on improving communication, quality of life, and symptom support. Palliative care discussions in the ICU may be beneficial in providing a quality patient-centered approach to critically-ill patients. The objective of this study was to determine if there was a difference in the frequency of discussion of palliative domains during ICU teaching rounds in the care of mechanically ventilated (MV) patients vs non-MV patients.