Table 1.

Phased Approach to Gastroenterology Training During and After the COVID-19 Pandemic

	Peak Phase	Plateau Phase	Recovery Phase
Hands-on endoscopic training	Eliminate/significantly reduce trainee involvement to decrease exposure/preserve PPE	Introduce trainees to inpatient endoscopy Introduce senior trainees to ambulatory endoscopy	Consider adding trainees to new ambulatory endoscopy sessions (eg, evening and/or weekend sessions)
Consultations	Implement telemedicine for nearly all consultations (inpatient and outpatient) to reduce exposure	Consider in-person visits for new inpatient consultations Continue telemedicine for follow-up inpatients and most outpatient visits	Continue to include trainees in outpatient telemedicine consultative training
Simulation-based training	Develop a resource library for trainees regarding institutional, regional and national simulation-based training opportunities	Introduction of local simulation-based learning opportunities while maintaining appropriate physical distancing	Societies work in concert with training programs to offer regional-based simulation opportunities (multiple institutions pooling resources)
Virtual learning	Local web-based lectures (eg, grand rounds) with a focus on interactive learning Enhance video-based education (ie, recorded endoscopy cases) with joint trainee/senior attending review of cases National webinars/didactics, primarily via GI societies Use social media resources

COVID-19, coronavirus disease-2019; PPE, personal protective equipment.