Table 2.

Summary of changes on the timeline, including the pre-COVID state for reference and the COVID-related adaptations as documented in the first article

	Pre-COVID	Mid-March (COVID changes)	May 4: increased consult load	May 11: outpatient endoscopy resumes	Early June
Inpatient consultative services	HUP three fellows gut, one fellow on liver service VA one fellow PPMC one fellow	HUP one fellow gut, one fellow liver VA zero fellows PPMC one fellow	HUP two fellows gut VA one fellow PPMC one fellow	No changes	No changes
Calls	Two fellows covering the three hospitals per night for phone calls and emergent procedures	One fellow for “tele-call” for all three hospitals. On-service fellow for “travel-call” for emergent procedures	With more service fellows, fewer nights of travel-call per on-service fellows	No changes	Return to pre-COVID call model. Call schedule adjusted for distribution
Endoscopy	Y2/Y3 join attendings for scheduled cases at four sites, consult fellows do inpatient cases	No fellows for any endoscopy	Fellows may perform inpatient endoscopy	Graduating fellows allowed to participate in outpatient endoscopy on limited basis	Other fellows can join outpatient endoscopy on limited basis
Clinic	In-person continuity clinics for Y1 and Y3 and subspecialty clinics for Y2 and Y3	Only urgent in-person visits for attendings, no fellow participation. Only telemedicine for Y3 VA clinic	Subspecialty telemedicine clinics are ongoing by faculty and available for Y2/Y3	Resumption of Y1 continuity clinic through telemedicine	Sixth Y1 does mix of clinic and self-learning
Research	Six fellows in basic science laboratories	All in-person laboratory activities halted			Research laboratories opened on June 8

Y1 is a first-year fellow, Y2 is a second-year fellow, and Y3 is a third-year fellow