Table 1. Clinic components and format, and subsequent adjustment to COVID-19 circumstance

Program component	Workflow/setting pre-COVID-19	Workflow/setting during COVID-19
Interdisciplinary plan of care (IPOC) meeting	In person, in hospital, Thursday afternoon	Weekly Zoom call for disciplines to participate in while at separate locations
Shared drive	No centralized location for resources, schedules, and patient tracking information. Pertinent information was shared in person at clinic	OneDrive, HIPAA compliant shared folder created to house resources for patients and providers as well as schedules Pertinent information to be shared between disciplines can be written in agenda for IPOC meeting (see below) or on clinic schedule, which edits can be viewed in real time, viewable by all providers housed in OneDrive
Agenda for IPOC meeting	Presented in person during meeting by nurse coordinator	Outline saved in OneDrive in advance of meeting, individuals can update before meeting with patient case notes and clinic concerns
Patient scheduling	Completed in clinic by nurse coordinator and staff; for behavioral health, follow ups discussed with BH trainees and scheduled by nurse	OB appointments: Completed by nurse and staff in clinic or telemedicine. BH appointments: Completed by BH trainees by phone, text, or via patient portal. Documented scheduling and relevant information in shared scheduling document on OneDrive, should a patient see both MD and BH trainees in same clinic day (see below for more information).
Behavioral health schedule	Paper schedule for trainees in Behavioral Health	Schedule posted in OneDrive, actively updated as patients are contacted via Zoom/phone. These live updates are viewable by the MD and other providers. BH Trainees also gained the ability to have their confirmed appointment schedule in the EMR September 2020.
Interdisciplinary care coordination and referrals (pediatric, nutrition, domestic violence advocates)	In clinic, during IPOC meeting In clinic, during clinic day	During IPOC meeting on ZOOM. Via impromptu phone calls or messages in the EMR/skype during clinic time while staff work across settings.
Clinic visits	In clinic, each team member seeing patient as needed in same room	Medical visits take place both in person and via Doximity and phone. Behavioral Health visits take place via phone or Zoom.
Trainee training and education within women & addictions program	Before clinic, during journal club, and in clinic	Points of education discussed via Zoom in clinical and educational meetings. E.g. several organizations began offering didactics and workshops which were disseminated by OB attending and BH supervisors to BH trainees BH trainees provided peer support to younger trainees via phone during and after clinic
Psychology trainee supervision from licensed clinical supervisor	In person, bi-weekly group supervision, phone supervision for high risk cases	BH trainees met via Zoom weekly to discuss cases and clinic logistic concerns. BH trainees could message their supervisor and other team members via secure software to alert them of high-risk cases, and follow-up with a phone call for supervision or coordinating care (e.g. OB or psychiatry appointment if necessary).
Psychology trainee peer supervision from advanced students	In clinic, as needed to help support clinical decision making	BH trainees meet with advanced peer supervisor via Zoom or phone before and after clinic shifts to discuss cases and concerns