Table 1.

Impact of COVID-19 on fellows’ training, well-being and transition to early career

	Impact on fellows & early career	Novel solutions
Impact on Training	○A decrease in the volume of cases ○Less exposure to hands-on, interactive ○Less opportunities for supervised education	○Relaxation of ACGME/COCATS II milestone requirement ○Incorporation of the program director's assessment based on fellow's competency ○Virtual case sessions moderated by faculty
Fellow Education	○Cancellation of academic journal clubs, grand rounds, and national professional society scientific meetings	○Use of virtual platform more extensively ○Use of Telemedicine
Changes in STEMI management strategy	○Intravenous thrombolysis implemented for STEMI management in selected cases	○Familiarization with specific thrombolytic to use and appropriate dosage
Fellow safety and wellbeing	○Provider at an increased risk of exposure ○Childcare issues ○Impact on mental health and fatigue	○Ensuring access to essential commodities and formal programs to combat physician burnout ○Not violating duty hours ○Possible hazard pay ○Access to childcare and support from governing bodies
Job Recruitment	○No personal interviews with the potential employer ○Hiring freezes and prior offers rescinded due to budgeting limitations	○Re-strategizing and re-defining roles for graduating FITs ○Funding support for fellows to secure employment ○Virtual subspecialty and job interviews