Fig. 3.

Relationship of the number of COVID-19 cases per week,¹³ the % ACGME Stage 3 (Emergency Declaration), % Severe Disruption of Education Programs and Trainee Wellness over three survey periods in 2020 (spring, summer, winter). Compared to the spring, there was a significant decrease in the proportion of Stage 3 institutions as the pandemic continued across the summer and winter months. The frequency of severe disruption on education programs lessened in the winter despite an exponential increase in COVID-19 cases. The reported frequency of severe impact on trainee well-being did not improve over the three survey periods.