Table 1.
Survey Periods are described for General Surgery and Surgical Specialty respondents according to ACGME Stage, region, and role in surgical education. Survey distribution dates occurred separately in the Spring (Period 1) for General Surgery (4/24–5/29/2020), Surgical Specialty (5/4–6/26 2020) and Clerkship Directors, however, were distributed simultaneously in the Period 2 - Summer (7/14–9/3/2020) and Period 3 - Winter (12/7/2020–1/11/2021). ACGME Stage designations 1–3 are described and extrapolated throughout, although ACGME Stage changed to a dichotomous designation in Periods 2 and 3.11
| Survey Parameter | Period 1 Spring | Period 2 Summer | Period 3 Winter | Period 1 vs Period 2 OR (95% CI)/p-value | Period 1 vs Period 3 OR (95% CI)/p-value |
|---|---|---|---|---|---|
| Role | |||||
| Program Director | 64% (253/394) | 76% (267/350) | 73% (154/212) | 1.8 (1.32,2.50)/0.0003 | 1.2 (1.01,1.44)/0.04 |
| Chair | 36% (141/394) | 22% (76/350) | 17% (35/212) | ||
| Clerkship Director |
0% |
2% (7/350) |
11% (23/212) |
||
| ACGME Stage | |||||
| Stage 1 and 2 | 70% (331/472) | 96% (337/353) | 82% (183/224) |
Stage 3 vs Stage 1 and 2 0.11 (0.07, 0.19)/<.0001 |
Stage 3 vs Stage 1 and 2 0.73 (0.60, 0.88)/0.013 |
| Stage 3 |
30% (141/472) |
4%% (16/353) |
18% (41/224) |
||
| Stage 3 by Region | |||||
| Northeast | 60% (73/121) | 4% (4/97) | 20% (12/59) |
Stage 3 vs Stage 1 and 2 0.028 (0.01, 0.08)/<.0001 |
Stage 3 vs Stage 1 and 2 0.41 (0.28, 0.59)/<.0001 |
| South | 19%% (26/140) | 7% (9/121) | 13% (9/70) | 0.35 (0.16, 0.79)/0.011 | 0.80 (0.53, 1.21)/0.30 |
| Midwest | 24% (29/121) | 1% (1/92) | 15% (9/60) | 0.04 (0.01, 0.26)/0.011 | 0.75 (0.50, 1.13)/0.17 |
| Western | 9% (6/65) | 4% (2/42) | 31% (11/34) | 0.49 (0.09, 2.56)/0.40 | 2.12 (1.22, 3.68)/0.007 |