Table 2.
Directional change in ACGME Stage of the primary institution comparing Winter (Period 3) to Summer (Period 2). Respondents indicated that educational program parameters worsened during the exponential wave of COVID-19 which occurred in Period 3 – Winter (12/7/2020–1/11/2021) compared to the flattening of the incidence of COVID-19 infections in Period 2 – Summer (7/14–9/3/2020) that varied by region, likely reflecting the frequency of infection.
| Education Program Parameters | Period 2 Summer | Period 3 Winter | Period 3 vs. Period 2 OR (95% CI)/p-value |
|---|---|---|---|
| All Respondents | |||
| Worsening | 15% (51/350) | 44% (97/221) | 4.59 (3.08, 6.83)/< .0001 |
| Improving/Stable/Unsure |
85% (299/350) |
56% (124/221) |
|
| Worsening by Stage | |||
| Stage 1 and 2 | 15% (50/334) | 42% (76/180) | 4.15 (2.72, 6.32)/<.0001 |
| Stage 3 |
6% (1/16) |
51% (21/41) |
15.7 (1.90, 130.4)/0.011 |
| Worsening by Region | |||
| Northeast | 8% (8/97) | 51% (29/57) | 11.5 (4.73, 28.07)/<.0001 |
| South | 19% (23/112) | 38% (26/69) | 2.55 (1.31, 4.96)/0.006 |
| Midwest | 9% (8/91) | 37% (22/60) | 6.05 (2.45, 14.71)/<.0001 |
| Western | 29% (12/42) | 57% (20/35) | 3.33 (0.29, 8.59)/0.013 |