Table 3.
Frequency of reported severe impact on educational programs and substantial recovery (4 or 5 on Likert-Type question) of educational programs. Across all time-periods, ACGME Stage was associated with reported severe impact on education programs (Stage 1–2; 26% and Stage 3; 45%, Chi-square analysis p < 0.0001). The frequency of reported severe impact lessened comparing Period 3 to Period 1 (p = 0.02). Substantial recovery of educational programs tended to occur more commonly in ACGME Stage 1–2 programs (45%) than those reporting Stage 3 (37%) and was modest occurring in equivalent proportions across all regions without improvement over time, where Period 1 – Spring (4/24–5/29 and 5/4–6/26 2020); Period 2 – Summer (7/14–9/3/2020); and Period 3 – Winter (12/7/2020–1/11/2021).
The current ACGME system for assessing educational impact is dichotomous - Emergency Declaration or not, and is equivalent to Stage 3 in the older version).1
| Survey Parameter | Period 1 Spring | Period 2 Summer | Period 3 Winter | All Periods | Period 2 vs Period 1 OR (95% CI)/p-value | Period 3 vs Period 1 OR (95% CI)/p-value |
|---|---|---|---|---|---|---|
| Severe Impact on Education Program | ||||||
| Across all ACGME Stages | 32% (130/411) | 31% (108/352) | 23.0% (51/222) | 29.3% (289/985) | 0.96 (0.70, 1.30)/0.78 | 0.80 (0.67, 0.97)/0.02 |
| Stages 1 and 2 | 25% (71/283) | 29% (98/336) | 20% (37/182) | 26% (206/801) | 1.23 (0.86, 1.76)/0.26 | 0.87 (0.70, 1.09)/0.23 |
| Stage 3 | 46% 59/128 |
62% (10/16) | 35% (14/40) | 45% (83/184) | 1.95 (0.67, 5.68)/0.22 | 0.79 (0.55, 1.15)/0.21 |
| Substantial Recovery of Educational Programs by Stage |
Period 3 vs Period 2 OR (95% CI)/p-value |
|||||
| Across all Stages | 44% (155/350) | 43% (97/223) | 44% (252/573) | 0.97 (0.69, 1.36)/0.85 | ||
| Total Stages 1 and 2 45% (231/516) |
44% (148/334) | 46% (83/182) | 1.05 (0.73, 1.52)/0.78 | |||
| Total Stage 3 37% (21/57) |
43% (7/16) | 34% (14/41) | 0.67 (0.21, 2.17)/0.50 | |||
| Substantial Recovery of Educational Programs by Region | ||||||
| Northeast | 52.% (51/98) | 46% (27/59) | 0.78 (0.41, 1.49)/0.45 | |||
| South | 39% (46/119) | 47% (33/70) | 1.42 (0.78, 2.57)/0.25 | |||
| Midwest | 42% (38/91) | 36% (21/59) | 0.77 (0.39, 1.52)/0.45 | |||
| Western | 48% (20/42) | 46% (16/35) | 0.93 (0.38, 2.28)/0.87 | |||