Table 7.
Summary of factors associated with the severe disruption of surgical education and trainee well-being during the three phases of the COVID-19 pandemic assessed in this study. (a) Florida, Texas, Arizona, Mississippi, and New Mexico.
| Parameter | Spring 2020 (March–June 26, 2020) | Summer 2020 (June 27-September 3, 2020) | Winter 2020 (September 4, 2020–January 11, 2021) |
|---|---|---|---|
| Severe Impact on Educational Programs across all ACGME Stages | 32% (130/411) | 31% (108/352) | 23.0% (51/222) |
| Severe Impact on Trainee Well-Being across all ACGME Stages | 27.% (110/406) | 22.% (78/351) | 24.% (55/223) |
| Total COVID-19 Cases | 2,450,318 | 6,070,879 | 22,249,686 |
| 7-day Average COVID-19 Cases |
34,623 | 40,337 | 242,989 |
| CMS Guidelines to Postpone-Cancel Non-emergency Surgery | March 18, 2020 | No New Guidelines | No New Guidelines |
| CMS Guidelines to Reopen Access to Non-emergency Surgery | April 19, 2020 Limited to States with few or declining cases June 8, 2020 Facilities to check with State and Local Officials |
No New Guidelines | Joint Statement on Maintaining Essential Surgery25 |
| State Actions on Non-emergency Surgery | Mid-April 2020 36 States suspend non urgent procedures 14 States cancellation up to providers |
Some States loosened restriction on non-emergency surgery Five states reimposed restrictions on Non-emergency surgery (a) |
Provider based postponements or cancelations continued on a regional basis depending on COVID -19 Incidence |
| Shelter-at-Home Orders | 42 States and District of Columbia mandatory orders Eight jurisdictions had mandatory orders extend beyond May 3126 |
All State Shelter-at Home orders expired or were superseded or rescinded by July 17, 202027 | No new orders |
| Reduction in Non-Emergency Surgery28 | 70% Reduction8 | 10–20% Reduction | 0–20% Reduction With Regional postponement or cancelation24 |
| % Population Fully Vaccinated | Zero | Zero | Zero |