Table 4 Key Recommendations

• Programs should protect work-life balance by limiting work obligations during off hours

• Mental health interventions to support wellness and treat problems should be normalized in residency and integrated into all residency programs

• Provide support for trainees who have children to include access to daycare, time off when a loved one is sick, or supporting schedule changes to accommodate unique needs

• Social connectedness amongst residents can be integrated into programs via planned activities that are safe when social distancing is important, such as book clubs or outdoor meet ups

• Residencies requiring hands on skills (such as surgical residencies) should have

• simulation or lab back up opportunities for procedure learning