Fero KE, Weinberger JM, Lerman S, et al. - Via performing a cross-sectional survey of program leadership and residents at accredited US urology residencies between April 28, 2020 to March 11, 2020, researchers sought to determine urology residency program modifications in the context of COVID-19, and perceptions of the impact on urology trainees. Responses were provided by program leaders from 43% of programs and residents from 18% of programs. In response to COVID-19, implementation of major modifications to urology training programs was done. Respondents inscribed reduced surgical volume (83%-100% differing by subspecialty), enhanced use of telehealth (99%), a transition to virtual educational platforms (95%) and reduced size of inpatient resident teams (90%). Participation in care of COVID-19 patients was reported by most residents (83%) and 20% residents endorsed that urology residents have been re-deployed. Per 79% of respondents, recent events were perceived to have a negative impact on urology surgery training; respondents in high COVID-19 regions expressed more pronounced anxiety concerning competency upon completion of residency training. These findings emphasize paying attention to the downstream effects of the training disruption on urology residents.