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05). The second half of the pandemic caused statistically significantly more schedule disruptions than the first half (P = 0.009). The impact of COVID-19 pandemic varied by residency class year, with the largest disruption of the R3 class and the least disruption of the R4 class. To optimize future educational opportunities, shifting to a competency-based education paradigm may help to achieve proficiency without extending the length of the training program. The impact of COVID-19 pandemic varied by residency class year, with the large
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