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I think it has already had a significant impact but will also continue to do so. It’s kind of been a mixed picture though depending on the area and it’s healthcare situation. For example a small percentage of our medical schools (in areas where the need for practitioners was high) graduated their MS4s “early” to add to the resident workforce during these times. I personally saw this happen with 1 group in NYC and think it was for the best. Not that a fresh MS4 was the hero we all needed who was going to fix the world but they picked up on things impressively fast and were helpful in an overloaded system. At my own institution right now which was a lighter hit system we have discontinued all nonessential teaching services until the next academic year for now including all allied health, medical students etc. Resident training wise I think residents were also expected to step up during these times and I saw a few hospitals In harder hit regions deploy resident run “JR staff” teams where senior residents ran their own teams and checking out to a qualified attending. As far as the future I think many medical schools in the country have already begun the process, if not completely shifted, to a virtual classroom especially in the first two years of basic sciences, this crises will solidify that and I believe it will be the new norm. I also think this worldwide pandemic will bring more interest into the healthcare field in general with more applicants and future doctors and healthcare practitioners applying we will need more schools etc. Unfortunately in the short term I think many students and trainees will see their exposure and responsibilities decreased out of concern for transmission but that the demand, motivation, and infrastructure will ultimately improve as a result of all that we learned