RT Journal Article SR Electronic T1 Impact of the COVID-19 outbreak on endoscopy training in a tertiary care centre in Germany JF Frontline Gastroenterology JO Frontline Gastroenterol FD BMJ Publishing Group Ltd SP 454 OP 457 DO 10.1136/flgastro-2020-101504 VO 11 IS 6 A1 Roemmele, Christoph A1 Manzeneder, Johannes A1 Messmann, Helmut A1 Ebigbo, Alanna YR 2020 UL http://fg.bmj.com/content/11/6/454.abstract AB Objective The COVID-19 crisis has impacted on all aspects of health care including medical education and training. We describe the disruption of endoscopy training in a tertiary care center in Germany.Design/Method The reorganization of a high-volume endoscopy unit during the German COVID-19 outbreak is described with special focus on endoscopy trainees. Changes in case volume of gastroenterology fellows were evaluated and compared to a year prior to the outbreak.Results Reallocation of resources led to the transfer of gastroenterology fellows to intensive care and infectious disease units. Case volume of fellows declined between January and April 2020 by up to 63%. When compared with data from the year prior to the outbreak, endoscopy performed by fellows reduced by up to 56%. Educational meetings and skill evaluation were cancelled indefinitely.Conclusion The COVID-19 outbreak has had a negative impact on endoscopy training of gastroenterology fellows in a high-volume center in Germany. This must be taken into consideration when planning “return-strategies” after the pandemic.