Transition Tuesdays for junior surgical residents: teaching surgical decision-making through a screen

The COVID-19 pandemic has substantially affected surgical training and the autonomy of surgical trainees in the clinical setting, with notable decreases in operating room exposure and experience. For trainees who are transitioning into roles as senior residents, these changes have limited opportunities during a critically formative period in their training. We discuss the implementation of a modified case-based instructional curriculum for intermediate-level surgical trainees, and suggest strategies to bridge the gap in clinical and operative decision-making while using a virtual learning format.