Methods

We surveyed all clinical faculty and fellows in our Pulmonary and Critical Care Division from July 30, 2020, to August 14, 2020 (survey available on request). Participants estimated the number of COVID-19 BALs that they performed, the number of weeks caring for ICU patients with COVID-19, and the results of any personal SARS-CoV-2 testing from March until August 14th. Participants assessed the difficulty of COVID-19 BALs compared with routine ICU BALs using a score ranging from 1 (easier) to 10 (harder). COVID-19 exposures outside of work were also queried. No identifiers were collected, and all respondents were offered the choice to decline to participate. The Vice Dean of Education and our Program Director gave permission to survey trainees. This study was deemed exempt by our institutional review board (STU00213164).

SARS-CoV-2 testing. NP testing for SARS-CoV-2 by polymerase chain reaction (multiple platforms) was performed on providers at the discretion of our hospital’s infection control team, either in response to symptoms, after a known exposure, or as routine preprocedure screening. Serology (Architect SARS-CoV IgG; Abbott) testing was offered to all medical staff by our hospital.