RT Journal Article SR Electronic T1 Effect of the COVID-19 pandemic on the ability of level 1 trauma centers to meet American College of Surgeons research requirements JF Trauma Surgery & Acute Care Open JO Trauma Surg Acute Care Open FD BMJ Publishing Group Ltd SP e000692 DO 10.1136/tsaco-2021-000692 VO 6 IS 1 A1 Madayag, Robert M A1 Sercy, Erica A1 Berg, Gina M A1 Banton, Kaysie L A1 Carrick, Matthew A1 Lieser, Mark A1 Tanner, Allen A1 Bar-Or, David YR 2021 UL http://tsaco.bmj.com/content/6/1/e000692.abstract AB Introduction The COVID-19 pandemic has had major effects on hospitals’ ability to perform scientific research while providing patient care and minimizing virus exposure and spread. Many non-COVID-19 research has been halted, and funding has been diverted to COVID-19 research and away from other areas.Methods A 28-question survey was administered to all level 1 trauma centers in the USA that included questions about how the pandemic affected the trauma centers’ ability to fulfill the volume and research requirements of level 1 verification by the American College of Surgeons (ACS).Results The survey had a 29% response rate (40/137 successful invitations). Over half of respondents (52%) reported reduced trauma admissions during the pandemic, and 7% reported that their admissions dropped below the volume required for level 1 verification. Many centers diverted resources from research during the pandemic (44%), halted ongoing consenting studies (33%), and had difficulty fulfilling research requirements because of competing clinical priorities (40%).Discussion Results of this study show a need for flexibility in the ACS verification process during the COVID-19 pandemic, potentially including reduction of the required admissions and/or research publication volumes.Level of evidence Level IV, cross-sectional study.