TY - JOUR 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 DO - 10.1136/tsaco-2021-000692 VL - 6 IS - 1 SP - e000692 AU - Robert M Madayag AU - Erica Sercy AU - Gina M Berg AU - Kaysie L Banton AU - Matthew Carrick AU - Mark Lieser AU - Allen Tanner AU - David Bar-Or Y1 - 2021/02/01 UR - http://tsaco.bmj.com/content/6/1/e000692.abstract N2 - 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. ER -