Introduction/Background Training in gynaecological skills has been significantly impacted by COVID-19. The Royal College of Obstetricians & Gynaecologists (RCOG) in the UK recommended a training impact assessment of trainees as part of the gynaecological surgery recovery plan.

Methodology The RCOG gynaecology recovery plan was discussed at NI school board and an online training impact survey was developed. It was then disseminated to all trainees within NI deanery and results feedback to individual units.

Results 36 responses to date from all levels of trainees and all units within NI. The results for rating current training were; very poor 8%, poor 44%, fair 36%, good 6% and very good 6%. An average of 3 gynaecology clinics were attended in the previous 8 weeks. Only 14% felt their skills were appropriate for their training grade. For attendance in gynaecology theatre; 44% <1 per month, 36% 1–2 per month, 17% 1 per week and 3% >1 per week. For proportion of time as lead operator only 33% of trainees were lead operator for >50% of cases. For procedural competence; 50% diagnostic laparoscopy, 17% operative laparoscopy, 11% hysterectomy (abdominal, laparoscopic and vaginal 11% each), 19% vaginal repair and 31% laparoscopic management of ectopic pregnancy. 64% required gynaecological summative OSATs this year. 19% were doing a gynaecology ATSM of which 57% felt they would complete. 78% of all responders felt they would not be competent at gynaecological surgery by the end of training.

Conclusion COVID-19 has significantly impacted training in gynaecology surgery with the majority of trainees in a large UK deanery feeling they won’t be competent at gynaecological surgery on completion of their training. Work needs to be done to improve training overall, perhaps with the use of simulation.