In the early stages of the pandemic, the medical workforce across trusts in London underwent many strategic changes, with trainees being deployed to different sites and disciplines causing disruption to normal working patterns and training pathways. In this episode, we are in conversation with the Director of Medical Education across different London trusts and the chair-elect of the NACT (National Association of Clinical Tutors) Council to explore the different strategies and approaches used, the role of the medical education departments and the challenges faces by trainees and supervisors and how they were overcome.