Limitations There are several limitations inherent in this type of study including the potential for recall, sample, and responder biases. Furthermore, the survey asks clinicians their impressions of the impact of COVID-19 on PWE in their practice, not patients themselves. In addition, the COVID-19 pandemic has been a rapidly evolving phenomenon and this survey represents a snapshot in time early in the pandemic. Responses might change if members were surveyed later in the pandemic or even postpandemic.