Longitudinal participatory design groups are a promising, highly feasible approach to developing technology for underserved populations.

shared their struggles. Attendees were solicited for qualitative feedback after the meeting and generally reported feeling hopeful for the future and appreciation for supportive peers and leadership. Most participants were those who usually attend afternoon report during this time slot, highlighting the importance of accommodating resident schedules by offering this during existing meeting times. Soliciting participation from all invited residents prior to the session may help improve inclusion and sharing. Having faculty at the meeting did not appear to limit resident participation, but this is something to consider. We will continue the virtual peer support conferences on a routine basis and continue refining the process to ensure ongoing relevance and benefit to residents during the COVID pandemic.