This document discusses the experiences and perspectives of medical students, residents, and fellows at the University of Washington during the COVID-19 pandemic. A survey of 316 trainees found that they feel anxious about being exposed to COVID-19, concerns about personal protective equipment shortages, and ethical dilemmas in patient care. However, many expressed a strong desire to help patients and commitment to serve despite the risks. Leaders are encouraged to provide support to trainees and maximize their control over involvement in COVID-19 care while also using this as a teaching moment.