Name* First Last Study Title* Have you received IRB approval?* Yes No Do you need help to publicize your study ASE membership to help center accrual?* Yes No How many centers have you recruited?*List of centers:*Click on the + icon to add additional centers (1 center per line). What stage in the participant recruitment process are you at (i.e. enrollment open and if so, how many participants enrolled)?*What database or data entry format are you using (i.e. Excel, REDCap etc.)?*How many participants (patients or learners) are enrolled to date (across all centers)?*Are you in the data analysis stage?* Yes No If yes, do you need assistance with data analysis/interpretation?* Yes No Are you at the manuscript preperation stage?* Yes No If yes, do you need assistance?* Yes No When are you planning to submit the finished (or interim) abstract to the ASE Annual Meeting?*
