ASGE Past Awardees Survey Question Title * 1. Full Name (First Middle Last) Question Title * 2. Current Institution Question Title * 3. Email address Question Title * 4. Which of the following best describes your current practice setting (check all that apply): a. Private practice b. Hospital employee, non-academic setting c. Academic setting (e.g. University, VA, Military) d. Industry (e.g. pharmaceutical) e. Retired or disabled f.Other (please specify) Question Title * 5. What is your specialty? a. Gastroenterology b. Surgery c. Other Question Title * 6. What is the name of your current practice or institution? Question Title * 7. What year did you complete your training (gastroenterology, surgical, other)? Question Title * 8. Please indicate if any of the following apply to you now or at any time SINCE receiving your FIRST ASGE grant (check all that apply): a. Endoscopy Unit Director b. Advanced Endoscopy Fellowship Director c. GI Fellowship Director d. Section Chief e. Division Chief f. Department Chair or Vice-Chair g. Dean h. Other Major Leadership Position Question Title * 9. What percentage of your professional effort involves the following (numbers should add up to 100%): a. Endoscopic procedures b. Outpatient and inpatient consultation c. Gastroenterology-related research d. Education e. Administration f. Other Question Title * 10. PRIOR TO receiving your FIRST ASGE grant, which of the following grants have you been awarded as Principal Investigator (check all that apply)? a. Institutional research grant b. Institutional trainee grant (e.g., T32) c. Federally funded grant as the PI or co-PI (e.g., NIH, VA, CDC, FDA, DOD) d. Extramural, non-federally funded grant (such as from the ASGE, AGA, ACG, CCFA, etc…) e. Investigator-initiated, industry sponsored f. Industry-initiated, industry sponsored g. none h. other Question Title * 11. Prior to receiving your FIRST ASGE grant, please check which of the following degrees applied to you (check all that apply): a. MD, DO, or equivalent b. Master of Public Health or related advanced degree in research or epidemiology c. PhD Other (please specify) Question Title * 12. Did your ASGE grant(s) directly lead to any original publications (please do not include abstracts)? Yes No If yes, please paste references from your CV here for all publication directly related to the ASGE grant: Question Title * 13. How many original, peer-reviewed, scientific publications did you publish PRIOR TO your first ASGE grant (up to, and including the year of the first award)? (Please limit your count to original research papers and exclude editorials, abstracts, review articles, invited commentaries, etc.) Question Title * 14. How many original, peer-reviewed, scientific publications have you published SINCE the year of your first ASGE grant (don’t count the year that the grant was awarded)? (Please limit your count to original research papers and exclude editorials, abstracts, review articles, invited commentaries, etc.) Question Title * 15. Since receipt of your first ASGE grant, have you, as a Principal Investigator, received Federal research funding (e.g. NIH, VA, CDC, DOD, CIHR)? Yes No a. If yes, please estimate how much total direct funding you received: Question Title * 16. Since receipt of your first ASGE grant, have you, as a Principal Investigator, received other extramural non-industry research funding (e.g. Crohn’s and Colitis Foundation, American Cancer Society, AGA, ACG)? Yes No If yes, please estimate how much total direct funding you received: Question Title * 17. Since receipt of your first ASGE grant, have you, as a Principal Investigator, received industry research funding? Yes No If yes, please estimate how much total direct funding you received: Question Title * 18. Did the ASGE Research Grant result in new collaborations? Yes No If Yes, please specify. Question Title * 19. Are there any take home messages from your grant that would be important to share with industry partners who provide funds to the ASGE Foundation? Question Title * 20. Which of the following statements best describes the impact the ASGE grant has had on your professional career: The ASGE grant has had a very positive impact on my professional career. The ASGE grant has had modest positive impact on my career. The ASGE grant has neither helped nor harmed my career. The ASGE grant has had a negative impact on my career. The ASGE grant has had a very negative impact on my career. Question Title * 21. Please tell us your reason for choosing the above item. Please provide as much detail as possible. Question Title * 22. Any other comments? Please consider the following questions when making a response: a. Besides papers, what impact has the project had on the practice of GI endoscopy? b. What subsequent research was influenced by the funded project? c. Were there positive career impacts on you and/or others as a result of the grant? d. In general, can you speak to a “magnifier effect” of the grant? e. Did the grant open any doors for you in your career? Done