Attachment 6: On-line EI-PI (paper version)

ATTACHMENT A.6: ONLINE SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR (VERSIONS A & B)

OMB# ­ 0925-XXXX EXP. DATE: XX/XX/XXXX

Public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0476). Do not return the completed form to this address.

1. Have you changed institutions since you received the Early Independence Award? Yes No

(If respondents answer NO to Question 1, respondent will complete version A of the online survey

(If respondents answer YES to Question 1, respondent will complete version B of the online survey

Version A - EIA Principal Investigators who HAVE NOT CHANGED institutions.

2. During the past fiscal year, has your position (roles and responsibilities) changed?

Yes

Why was it changed and how has it changed?________________________________________________________

No

3. Overall, how do you feel the level of commitment from your host institution compares to what it was last year?

A. Increased B. Stayed the same C. Decreased

4. How has the level of commitment from your host institution changed?

5. During the past fiscal year, have you negotiated changes with your host institution in the type and level of support?

Yes

What type of resources and level of support have you negotiated to change with your host institution?___________

No

6. During the past fiscal year, what scientific collaborative activities have you participated in?

(Please check all that apply)

Laboratory meetings with other PIs

Institutional scientific retreats

One-on-one meetings with collaborators within the institution

One-on-one meetings with collaborators outside the institution

Faculty/Division/Department/Seminar series

Other (please specify):________________________________

7. During the past fiscal year, what steps has your host institution taken to integrate you and your NIH EIA scientific project into the institutional scientific culture and the faculty community?

8. During the past fiscal year, what steps have you taken to protect your scientific independence?

9. During the past fiscal year, what steps has your host institution taken to maintain your scientific independence?

10. How satisfied are you with your host institution’s efforts to maintain your scientific independence?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment: _____________________________________________________________________________

11. During the past fiscal year, which of the following challenges or barriers have you encountered as EIA PI? (Please check all that apply)

None

Administrative (e.g., lack of support staff, inadequate ordering systems, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Operations (e.g., difficulty setting up the laboratory, obtaining needed equipment, accessing research resources, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Recruitment (e.g., difficulty recruiting or hiring staff to work in the laboratory and/or on the project, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Career Development (e.g., lack of opportunities to attend training, conferences, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Collaboration within the institution (e.g., unable to establish collaborations with senior scientists within the institution, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Collaboration outside the institution (e.g., unable to access senior scientists outside the institution, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Teaching (e.g., heavy teaching load, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Scientific Independence (e.g., limited time to engage in research project, unproductive interactions with faculty regarding research project, expectation that you work under senior faculty, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Institution Leadership (e.g., lack of access to leadership within the institution, division, or department, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Funding (e.g., unable to identify and apply for other sources of funding, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Integration into Institution Structures

Please describe the challenges, if they were addressed, and how___________________________________

Advisory structure within the division or department (e.g., lack of access to senior colleagues, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Management (e.g., challenges overseeing the budget, supervising a staff, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Other (please specify): ____________________________________________________________________

12. How satisfied were you with your host institution’s responses to the challenges discussed in Question 11?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable

Please comment: ____________________________________________________________________________

13. During the past fiscal year, has your institution formally evaluated you and the progress made in your NIH EIA research project?

Yes

Describe the evaluation process, the issues discussed, and who performed the evaluation _____________________

No

Will you be formally evaluated in the future? If so, when and what process will be used to conduct your evaluation?

_____________________________________________________________________________________________

14. During the past fiscal year, what type and level of support have you received from leadership at your host institution? (e.g., Department Chair, Division Head, Dean, etc.)

15. How satisfied are you with the support that you received from the leadership at your host institution during the past fiscal year? (e.g., Department Chair, Division Head, Dean, etc.)

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment: ____________________________________________________________________________

16. Have there been any changes in the advisory structure in place for the EIA program at your host institution?

Yes

Please explain _________________________________________________________________________________

No

17. During the past fiscal year, how often have you met with your advisor(s) and what issues were discussed during the meeting?

18. During the past fiscal year, how satisfied are you with the faculty in their advisory role?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable

Please comment: ____________________________________________________________________________

19. During the past fiscal year, what type and level of support have you received from senior colleagues (excluding advisors) at your host institution?

20. How satisfied are you with the support that you received from senior colleagues (excluding advisors) during the past fiscal year?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment: ____________________________________________________________________________

21. During the past fiscal year, what administrative and/or support resources were provided to you? (e.g., human resources, supply and equipment ordering systems, administrative assistance, budget manager, etc.)

22. How satisfied are you with the administrative and/or support resources that were provided to you during the past fiscal year?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment: ____________________________________________________________________________

23. During the past fiscal year, what career development resources were provided to you, and which ones did you use? (e.g., courses in laboratory management, grant writing, staff supervision, etc.)

24. How satisfied are you with the career development resources that you used during the past fiscal year?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment: ____________________________________________________________________________

25. During the past fiscal year, did you teach a course?

Yes

Please describe the type of courses taught and your teaching load_________________________________________

No

26. During the past fiscal year, which of the following sources of funding have you applied for? Please check all that apply.

I have NOT applied for additional sources of funding during the past year

NIH

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the Institute or Office of the Director, the name of the program, the amount, and the period of funding _________

Government Agencies (excluding NIH)

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

Institutional Resources

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

Private (e.g., foundations, industry, etc.)

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

Other: ___________________

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

27. Which of the following have occurred during the past fiscal year? Please check all that apply.

I am applying for tenure

I filed a patent application or have been granted a patent

I expanded my research group (e.g., added staff)

I formed new partnerships/collaborations

Please describe the partnership/collaboration ________________________________________

I received an award(s)

What award(s) did you receive? ________________________________________

I was promoted

What promotion did you receive? ______________________________________

I published an original, peer-reviewed article

Are you the senior or corresponding author? _________________________________

Please provide the URL or citation ________________________________________

I published a book or other non-periodical, one time publication (e.g., monograph, any significant publication in the proceedings of a one-time conference or in the report of a one-time study, commission, or the like).

Please provide the URL or citation___________________________________________________________

I produced other publications such as conference papers and presentations

Please provide the URL or citation____________________________________________________________

I have expanded my research focus

Please explain ____________________________________________________________________________

I changed my research focus

Please explain ____________________________________________________________________________

My work has been featured in the popular press and/or media

In what popular press and/or media has your work been featured? Please provide the URL or citation _______

I serve as a grant reviewer

Please explain ____________________________________________________________________________

Other (please specify): ______________________________________________________________________

28. What products resulted from your scientific project during the past fiscal year? Please check all that apply.

I do not have any products to report

Website(s) or other Internet site(s)

Please provide URL for the website or other internet sites that you can attribute to EIA funding and the percent attribution ______________________________________________________________________________

Technologies or techniques

Please list all your technologies or techniques that you can attribute to EIA funding and the percent attribution_

Inventions, patent applications, and/or licenses

Please list all your inventions, patent applications, and/or licenses that you can attribute to EIA funding and the percent attribution __________________________________________________________________________

Other products

Please check the products that you can attribute to EIA funding and the percent attribution

Databases

Percent attribution to EIA funding ______

Physical collections

Percent attribution to EIA funding ______

Audio or video products

Percent attribution to EIA funding ______

Software or NetWare

Percent attribution to EIA funding ______

Models

Percent attribution to EIA funding ______

Educational aids or curricula

Percent attribution to EIA funding ______

Instruments or equipment

Percent attribution to EIA funding ______

Data & Research Material (e.g., cell lines, DNA probes, animal models, etc.)

Percent attribution to EIA funding ______

Other. Please specify and indicate the percent attribution to EIA funding: _____________________

29. Gender (Please choose only one)

Male

Female

30. Ethnicity (Please choose only one)

Hispanic or Latino

Not Hispanic or Latino

31. Race (Please chose all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

32. What is your institution? _______________________

33. What additional support would be useful from the NIH during your time as an awardee?

34. Please feel free to share any other thoughts you might have related to the EIA program.

THANK YOU!

Version B - EIA Principal Investigators who HAVE CHANGED institutions.

2. When did you change host institutions? (month/date/year) _____________

2. What was your position at your old host institution (e.g., tenure track faculty, non-tenure track research fellow, etc.)?

2. What is your current position at your new host institution (e.g., tenure track faculty, non-tenure track research fellow, etc.)?

2. What were the reasons for changing institutions?

2. Were there challenges associated with changing institutions? If so, what were they and how were they addressed?

PLEASE NOTE QUESTIONS 7-27 APPLY TO YOUR NEW INSTITUTION

2. What are your roles and responsibilities as an Early Independence Principal Investigator (PI) at your host institution?

2. During the past fiscal year, what scientific collaborative activities have you participated in?

(Please check all that apply)

Laboratory meetings of other PIs

Institutional scientific retreats

One-on-one meetings with collaborators within the institution

One-on-one meetings with collaborators outside the institution

Faculty/Division/Department/Seminar series

Formal introductions to the scientific community at the new host institution

Other (please specify):________________________________

2. During the past fiscal year, what steps has your host institution taken to integrate you and your NIH EIA scientific project into the institutional scientific culture and the faculty community?

2. During the past fiscal year, what steps have you taken to protect your scientific independence?

2. During the past fiscal year, what steps has your host institution taken to maintain your scientific independence?

2. How satisfied are you with your host institution’s efforts to maintain your scientific independence?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment:________________________________________________________________________

2. During the past fiscal year, which of the following challenges or barriers have you encountered as EIA PI?

(Please check all that apply)

None

Administrative (e.g., lack of support staff, inadequate ordering systems, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Operations (e.g., difficulty setting up the laboratory, obtaining needed equipment, accessing research resources, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Recruitment (e.g., difficulty recruiting or hiring staff to work in the laboratory and/or on the project, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Career Development (e.g., lack of opportunities to attend training, conferences, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Collaboration within the institution (e.g., unable to establish collaborations with senior scientists within the institution, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Collaboration outside the institution (e.g., unable to access senior scientists outside the institution, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Teaching (e.g., heavy teaching load, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Scientific Independence (e.g., limited time to engage in research project, unproductive interactions with faculty regarding research project, expectation that you work under senior faculty, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Institution Leadership (e.g., lack of access to leadership within the institution, division, or department, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Funding (e.g., unable to identify and apply for other sources of funding, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Integration into Institution Structures

Please describe the challenges, if they were addressed, and how___________________________________

Advisor structure within the division or department (e.g., lack of access to senior colleagues, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Management (e.g., challenges overseeing the budget, supervising a staff, etc.)

Please describe the challenges, if they were addressed, and how___________________________________

Other (please specify): ____________________________________________________________________

2. How satisfied were you with your host institution’s responses to the challenges discussed in Question 12?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable

Please comment:________________________________________________________________________

2. During the past fiscal year, has your institution formally evaluated you and the progress made in your NIH EIA research project?

Yes

Describe the evaluation process, the issues discussed, and who performed the evaluation _____________________

No

Will you be formally evaluated in the future? If so, when and what process will be used to conduct your evaluation?

_____________________________________________________________________________________________

2. During the past fiscal year, what type and level of support have you received from leadership at your host institution? (e.g., Department Chair, Division Head, Dean, etc.)

2. How satisfied are you with the support that you received from the leadership at your host institution during the past fiscal year? (e.g., Department Chair, Division Head, Dean, etc.)

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment:________________________________________________________________________

2. Have there been any changes in the advisory structure in place for the EIA program at your host institution?

Yes

Please explain _________________________________________________________________________________

No

2. During the past fiscal year, how often have you met with your advisor(s) and what issues were discussed during the meeting?

2. During the past fiscal year, how satisfied are you with the faculty in their advisory role?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable

Please comment:________________________________________________________________________

2. During the past fiscal year, what type and level of support have you received from senior colleagues (excluding advisors) at your host institution?

2. How satisfied are you with the support that you received from senior colleagues (excluding advisors) during the past fiscal year?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment:________________________________________________________________________

2. During the past fiscal year, what administrative and/or support resources were provided to you? (e.g., human resources, supply and equipment ordering systems, administrative assistance, budget manager, etc.)

2. How satisfied are you with the administrative and/or support resources that were provided to you during the past fiscal year?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment:________________________________________________________________________

2. During the past fiscal year, what career development resources were provided to you, and which ones did you use? (e.g., courses in laboratory management, grant writing, staff supervision, etc.)

2. How satisfied are you with the career development resources that you used during the past fiscal year?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied

Please comment:________________________________________________________________________

2. During the past fiscal year, did you teach a course?

Yes

Please describe the type of courses taught and your teaching load_________________________________________

No

PLEASE NOTE QUESTIONS 28-30 APPLY TO THE TIME AT BOTH YOUR OLD AND NEW INSTITUTIONS

2. During the past fiscal year, which of the following sources of funding have you applied for? (Please check all that apply)

I have NOT applied for additional sources of funding during the past year

NIH

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the Institute or Office of the Director, the name of the program, the amount, and the period of funding _________

Government Agencies (excluding NIH)

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

Institutional Resources

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

Private (e.g., foundations, industry, etc.)

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

Other: ___________________

What is the status of this funding request?

Applied, but did not receive funding Applied, awaiting notification Funding received

Please list the name of the organization, the name of the program, the amount, and the period of funding _____

2. Which of the following have occurred during the past fiscal year? Please check all that apply.

I am applying for tenure

I filed a patent application or have been granted a patent

I expanded my research group (e.g., added staff)

I formed new partnerships/collaborations

Please describe the partnership/collaboration ________________________________________

I received an award(s)

What award(s) did you receive? ___________________________________________________

I was promoted

What promotion did you receive? __________________________________________________

I published an original, peer-reviewed article

Are you the senior or corresponding author? __________________________________________

Please provide the URL or citation __________________________________________________

I published a book or other non-periodical, one time publication (e.g., monograph, any significant publication in the proceedings of a one-time conference or in the report of a one-time study, commission, or the like).

Please provide the URL or citation___________________________________________________________

I produced other publications such as conference papers and presentations

Please provide the URL or citation____________________________________________________________

I have expanded my research focus

Please explain ____________________________________________________________________________

I changed my research focus

Please explain ____________________________________________________________________________

My work has been featured in the popular press and/or media

In what popular press and/or media has your work been featured? Please provide the URL or citation ______

I served as a grant reviewer

Please explain____________________________________________________________________________

Other (please specify): __________________________________________________ ___________

2. What products resulted from your scientific project during the past fiscal year? Please check all that apply.

I do not have any products to report

Website(s) or other Internet site(s)

Please provide URL for the website or other internet sites that you can attribute to EIA funding and the percent attribution _______________________________________________________________________________

Technologies or techniques

Please list all your technologies or techniques that you can attribute to EIA funding and the percent attribution__

Inventions, patent applications, and/or licenses

Please list all your inventions, patent applications, and/or licenses that you can attribute to EIA funding and the percent attribution _______________________________________________________________________

Other products

Please check the products that you can attribute to EIA funding and the percent attribution

Databases

Percent attribution to EIA funding ______

Physical collections

Percent attribution to EIA funding ______

Audio or video products

Percent attribution to EIA funding ______

Software or NetWare

Percent attribution to EIA funding ______

Models

Percent attribution to EIA funding ______

Educational aids or curricula

Percent attribution to EIA funding ______

Instruments or equipment

Percent attribution to EIA funding ______

Data & Research Material (e.g., cell lines, DNA probes, animal models, etc.)

Percent attribution to EIA funding ______

Other. Please specify and indicate the percent attribution to EIA funding: _____________________

2. Gender (Please choose only one)

Male

Female

2. Ethnicity (Please choose only one)

Hispanic or Latino

Not Hispanic or Latino

2. Race (Please chose all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

2. What is your institution? _______________________

2. What additional support would be useful from the NIH during your time as an awardee?

2. Please feel free to share any other thoughts you might have related to the EIA program.

THANK YOU!

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