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Description:Each CMO was contacted up to 3 times via phone or e-mail, with each communication providing an invitation to participate in a confidential phone survey. These participants were provided with and acknowledged receipt of a consent form before survey completion, with an additional opportunity to ask questions about the study. In each situation the respondent was asked if there was a more appropriate contact at the institution to participate in the study. Responses to the survey items were both dichotomous and open-ended. We performed adjusted analyses of dichotomous data with factorial logistic regression, and adjusted analyses of ordered data with ordered logistic regression. Data Collection The telephone interviews were conducted by J. Survey The study investigators developed the minute survey available as a supplement to the online version of this article at http:

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