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What is the Best of the Best Award?

To be considered for the Best of the Best award, ICUs must:
1) Finalize a minimum of 30 patients by the end of the trial, and
2) Be willing to send us source documentation for purposes of verification
Eligible sites are ranked based on their performance on the following 5 criteria:
- Adequacy of provision of protein
- Avoidance of overfeeding calories
- Use of enteral nutrition (EN)
- Early initiation of EN
- Use of promotility drugs and small bowel feeding tubes
- Adequate glycemic control
The top site receives a $1000 reimbursement to an educational session. The top 10 sites receive a Best of Best plaque.
For more information on the creation of the award and its scoring system, please read "Creating a Culture of Clinical Excellence in Critical Care Nutrition: The 2008 ˜Best of the Best' Award" published in JPEN (2010) by Dr. Daren Heyland et al.


Congratulations to our TOP EFFORT Sites to date

 We are so grateful for the huge EFFORT so many sites around the world have made to move forward the EFFORT trial and help us advance this concept of a registry-based, volunteer-drive, practice-based RCT. We want to recognize the following sites who have reached the site goal of enrolling 30 patients in the trial! It is a tremendous manifestation of their commitment to this project. We thank you and want to acknowledge you publically.

To understand how they accomplished this milestone please check out our past newsletters

Check out this video of 2 of our top enrolling EFFORT sites discussing there experiences in conducting the trial to date! Experience EFFORT!

These videos are from our top EFFORT sites discussing how they have been successful in recruiting for EFFORT:

Top North American Site

Top Latin Speak site

Abbotsford Regional Hospital, BC, Canada

2019-05-29 to 2020-01-03

Back row (left to right): Kris Navarro (RN), Cindy Tymchuk (RN), Fiona Howarth (RN), Dr. Neil McLean (Intensivist), Alex Wong (Nurse Practitioner), and Chen Shen (Pharmacist) Front row (left to right): Courtney Wedemire (ICU dietitian) and Maria Hehr (RN)

Sanatorio Allende, Cordoba, Argentina

2018-09-01 to 2019-05-29

From Left to Right: Dr Galletti, Dr Bielsa Lucas, Mgtr González Victoria, Dr Maldonado Franco


Legacy Salmon Creek Medical Center, Vancouver, WA, US

2018-07-26 to 2019-05-06


Left to Right: Racquel Regala (ICU RD), Dr. Joseph Britt Jura (MD), GERRY Howick (RD Supervisor


Hospital Civil Fray Antonio Alcalde, Intensive Care Unit, Guadalajara, Jalisco, México

2018-11-19 to 2019-03-26

From left to right (back): Intensivists; Dr. Quetzalcóatl, Dr. Mijangos, Dr. Rodríguez (Chief of ICU), Dr. Blanco (Resident), Dr. Ibarra (Principal Investigator), Dr. Herrera (Resident), Dr. Ortiz (Resident), Dr. Torres (Resident), Intensivist Dr. Corona. From left to right (front): Dr. García (Resident), Dr. Macías (Resident), Dr. Mora (Resident), Dr. Melendez (Resident); Intensivist Dr. Aguirre (Co-Principal Investigator).

 Hospital of the University of Pennsylvania, Intensive Care Unit, Philadelphia, PA, USA

2017-11-21 to 2018/09/19

From left to right: Marianne Aloupis, MS, RD, CNSC, LDN; Charis Anderson, RN, BSN; Barry Fuchs, MD, MS, FACP, FCCP; Rachael Peters, RN, BSN; Jennifer Dolan, MS, RD, CNSC, LDN; Charlene Compher, PhD, RD, CNSC, LDN, FASPEN.


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