AIM-AHEAD Fellow/Trainee/Awardee Name :

(First and last name)

AIM-AHEAD Program:

Leadership Fellowship

Research Fellowship

Program for AI Readiness (PAIR)

Federated Network

Professional Development Program

AIM-AHEAD Training Practicum (PRIME)

AIM-AHEAD: All of Us Training Program

AIM-AHEAD and NCATS Training Program

Data and Infrastructure Capacity Building (DICB)

Other:

AIM-AHEAD Hub:

(Select the AIM-AHEAD Hub affiliated with this publication)

Northeast Hub

North/Midwest Hub

Southeast - Morehouse Hub

South Central Hub

Southeast - Meharry Hub

West Hub

Central Hub

Other:

AIM-AHEAD Core:

(Select the AIM-AHEAD Core affiliated with this publication)

Data Science Training Core (DSTC)

Data and Research Core

Infrastructure Core

Other:

Publication Status:

In Progress

Submitted

Under Review

Revise & Resubmit

Accepted

Published

Status Date:

Submission/Tracking # / PMID::

(For more information, visit: https://www.ncbi.nlm.nih.gov/pmc/about/public-access-info/)

Journal Name:

(Please provide the name of the journal in which this research was published)

Journal Impact Factor:

Publication Title:

(Please provide complete title as published)

Publication Authors:

(Please provide the full name of the author(s) for this publication)

AIM-AHEAD Acknowledgement?:

Yes

No

Is the Publication a direct result of AIM-AHEAD?:

Yes

No

First Author ORCID #:

(Please provide the 16-digit ORCID # which can be obtained at https://orcid.org/)

Is One or More Author an Underrepresented Minority (URM)?:

Yes

No

URM Category (Select all that apply): :

African American/Black

Hispanic/Latino

Native American/Alaska Native

Asian American

Subgroups such as Southeast Asian (e.g., Vietnamese, Cambodian, Laotian)

Pacific Islander/Native Hawaiian

Multiracial Individuals

LGBTQ+ Communities

Individuals with Disabilities

Refugees and Immigrants

Economically Disadvantaged Populations

Rural populations

Is the Lead Author an URM?:

Yes

No

Publication Citation:

(Please include full citation)

Topic Area:

RCDC Category (List all that apply):

(See full list of RCDC categories at: https://report.nih.gov/funding/categorical-spending#/)

Publication DOI/URL:

Peer-Reviewed Publication?:

Yes

No

Total # of Citations Received:

Does the Publication Involve Collaborative Research?:

Yes

No

Collaborative Research Disciplines (List all that apply):

(i.e. Data Science, Biology)

Research Presented at Conference?:

Yes - Paper

Yes - Poster

No

Other:

Conference Impact:

High

Medium

Low

N/A

Conference Visibility:

High

Medium

Low

N/A

Which of the following best describes the Research or other AI-related information in this Publication? (Check all that apply):

Health Disparities Research

Racial and Ethnic Minority Health Research

Health Disparities and Racial or Ethnic Minority Health Research

Workforce Diversity and Outreach

Building Research Capacity at Institutions with Limited NIH Funding

Innovative Approach(es) - List all that apply:

(i.e. Enhanced Efficiency, Improved Accuracy, Ethical Outcomes)

What Additional Research Productivity does this Research Involve? (Check all that apply)::

New Database(s)

Physical Collections

Audio / Video Products

Software

New Models

Educational Aid(s) or Curricula

Instruments

Research Material

Interventions

Website(s)

Press Releases

News Stories