The Multicenter Orthopaedic Outcomes Network (MOON) study of anterior cruciate ligament (ACL) reconstruction has achieved >80% follow-up for study subjects who were enrolled from 2002 to 2005; patient-reported outcome measures (PROMs) were reported at 2, 6, and 10 years through a carefully designed protocol that included surgeon involvement to encourage subjects to complete and return questionnaires. The process included emails and telephone calls from the central coordinating center, from research coordinators at each local institution, and lastly, from the subjects' surgeons for those who were less inclined to complete the follow-up. In order to quantify the effect of site and surgeon involvement, the enrollment year of 2005 was monitored for the 10-year follow-up (n = 516 subjects). In contact efforts made by the coordinating center, 73.8% (381) of study subjects were reached by the central site coordinator, contact information was verified, and questionnaires were subsequently sent, completed, and returned. An additional 54 subjects (10.5% of the overall study population) returned the questionnaire after local study site involvement, indicating the importance of individual surgeon and local site involvement to improve follow-up rates in multicenter studies in orthopaedic surgery. Follow-up rates were higher when a specific individual (the surgeon or the research coordinator) was given the task of final follow-up.Achieving high rates of long-term follow-up in orthopaedic studies has proven to be challenging, with follow-up of approximately 80% required for Level-I evidence [1][2][3][4][5] . Achieving that rate of follow-up is even more difficult with young patients, who generally relocate more frequently than older patients [6][7][8] . Age is a proven risk factor for greater loss to follow-up in anterior cruciate ligament (ACL) reconstruction 6 . Our multi-center study of ACL reconstruction has achieved >80% followup with patient-reported outcome measures (PROMs) at 2, 6, and 10 years for study subjects who were enrolled from 2002 to 2005. This was accomplished through a carefully designed protocol that included surgeon involvement as a last resort to encourage subjects to complete and return questionnaires [9][10][11][12][13][14][15] . The process included emails and telephone calls from the *A list of the MOON Group members is included in a note at the end of the article.
Implication Statement The Opioid Awareness and Support Team (OAST) at the Memorial University Faculty of Medicine is a novel student-led initiative designed to supplement medical student learning related to opioid use disorder and the opioids crisis. OAST has focused on grounding educational initiatives related to opioid use disorder in the local community context, working with community partners, and bringing in individuals with lived experience. We present initial findings from an Opioid Education Day that suggest student-led supplemental education for medical students can improve student knowledge surrounding opioid use.
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