At a national meeting of the NCI's Early Detection Research Network, I was thrilled when Missy Tuck, a woman I have indirectly/electronically worked with for years, introduced herself. She is a clinical trials project manager extraordinaire, one of these people whose name in the cc field of an email makes me feel reassured that the work will be done. Having been involved in many of the same gastrointestinal clinical trials, she on the clinical site end and me on the federal sponsor end, you could say we have been through many life cycles together. Needless to say, we had so much to talk about, we were like old friends - and definitely members of the same community of practice. In the short time that we spoke, she provided some insights as to why recruitment had been going so well lately. In this case, she recounted the importance of strong relationships with staff nurses and getting the buy-in from specialists in her facility. It sounded like because of the trusting relationships, the trial introduction interactions are much more efficient and less redundant for the hospital staff, the recruitment staff and of course the patient. This strategy is great to know in theory but I really "got it" when Missy told me from personal experience.