Maricopa Community Colleges  CRC291   20086-99999 

Official Course Description: MCCCD Approval: 6-24-08

CRC291  2008 Fall – 2010 Summer II

LEC  4.0 Credit(s)  4.0 Period(s)  4.0 Load  Occ

Monitoring

Basic monitoring skills and responsibilities required of the Clinical Research Associate (CRA). site selection and Initiation, routine monitoring and close-out visits; audit techniques and preparations; expectations and professionalism; monitoring plans, Standard Operating Procedure (SOP) adherence, training of sites, travel expectations and conduct; sponsor interactions (acting as a liaison); source document verification; review of patient charts; use of electronic systems; monitoring reports and letters; adverse event monitoring and reporting; recruitment and retention.

Prerequisites: CRC290.

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MCCCD Official Course Competencies:

 

CRC291  2008 Fall – 2010 Summer II

Monitoring

 

1.

Prepare a Monitoring Plan based on a study timeline. (I)

2.

Describe potential conflicts between sites and sponsors and create a resolution plan. (I, III)

3.

Write a sample monitoring report for each of the following: Site Initiation Visit, Routine Monitoring Visit and Close- Out Visit. (I, III)

4.

Describe the professionalism and etiquette required of a CRA. (I, III, IV)

5.

Audit a patient chart based upon protocol adherence and Food and Drug Administration (FDA) regulations, Good Clinical Practice, International Conference of Harmonisation (ICH) guidelines, sponsor and site SOP. (I, III, IV)

6.

Compare and Contrast monitoring objectives across therapeutic disciplines. (I, IV, V)

7.

Create an interview questionnaire to be used during the site selection process. (II)

8.

Describe the typical FDA audit and apply the process to a mock site audit. (II)

9.

Explain the CRA's role in database locks and interim analyses. (II, III)

10.

Create a template for the following letters: Confirmation of Visit, Routine Follow-up Visit, Close-Out Visit, Action to Address Issues. (II, III)

11.

Develop a Monitor's Tool Chest consisting of checklists, charts and job aides to assist in a Site Initiation Visit, Routine Monitoring Visit and Close-Out Visit. (II, IV)

12.

Explain the process for site selection and the roles associated with the Clinical Research Associate (CRA). (II, V)

13.

Design a study and site recruitment strategy based upon an assigned protocol. (V)

14.

Review and discuss ancillary items common to clinical trails. (V)

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MCCCD Official Course Outline:

 

CRC291  2008 Fall – 2010 Summer II

Monitoring

 

I. Monitoring basics

A. Roles of the In-House CRA, Field CRA, Lead CRA and project manager

B. Review of a typical sponsor hierarchy and where the CRA fits in

C. CRA as a single point of contact/site managers

D. Safety reporting: serious adverse events versus adverse events and product complaints

E. Differences across therapeutic disciplines

F. Monitoring in Specialties: Dental, Ophthalmology and Investigator-Initiated studies

G. Monitoring Plans

H. Professionalism

I. Monitoring Reports

J. Monitor Auditing: Source Documents versus Case Report Forms

II. Monitoring tools

A. Tools for conducting Site Initiation Visits (SIV), Routine Monitoring Visits (RMV) and Close-Out Visits - Creating a Monitoring Tool Chest

B. Site Selection; interviews and questionnaires

C. Audit Preparation: Sponsor versus FDA

D. Work load assessment, expense reporting and travel

E. Electronic resources and utilizing the web

III. The role of the liaison

A. Methods of communication

B. Study start up for sites

C. Conflict resolution

D. Monitoring visit follow-up

E. Interim analyses and database locks

E. Sponsor/Contract Research Organization (CRO) expectations of a CRA.

IV. Training for CRAs

A. Sponsor/CRO SOP's

B. External resources and continuing education

C. Study specific versus therapeutic specific

D. Preparation for certification; sponsor versus industry expectations

V. Ancillary items

A. Recruitment and retention

B. Laboratory

C. Cardiology (electrocardiograms)

D. Imaging (Magnetic Resonance Imaging, Proton Emission Tomography, Computed Tomography, ultrasound, radiographs and nuclear imaging) and therapeutic specific requirements

E. Documentation, storage and resupply of clinical trial material.

F. Electronic and Web based systems: eDiaries, questionnaires, online study databases, electronic data capture/management systems and central recruitment vendors.

 

 

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