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Human Research Protection Program

IRB |
IRB Members
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IRB Meeting Dates
| Policy and
Procedure Manual
The HRPP and IRB offices have moved! We are now located in Suite 2E at 80
Jefferson Street. If you have any questions, concerns, or helpful
information that may be added to this directory, please contact Sarah
Kiskaddon, JD, HRPP Director, or Kim Neild at (860) 545.9980. Email
skiskad@ccmckids.org or
kneild@ccmckids.org.
Investigators please take note:
All forms have been revised as part of our accreditation process. New
forms are posted below and are also available on the g:drive and should
be used. Old forms will no longer be accepted. Please contact the IRB
Office for assistance if you need assistance or have any questions.
Also, the IRB Office has begun implementing an electronic submission
system, IRB Manager. Sandi Hale, database manager, is available to meet
with investigators and research staff to offer training and assistance
in the use of the new system. Please contact her at 545-9916, or via
email at shale@ccmckids.org.
The IRB will continue to accept forms in paper format as needed while
the research community adapts to the new system.
The documents below are provided in Microsoft Word format (doc).
If you are on the CCMC network, you can also access these documents
on the g drive in G:/Ccmcdoc/Research/Irb. In order to ensure the
most recent version of each form is being utilized, please refer
back to this website or the g drive each time you make a submission
to the IRB.
To view a list of IRB Members, upcoming meeting agendas and
additional guidelines and forms, please visit CCMC's g:/ drive.
SPECIAL
NOTE TO RESEARCH PARTICIPANTS:
If you have any questions or concerns about your role and rights as a research participant, would like to obtain information or offer input, or would like to register a complaint about a specific study, please contact (anonymously if you wish) Sarah Kiskaddon, HRPP Director, at (860) 545-9980, or via email at
skiskad@ccmckids.org.
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Additional information and resources for participants are listed below:
OHRP Pamphlet: Becoming a Research Volunteer: It’s Your Decision
• http://www.hhs.gov/ohrp/education/index.html#materials
The Belmont Report (outlines ethical considerations for research with human subjects:
• http://www.hhs.gov/ohrp/
Federal government websites and guidance documents:
• DHHS Office for Human Research Protections (OHRP):
http://www.hhs.gov/ohrp/
• OHRP Guidance Documents:
http://www.hhs.gov/ohrp/policy/index.html
• FDA Information Sheets for Investigators and IRBs:
http://www.fda.gov/oc/ohrt/irbs/default.htm
Federal Regulations pertaining to Human Subjects Research:
• 45 CFR Part 46 (DHHS Human subject Regulations):
http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm
• 21 CFR Part 50 (FDA Protection of Human Subjects)
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=50
• 21 CFR Part 56 (FDA IRB Regulations):
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=56
| Document |
Comments |
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Informed Consent and Assent Template and Instructions
(40k doc) |
Please note this is the new template
with suggested language. |
Application Dates and Deadliness -
2009 Dates
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IRB Meeting Dates and Deadlines for
Submission of research protocols. |
| Consultations |
Contact the
IRB/HRPP Office at (860) 545.9978 or (860) 545.9980. |
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CITI Instructions
(25k doc) | HHS Regulations for the Protection of Human
Subjects (45CFR.46) re: Provision for Emergency Medical Care. |
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HIPAA
Guidelines
(25k doc) |
Health Insurance Portability and
Accountability Act information. |
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HIPAA
Authorization Template
(34k doc) |
HIPAA Authorization and detailed
explanations, including information for Limited Data Sets |
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HRPP SOP Manual
(870k pdf) |
Outlines operating procedures for the Human
Research Protection Program, including the IRB. |
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New Protocol Application Form
(34k doc) |
Please note this is the new application; please contact
the IRB/HRPP Office for assistance as needed |
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Medical Records/Chart Review Application (106k doc) |
This shorter application may be used to request approval for a new study limited to the review of medical records, chart reviews,
or review of computer databases. |
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Continuing Review Form
(55k doc) |
Please note this is the new request
for continuation form; please contact the IRB/HRPP Office for assistance
as needed. |
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Modification Form
(36k doc) |
Please note this is a new modification request form; please
contact the IRB/HRPP Office for assistance as needed. |
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Adverse Event Reporting Form
(43k doc) |
Use to report serious adverse events
that are unexpected and related or possibly related to research
procedures. (Please note this is a new adverse event reporting form;
please contact the IRB/HRPP Office for assistance as needed). |
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Unanticipated Problems Involving Risk to Participants or
Others – Reporting Form (43k doc) |
Use to report other types of unexpected problems that
involve risk to subjects or others (see form for examples). (Please note
this is a new form; contact the IRB/HRPP Office for assistance as
needed). |
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Request for Exemption
(40k doc) |
Use to request an exemption for research that meets an
exemption category (please contact the IRB/HRPP Office for assistance). |
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Short
Form Consent - English
(40k doc) |
The short form consent process may be used if an
investigator unexpectedly encounters a subject/family who is not
fluent in English. Please contact the IRB/HRPP Office for further guidance. |
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Short
Form Consent - Spanish
(40k doc) |
The short form consent process may be used
if an investigator unexpectedly encounters a subject/family who is not fluent
in English. Please contact the IRB/HRPP Office for further guidance. |
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