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The Journal of the American Board of Family Medicine 21 (4): 345-352 (2008)
DOI: 10.3122/jabfm.2008.04.080088
© 2008 American Board of Family Medicine
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Ethics Feature

Institutional Review Board Training for Community Practices: Advice from the Agency for Health Care Research and Quality Practice-Based Research Network Listserv

Rowena J. Dolor, MD, MHS, Peter C. Smith, MD and Anne Victoria Neale, PhD, MPH

Division of General Internal Medicine, Duke University Medical Center (RJD), Durham, NC
Department of Family Medicine, University of Colorado, Denver (PCS)
Department of Family Medicine and Public Health Sciences, Wayne State University (AVN), Detroit, MI

Correspondence: Corresponding author: Rowena J. Dolor, MD, MHS, Duke Primary Care Research Consortium, Box 3850, Duke University Medical Center, Durham, NC 27710 (E-mail: rowena.dolor{at}duke.edu)

Human subject protection training is required for all research personnel regardless of funding source. This article summarizes recommendations from a discussion about ethics training for community personnel from the practice-based research network (PBRN) listserv sponsored by the Agency for Health Care Research and Quality PBRN Resource Center. PBRN projects can involve community providers and their staff as subjects of the research project or as collaborators with recruitment and data collection. Distinguishing between usual care and research procedures is important for determining if training is required of community-based personnel. The use of research assistants or practice facilitators to collect research-related information is one way of limiting practice involvement to usual care procedures, thereby allowing PBRNs to limit training to dedicated research staff. Key methodologies for human subject protection training of community practice staff include on-site lectures, online modules, videotapes, and paper-based training. Ultimately, a discussion by the PBRN researcher with his or her governing Institutional Review Board is recommended for finding acceptable strategies within a PBRN.





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