RT Journal Article SR Electronic T1 A Novel Protocol for Streamlined IRB Review of Practice-based Research Network (PBRN) Card Studies JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 605 OP 609 DO 10.3122/jabfm.2011.05.110034 VO 24 IS 5 A1 Hamilton, Michelle D. A1 Cola, Philip A. A1 Terchek, Joshua J. A1 Werner, James J. A1 Stange, Kurt C. YR 2011 UL http://www.jabfm.org/content/24/5/605.abstract AB Purpose: The “card study,” in which clinicians record brief information about patient visits during usual clinical care, has long been a rapid method for conducting descriptive studies in practice-based research networks. Because an increasingly stringent regulatory environment has made conducting card studies difficult, we developed a streamlined method for obtaining card study institutional review board (IRB) approval. Methods: We developed a protocol for a study of the card study method, allowing new card study proposals of specific research questions to be submitted as addenda to the approved Card Study Protocol. Results: Seven card studies were proposed and approved under the Card Study Protocol during the first year after implementation, contrasted with one-card study proposed in the previous year. New card study ideas submitted as addenda to an approved protocol appeared to increase IRB comfort with the card study as a minimal risk method while reducing the hurdles to developing new study ideas. Conclusions: A Card Study Protocol allowing new study questions to be submitted as addenda decreases time between idea generation and IRB approval. Shortened turn-around times may be useful for translating ideas into action while reducing regulatory burden.