Table 2.

Time for Institutional Review Board Approval

	Physician Affiliation
	System A	System B	System C	System D
Date of initial IRB submission	04/24/08	07/09/08	06/09/08	06/09/08
Date of initial IRB approval	05/23/08	09/10/08	10/28/08	06/27/08
Date of final IRB approval^*	08/13/08	09/16/08	11/13/08	07/13/08
Total time for final approval, days	111	69	157	34

IRB, institutional review board.
System A: The Research Coordinator (RC) was responsible for contacting and consenting physicians as well as ensuring completion of study materials. System B: A system physician champion helped the RC make first contact with physician subjects. The RC was then responsible for contacting and consenting physicians and ensuring completion of study materials. System C: The system physician champion selected a lead physician at each clinic. This person worked with the RC for contacting and consenting physicians as well as ensuring completion of study materials. System D: The system physician champion was responsible for all contact with the physician participants. The RC was not permitted to contact physician participants directly. Data for time from first contact to consent and number of contacts before consent were not available for System D.
↵* Difference between date of initial and final IRB approval reflects the need for amendment(s).