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CITI Program – Hamad Medical Corporation Medical Research Center – Dr. Al-Hareth M. Al-Khater, Chairman Dr. David W. Matear, Dr. Anjum Susan John, Dr. Prem Chandra, Dr. Shajitha Theke Veetil, Dr. Asmaa Abubaker Al Musleh, Dr. Nacera Ouslimane, Ms. Kia Kornas, M. Anusha Abdul Khader Medical Research Centre Hamad Medical Corporation CITI Program Introduction Objectives for the CITI Presentation • • • • • Overview of the CITI program HMC groups required to have CITI certification HMC course requirements for each groups Timelines for achieving certification Registration process Structure for the CITI Presentation • • • • • • • • • • • • Overview of the CITI program HMC groups required to have CITI certification Timelines for achieving certification HMC requirements for clinical investigators Clinical trials Social and behavioral research Research with animals Laboratory research Health Information Privacy and Security (HIPS) Course Demonstration of the registration process Next steps Question time CITI Program • • • • • • • Collaborative Institutional Training Initiative (CITI) – A web based training program in human research subjects protections Basic Courses in the Protection of Human Research Subjects – Biomedical Focus – Social and Behavioral Focus – Refresher Courses Good Clinical Practice Course Health Information Privacy and Security Course (HIPS) Laboratory Animal Research Courses For Investigators and IACUC Members – Animal Model Specific Courses. Responsible Conduct of Research (RCR) Courses. – Biomedical Research Focus – Social, Education, Behavioral Research Focus – Physical Sciences Research Focus – Scholarly Activities in The Humanities Focus – RCR for Engineers – RCR for Science Administrators Bio-Safety and Bio-Security HMC CITI Program • Basic Courses in the Protection of Human Research Subjects • Good Clinical Practice Course • Laboratory Animal Research Courses For Investigators and IACUC Members • Bio-Safety and Bio-Security • Health Information Privacy and Security Course (HIPS) CITI Program Groups at HMC • • • • • • • • • • Biomedical Researchers (BMR) Social and Behavioral Researchers (SBR) Clinical Trials Investigators Clinical Investigators Clinical Research Students and instructors Research Committee/Institutional Review Board (IRB) Members Medical Research Center (MRC) Reviewers Investigations Committee Members DSMB Members MRC Staff Marketers and Sponsoring Companies • • Laboratory Animal Research – IACUC Members – Animal Laboratory Researchers – Animal Laboratory Managers and Technicians – Animal Laboratory Research Students Biosafety and Biosecurity – HMC Biosafety Committee – Laboratory Researchers – Laboratory Managers and Technicians – Hazardous Materials Responders – Biosafety professionals – Laboratory Research Students Timelines for Certification • Certification required for investigators of all new proposals – April 1, 2011 • Certification required for investigators with ongoing studies – October 1, 2011 Laboratory and Animal Research “Character is doing the right thing when nobody’s looking. There are too many people who think that the only thing that’s right is to get by, and the only thing that is wrong is to get caught” ~ J.C. Watts How To Do The Right Thing? Compliance • Conducting Research in Animals is A Privilege • Privilege can only be granted by the IACUC • IACUC approves Experimental Protocols Objectives of the CITI Program Research Conduct According to International Standards Replacement: Replace animals with other research tools or techniques to adequately address the research question Reduction: Means minimizing the number of animals needed to perform an experiment or teach a concept Refinement: Means refining experimental protocols to minimize pain or distress whenever possible CITI Program Requirements –Animal Researchers • Three Courses 1) Animal Laboratory Researchers (25 modules) 2) Aseptic Surgery(1 module) 3) Reducing pain and distress in Laboratory Mice and Rats(14 modules) HMC Laboratory Researchers Biosafety Biosafety describes the policies and procedures adopted to ensure the environmentally safe application of research without endangering public health or environmental safety Obligation of Safety Standards of the Research Environment Provides — Safety of the Laboratory and Environment — Safety of the Staff — Welfare of the Experimental Animal HMC Laboratory Researchers (BIO) Required Biosafety Course –7 Modules 1) 2) 3) 4) 5) 6) 7) Biosafety course overview Laboratory - Associated Infections Risk management – emergency Procedures OSHABloodborne pathogens Archived 13480 Bloodborne Pathogens Select Agents Biosecurity Take the CITI Training… Let Us Do The Right Thing Health Information Privacy and Security Course (HIPS) CITI Program Requirements HIPS • Clinical Investigators – 4 Modules • Clinical research students and instructors – 4 Modules • Marketers and Sponsoring Companies – 8 Modules • Medical Research Center (MRC) Reviewers – (All Modules) • Research Committee/Institutional Review Board (IRB) Members – (All Modules) • MRC Staff – (All Modules) Clinical Investig ators Clinical Research Students and instructors IRB Members/ MRC Reviewers About the "HIPS" HIPAA education series* (ID: 1416) O O R R R Privacy Rules: Introduction to Federal and State Requirements* (ID: 1417) O O R R R Privacy Rules: Clinicians* (ID: 1418) O O R R O Privacy Rules: Clinical Investigators* (ID: 1419) R O R R O Privacy Rules: Students and Instructors* (ID: 1420) O R R R O Privacy Rules: Fundraisers* (ID: 1421) H O R R O Privacy Rules: Marketers* (ID: 1422) H O R R R Security Rules: Basics of Being Secure, Part 1* (ID: 1423) R R R R R Security Rules: Basics of Being Secure, Part 2* (ID: 1424) R R R R R Security Rules: Protecting your Computer* (ID: 1425) O O R R R Security Rules: Picking and Protecting Passwords** (ID: 1449) O O R R R Security Rules: Protecting your Portables* (ID: 1427) O O R R O Security Rules: Protecting your identity* (ID: 1428) O O R R O Security Rules: Safer Emailing and IM-ing, Part 1* (ID: 1429) O O R R O Security Rules: Safer Emailing and IM-ing, Part 2* (ID: 1430) O O R R O Security Rules: Safer Web Surfing* (ID: 1431) O O R R O Security Rules: Introduction to Federal and State Requirements* (ID: 1432) H O R R O Security Rules: Issues for Work/Workers Off-Site* (ID: 1433) O O R R O Completing the Privacy and Security Course (ID: 1434) R R R R R MRC Staff Marketers/ Sponsoring Companies HIPAA (Health Insurance Portability and Accountability Act) What is the HIPAA Privacy Rule? • A federal law that protects the privacy of individually identifiable health care information • Protection applies to all forms of informationelectronic, paper, and oral • The law creates the floor for health care privacy HIPPA applies to the following types of Research: • • • • • • Biomedical Research Social and Behavioral Research Epidemiological Research Basic Science Research Psychological Research And Others….. Privacy The desire of a person to control the disclosure of personal health information Privacy Solutions: • Forbid the collection of data that might be misused • Allow the collection of health information within a structure, but with rules and penalties for violation pertaining to collecting organizations • Generate policies to which individual information handlers must adhere Confidentiality The ability of a person to control release of personal health information to a care provider or information custodian under an agreement that limits further release of that information Security Protection of privacy and confidentiality through policies, procedures and safeguards. Why do they matter? • Ethically, privacy and confidentiality are considered to be rights (in our culture) • Information revealed may result in harm to interests of the individual • The provision of those rights tends to ensure that the information is accurate and complete • Accurate and complete information from individuals benefits society in limiting spread of diseases to society • The preservation of confidentiality assists research which in turn assists patients Users of Health Information • • • • • • • • • • • Patient Health insurance company Laboratory Hospital Researcher State bureau Accrediting organization Employer Life insurance companies Medical information bureau Lawyers HIPS Summary • Research subjects must sign an authorization form that describes the use and disclosure of their protected health information (PHI) for research purposes • Develop security and confidentiality policies • HIPS authorization wording may be part of informed consent document or a separate form Requirements for Clinical Investigators and Social and Behavioral Researchers Clinical Investigators The persons responsible for the conduct of research involving human participants/ using material from human origin for his/her research Social and Behavioral Researchers • The persons responsible for the conduct of studies on human and animal functioning at the level of individual, small groups, institutions, organizations or communities • Surveys • Questionnaires, Interviews • Direct observations • Standardized tests • Economic analyses • Statistical modeling • Ethnography • Evaluations CITI Basic Program Requirements Clinical Investigators Basic course: 7 modules + one on conflict of interest in research involving human subjects (total 8) Refresher course: 101 option (7 modules) Repeated every 3 years Social and Behavioral Researchers Basic Course: 8 modules + one on conflict of interest in research involving human subjects (total 9) Refresher Course: 101 option (6 modules) Repeated every 3 years The Modules (BMR) • Hamad Medical Corporation • Belmont report and CITI course introduction • History and ethical principles • Basic IRB regulations • Informed consent • Records-based research • Genetic research in human populations • Research with protected populations The Modules (SBR) • Hamad Medical Corporation • Belmont report and CITI course introduction • Students in research • History and ethical principles • Defining research with human subjects • The regulations and social and behavioral sciences • Assessing risk and social and behavioral sciences • Informed consent • Privacy and confidentiality Researchers – Clinical Trials • Good Clinical Practice (GCP) – 11 modules • Optional Modules (not compulsory unless recommended by MRC Reviewer) CITI User Registration If your organization is a participant in the CITI Program and this is your first time at the CITI Course site, you must register for the course. This is an easy process. From the Home Page, choose New Users, "Register Here" then: 1) 2) 3) 4) 5) 6) 7) 8) Choose your institutional affiliation Choose a Username and Password Provide contact information required by your institution You will be given the opportunity to register with another institution (e.g., the institution of a collaborator). This is a handy option as you will not be required to complete the same modules required by both institutions more than once Answer 1 or more questions about your research focus or research role so that the software will present you with the appropriate customized curriculum. After you select the curriculum, the software will present you with the "Learners Main Menu“ You will then "Click on this Grade book link to enter the course". The modules will then be displayed. HMC CITI Program Registration Demonstration https://www.citiprogram.org/Default.asp? HMC CITI Program Summary • • • • • • • • • • • • Overview of the CITI program HMC groups required to have CITI certification Timelines for achieving certification HMC requirements for clinical investigators Clinical trials Social and behavioral research Research with animals Laboratory research Health Information Privacy and Security (HIPS) Course Registration procedure Next steps Questions? Next Steps • Register on the HMC CITI website • Take the programs • Obtain certification Questions • Call the Medical Research Center Ms. Kia Kornas, Director of Research Administration Ext. 5320 • E-mail questions [email protected] Thank you!