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    PREP Workshop #31:

    Preparing for Certification as a Clinical

    Research Coordinator

    Presented by:

    Susan Ray, MS, CCRC

    Supervisor Research Coordination

    Clinical Research Service

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    CME Disclosure Statement

    • The North Shore LIJ Health System adheres to the ACCME’s new Standardsfor Commercial Support. Any individuals in a position to control the

    content of a CME activity, including faculty, planners, and managers, are

    required to disclose all financial relationships with commercial interests.

    All identified potential conflicts of interest are thoroughly vetted by the

    North Shore-LIJ for fair balance and scientific objectivity and to ensureappropriateness of patient care recommendations.

    • Course Director and Course Planner, Kevin Tracey, MD and Tina Chuck,

    MPH have nothing to disclose.

    • Susan Ray has nothing to disclose.

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    Objective: Review requirements and possible preparation options

    for becoming certified as a clinical research coordinator

    Topics: Discuss SoCRA and ACRP requirements for taking

    the certification exams

    Review the Alliance Coordinator Award Program

    Discuss preparation tools, courses and options

    Test current knowledge – study review questions

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    SoCRA

    • Ethical Principles / Informed Consent /

    Safety: 20% - 25%

    • Institutional Review Board / Institutional

    Ethics Committee (IRB/IEC) Roles and

    Responsibilities: 7% - 11%

    • Clinical Trial Protocol and Protocol Amendments: 4% - 8%

    • Investigator Roles and Responsibilities: 28%

    - 32%

    • Sponsor Roles and Responsibilities: 31% -

    35%

    See Exam Outline

    •FDA regulations. You will not be tested on FDA

    guidance. However, some of the guidance

    documents published by the FDA may be

    helpful in explaining concepts.

     ACRP

    General knowledge of:

    • Laboratory terminology, tests, and procedures

    • Basic math, including adding, subtracting,

    multiplying, dividing, and calculating

    percentages

    Proficiency in the areas of:

    • Investigational Product Management

    • Protocol

    • Safety

    • Trial Management

    • Trial Oversight

    See Detailed Content Outline (DCO)

    • ICH GCP Guidelines E6, E2A, E8, E9• Declaration of Helsinki

    http://www.socra.org/certification/ccrp-certification-exam/exam-outline

    http://www.acrpnet.org/PDF/CRC_Handbook.pdf

    What is covered in the exam(s)?

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    Nuremberg Code

    Declaration of Helsinki

    Belmont Report

    • Department of Health and Human Services, Title 45 Public Welfare, Code ofFederal Regulations , Part 46 Protection of Human Subjects

    DHHS 45 CFR Part 46

    Subpart A = Common Rule *

    • Protection of Human Subjects (ICF)FDA 21 CFR

    50 *

    • Institutional Review Boards (IRB)56 *

    • Electronic Records, Electronic Signatures (EMR)11

    • Financial Disclosure by Clinical Investigators (COI)54

    • Investigational New Drug Application (IND)312

    • Investigational Device Exemptions (IDE)812

    • Good Clinical Practice (GCP)ICH GCP Guidelines

    E6

    • Clinical Safety Data Management: Definitions and Standards for ExpeditedReporting

    E2A

    • General Considerations for Clinical TrialsE8

    Statistical Principles for Clinical TrialsE9

    Regulations and Guidance Documents

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    Review of SoCRA’s Exam 

    • CRP Certified: “CCRP”

    • Exam dates: NY area (Hartford, CT) exam will be September 25, 2015

    Applications due: August 13, 2015

    • Exam dates: NY area (Philadelphia, PA) exam will be October 10, 2015

    Applications due: August 28, 2015

    Fees: examination application fee $195 + $75 membership fee

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    Duration: 4 hrs

    •135 mult iple choice and true/false questions

    •Test questions are designed to be straightforward

    and easily understood.

    •Case studies that relate to c linical research

    practice•Current cut score is 80% and requires that the

    candidate correctly completes 108 out of the 135

    examination questions.

    Period of Certification: 3 years

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    1. Member of SoCRA

    1. Working with Good Clinical Practice (GCP) guidelines under IRB approved protocols

    2. One of the following :

     Category 1: 2 yrs FT Clinical Research Professional (or have 3,500 hours part-time) within 5

    years

     Category 2: degree in "Clinical Research" + 1 yr. year FT (or 1,750 hours part-time) within 2

    years in Clinical Research Professional

     Category 3: Hold an Undergraduate or Graduate Certificate in “Clinical Research” with a

    curriculum of no less than 12 semester (credit) hours or totaling a minimum of 144 credit hours

    from an academic institution of higher learning (community college, college or university) AND

    hold an Associate’s or Bachelor’s Degree in a science, health science, pharmacy or relatedfield AND have completed a minimum of one year of full-time experience (or 1750 hours part-

    time) during the past two years as a Clinical Research Professional.

    http://www.socra.org/certification/ccrp-certification-exam/candidate-eligibility

    SoCRA Eligibility Requirements 

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    Review of ACRP’s Exam 

    •CRC Certified: “CCRC”

    • Fall 2015 Exam dates: September 9 – October 3, 2015

    Applications Open: May 1, 2015 Applications Due: August 15, 2015

    Fees: $450 for ACRP members and nonmembers by July 1 2015

    $525 for nonmembers July 2 through August 15 2015

    • Spring 2016 Exam dates: February 25 – March 21, 2016

    Applications Open: October 1, 2015 Applications Due: February 1, 2016

    Fees: $450 for ACRP members and nonmembers by December 1 2015

    $525 for nonmembers December 2, 2015 through February 1 2016

    http://www.acrpnet.org/PDF/CRC_Handbook.pdf

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    Duration: 3 hrs

    •125 multiple choice questions

    •Practice based exam with hypothetical scenarios,

    no trick questions

    • Approximately 74% of candidates are successfulon their f irst exam attempt.

    •Scaled score of 600 (800 max.) required to pass

    indicates that, while a different number of correct

    answers may be required from one administration

    to the next, the passing point for all examinations

    represents the same level of knowledge.

    Period of Certification: 2 years

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    http://www.acrpnet.org/PDF/CRC_Handbook.pdf

    One of the follow ing:

    Option 1: RN, Associates, or Bachelor’s or higher, 3000 hrs,

    documentation of performed essential duties (CV and Job

    Description)

    Option 2: Other such as LPN, LVN, Med. Assistant, Lab Technician

    OR HS diploma, 4500 hrs, documentation of performed essential

    duties (CV and Job Description)

    ACRP’s Eligibility Requirements 

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    Alliance Coordinator Award Program

    Send i t to the CRS;

    [email protected]

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    Preparation Tools

    1. ACRP Certification Exam Preparation Package(http://www.acrpnet.org/prepareforyourexam)

     –  Exam Practice Exercise

     –  ACRP's new Certification Exam Preparation eLearning Course

     –  Exam Prep Packages

    2. RAN Institute Flash Cards: http://www.raninstitute.com/flashcards.php  

    3. www.mobilizepress.com - 1-2 hour reviews on other ICHdocuments. Tip: You can purchase these and have unlimited access touse to prepare for the exams.

    4. www.raninstitute.com ICH Guidelines: www.ich.org (Go to Work Products/ICHGuidelines/Efficacy Guidelines)

    5. Declaration of Helsinki:www.wma.net/en/20activities/10ethics/10helsinki/index.html 

    http://www.acrpnet.org/prepareforyourexamhttp://www.acrpnet.org/prepareforyourexamhttp://www.raninstitute.com/flashcards.phphttp://www.mobilizepress.com/http://www.raninstitute.com/http://www.ich.org/http://www.ich.org/http://www.ich.org/http://www.wma.net/en/20activities/10ethics/10helsinki/index.htmlhttp://www.wma.net/en/20activities/10ethics/10helsinki/index.htmlhttp://www.wma.net/en/20activities/10ethics/10helsinki/index.htmlhttp://www.ich.org/http://www.raninstitute.com/http://www.mobilizepress.com/http://www.raninstitute.com/flashcards.phphttp://www.acrpnet.org/prepareforyourexam

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    Pharmaschool (free): http://www.pharmaschool.co/resources.asp.Under the general resources there is a “jargonbuster” with key

    definitions

    “GCP and Clinical Research Tests” there are various multiple choice

    quizzes

    Registered Users can go to “My GCP Zone” to score your quizzesand tell you how you compare to the average user.

    *The website is based out of the UK there are some specific questions

    regarding EU regulations, but overall was found to be extremely

    helpful.

    Preparation Tools

    15

    http://www.pharmaschool.co/resources.asphttp://www.pharmaschool.co/resources.asp

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    • STEP 1: Assess your own professional experience• STEP 2: Start early and plan ahead.

    • STEP 3: Schedule your study time. The key is not to memorize what youread, but to understand concepts behind ICH/GCP and best practices ineach knowledge category area to supplement your experience inanswering questions on the exam.

    • STEP 4: Assemble your study notes in a binder.• STEP 5: Choose the methods that are right for YOUR study plan. Choose a

    mentor or colleague who has more experience in the areas in which youare less familiar and ask him/her to review concepts with you.

    • STEP 6: Stick to your study group’s plan.

    • STEP 7: Don’t panic! Follow the excellent pre-exam advice that the

    Academy provides, and come to the exam well-rested and prepared.

    http://www.acrpnet.org/PDF/CRC_Handbook.pdf

    Preparation Ideas

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    Exam Preparation – CRS Study Groups?

    • Additional prep sessions using RAN InstituteFlash Cards

    • Contact your Regional CRS

    • Electronic GCP

    • Hard-copy box of flash cards

    17

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    Test Current Knowledge

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    Pre-Exam Assessment

    Test current knowledge by completing thequestionnaires Code of Federal Regulation – Slides on screen

    CFR questions -Broader Good Clinical Practice – The RAN Institute's On Line Training

    Campus

     

    GCP -More specific

    http://raninstitute.trainingcampus.net/http://raninstitute.trainingcampus.net/

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    Final TipsCertification Prep from Coordinators:

    • When you apply to take the certification exam: be prepared to literally justify why and howyou meet all of the qualification requirements

     –  detail your experience and make sure it adds up to the specific requirements indicated.

    They will reject your application if you do not show how you meet eligibility.

    • Concentrate on the big picture: ICH guidelines E6, E8, Declaration of Helsinki.

    • Make sure you understand the difference between your local guidelines/requirements and

    the international/ federal regulations for clinical research

    • Noticed emphasis on “phases of clinical drug development” and “statistical principles for

    clinical trials”

    • Take the practice exam: dissect each question as there's some truth or reason to all the

    answers listed.

    • Be able to critically asses various situations that could happen in research - especially those

    you are not familiar with because you will most likely come across that and slow you downduring the exam

    • Be prepared for math/calculation questions for drug accountability/subject compliance, etc.

    • Understand the process of the testing center and taking a test on a computer

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    Special ThanksContributors Division/Department/Facility

    This presentation was primarily created

    by Cerdi Beltre, CIP, CCRP.

    Clinical Research Service, Feinstein

    Institute for Medical Research, NSLIJHS