Department of Clinical Sciences

SAINT Survey

Name:

Job Title:

Degree:

UTSW Department

Children's Medical Center Dallas

St. Paul University Hospital

Zale Lipshy University Hospital

Parkland Memorial Hospital

Dallas VA Medical Center

Texas Scottish Rite Hospital for Children

_____________________________________________________________________________

Yes

No

Clinical or translational patient oriented research is the full or partial focus of my current position.
(Please complete remainder of survey and submit.)

Yes

No

My position is focused on basic or bench research, not clinical research. (Please submit without completing remainder of survey.)

Yes

No

My position has no research responsibilities at all.
(Please submit without completing remainder of survey.)

_____________________________________________________________________________

In your current position, how many years have you worked in clinical research?

< 1

1 - 3

3 - 5

5 - 10

> 10

How many years have you been involved in clinical research?

< 1

1 - 3

3 - 5

5 - 10

> 10

High School or GED

Technical or trade school

Associate degree

Bachelor degree

Master degree

Doctoral degree

Other

What is your highest level of completed education?

None, I learned on the job

Basic GCP class given by the Clinical Trials Office at UTSW

Basic/Intermediate/Advanced GCP class by commercial trainer, e.g. MedTrials, Barnett, CRTI, ACRP, or other

Other commercial classes: Topic

Community college or university-based

What formal training have you had in clinical research? ( Check all that apply. )

Certificate in Clinical Research

Associate Degree in Clinical Research

Bachelor’s Degree in Clinical Research

Master’s Degree in Clinical Research

Yes

No

Association of Clinical Research Professionals (ACRP)

Are you currently a member of:

Yes

No

Society of Clinical Research Associates (SoCRA)

Yes

No

Certified Clinical Research Coordinator (CCRC) through ACRP

Are you currently certified in clinical research?

Yes

No

Certified Clinical Research Associate (CCRA) through ACRP

Yes

No

Certified Clinical Research Professional (CCRP) through SoCRA

Yes

No

Other

Pharmaceutical trials

Device trials

Cooperative group trials (COG, POG, etc.)

Investigator-initiated trials

Federally-funded trials (NIH, NIMH, etc.)

What kind of study trial experience do you have? ( Check all that apply. )

Which of the following tasks is part of your routine job responsibilities?

Yes

No

Evaluation of protocols for feasibility

Yes

No

Study site preparation/initiation

Yes

No

Patient screening

Yes

No

Patient recruitment

Yes

No

Patient enrollment

Yes

No

Conducting study visits

Yes

No

Specimen collection and handling

Yes

No

Phlebotomy

EKG

Imaging

Other

Yes

No

Accountability for maintaining and dispensing study drug

Yes

No

Accountability for study device

Yes

No

Case report form (CRF) completion

Yes

No

Maintaining source documents

Yes

No

Managing, monitoring, and editing site CRF data

Yes

No

IRB submission (prepare study protocol, project summary, consent form)

Yes

No

IND/IDE application preparation

Yes

No

Assist with study grant, contract, or budget

Yes

No

Preparation of patient education information (brochures, flyers)

Yes

No

Communication with IRB (study submissions, CR, modifications)

Yes

No

Communication with sponsor

Yes

No

Reporting AE/SAEs

Yes

No

Submission of FDA MedWatch notifications

Yes

No

Preparation for FDA audits

Yes

No

Yes

No

Database management

Yes

No

Data compilation

Yes

No

Data entry

Yes

No

Data analysis

Yes

No

Medical chart reviews

Yes

No

Quality assurance

Yes

No

Publications (co-authored peer-reviewed journal, chapter, or book)

Study closure procedures

How many?

Yes

No

Other

Yes

No

Regulatory oversight

AIDS/HIV

Allergy and Immunology

Alzheimer’s

Anesthesiology and Pain Management

Burn, Trauma, Critical Care

Cardiology/Cardiovascular surgery

Dental

Dermatology

Emergency Medicine

Endocrinology/Diabetes/Metabolic Diseases

Epidemiology

Epilepsy

Gastroenterology

Geriatrics