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Three large Ohio academic Clinical and Translational Science Award (CTSA) institutions recently formed an IRB collaboration to allow a central IRB review during multisite studies. This was the first time CTSAs collaborated in this way, and it could serve as a best practice for other research institutions and CTSAs, experts say.
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Informed consent forms have one very daunting characteristic: They are visually numbing.
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To ensure that a proposed study or clinical trial can fulfill its goals and remain within ethical guidelines, some IRBs have mandated that protocols go through scientific review prior to submission. The purpose of the review is to ensure that studies are built on a solid scientific foundation to achieve the objectives.
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Researchers and physicians are increasingly speaking out on the issue of the geriatric population being excluded from clinical trials.
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Researchers using the Internet for recruitment and for electronic surveys have discovered that problems with online fraud can undermine the ease and efficiency of Web-based recruiting, an expert says.
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Concussion laws often require evaluation to be done by a particular class of health care provider one trained in the evaluation and management of a concussion, says William M. McDonnell, MD, JD, an associate professor of pediatrics in the Division of Pediatric Emergency Medicine at University of Utah in Salt Lake City.
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Kansas court rules that a patient had not come to the emergency department by virtue of a clinic physician calling and asking the hospital to accept the patient. Furthermore, the court determined that EMTALAs duty to accept a patient in transfer is only actuated when the hospital is called by another hospital, not by a clinic or physicians office.
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If the plaintiff had to prove beyond a reasonable doubt that an emergency physician (EP) made a wrong decision, there are so many gray zones in medicine that there would never be a plaintiff judgment again, says Kevin Klauer, DO, EJD, chief medical officer for Emergency Medicine Physicians in Canton, OH, and a member of the board of directors at Physicians Specialty Ltd. Risk Retention Group.
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The concussion laws passed by 39 states establish an expectation for emergency physicians (EPs) involved in the case of a student athlete who has potentially suffered a concussion to have a very low threshold for making the diagnosis of concussion and removing the child from any potential for further injury, says Roger J. Lewis, MD, PhD, a professor in the Department of Emergency Medicine at Harbor UCLA Medical Center in Torrance.
