Development costs might be prohibitive for small organizations.
Multi-institutional agreements
A web based model The Collaborative Institutional Training Initiative (CITI)
www.citiprogram.org
What is the CITI Program?
CITI is a volunteer organization whose goal is to develop and distribute high quality, peer reviewed educational resources designed to raise awareness to human subjects protection issues for all members of the research team.
CITI maintains an educational website where participating organizations can design and roll out a customized curriculum for their investigators, staff and administrators.
CITI – Organization
Semi-annual Developer Meetings
CITI Institutional Members (578)
International Participants
80% of AAHRPP accredited institutions utilize the CITI program as a component of their HSR educational
Cedars-Sinai Medical Center
Chesapeake Research Review Inc.
Children's Hospital Boston
Copernicus Group IRB
Dana-Farber/Harvard Cancer Center
East Tennessee State University
Fox Chase Cancer Center
Hunter Holmes McGuire Veterans Affairs Medical Center
Iowa Health - Des Moines
Massachusetts General Hospital
Brigham & Women's Hospital
Michigan State University
New England Institutional Review Board
CITI program and the VA
Financial support
Software
Software development
Software and IT support.
CITI - The Content
CITI Basic Course www.citiprogram.org
12 Biomedical Modules
11 Social / Behavioral Research Modules
5 General Interest Modules
Quizzes
CITI Refresher Course www.citiprogram.org
Case studies and scenarios
Biomed Refresher I,
Biomed Refresher II
SBR Refresher I
SBR Refresher II (6-2006)
CITI International Research Course www.irbtraining.org
Undergraduate / graduate bioethics or research methods courses.
Coordinator “Survey says”:
CITI “Help Desk”
Resolve learner problems
Registrations
Technical Issues
Institution set up support
Learner Groups
Program Curriculum
Institutional page setup
Adding institutional content
Coordinator Support
Changes in contact information
Implement Modifications.
Report Utilities
The Target Audience
The Clinical Investigator
The Social & Behavioral Scientist
The Basic Science Investigator
Students
The IRB
The IRB Coordinator
Chair of the IRB
The Institutional Official
CITI Learner Characteristics
Software must be user friendly The Learner
Software must be user friendly Institutional Coordinator / Administrator
Has access to the database
Download aggregate training data.
Retrieve individual learner’s record.
Review user comments.
Receives individual completion report by email.
CITI Course Site Usage
CITI Program Growth
Recent Monthly Usage
International Access
CITI Cumulative Registrations
CITI Program Course Site Administrator tools
www.citiprogram.org
Program Evaluation What is the effectiveness of web based instruction.
IRB Coordinator Perspective
Utility: Coordinator “Survey says”:
Acceptance by learners Coordinator “Survey says”:
Impact: Coordinator “Survey says”:
Value: Coordinator “Survey says”:
Value: Coordinator “Survey says”:
Program Evaluation What is the effectiveness of web based instruction.
Learner’s Perspective
Impact
Since completing the CITI Course, I may be more willing to join an IRB or a Data Safety Monitoring Board to take a more active role in protecting human subjects.
Program Evaluation
Learner Perspectives at 22 months
REFRESHER COURSE SURVEY
REFRESHER COURSE SURVEY
REFRESHER COURSE
Refresher Course Survey
Refresher Course Survey
REFRESHER COURSE SURVEY
In Summary
What have we learned about web based instruction from the CITI program experience.
The www as a tool
Web instruction can provide rich content in a time and cost effective manner.
A web program can play a central role in an organization’s HSR education program.
A web program can be utilized for both basic and refresher instruction.
A web platform is overwhelmingly preferred by investigators and training coordinators.
But, alas, the web is not for everyone.. and alternatives are advisable.
In Summary
What have we learned from the CITI program experience.
Organization
A dynamic committed organization can keep the instruction fresh and current.
Frequent updates.
Learner satisfaction surveys are very important to obtain feedback and guidance to improve the program.
Help desk
In Summary
What have we learned from the CITI program experience.
Utility
World wide training resource can be delivered in a cost effective and value added manner.
Customization capabilities are a key.
Institutional page to provide institution specific materials is VERY well received and a extensively used by some participating institutions.
In Summary
What have we learned about web based instruction from the CITI program experience.
Evaluations
Learners indicate the course helped them understand human subjects protection issues and that the time required to complete the course is time well spent.
Learners indicate that the instruction has provided the confidence to take a more active roll in the protection of human subjects.
Institutional coordinators exhibit a high degree of satisfaction with the web based program.
Instruction in The Protection of Human Research Subjects
