PARTNERS HUMAN RESEARCH COMMITTEE

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INSTRUCTIONS & FORMS

  • INSTRUCTIONS
  • FORMS
  • RESOURCES
INVESTIGATOR DISCLOSURE FORM

The Principal Investigator, Site Responsible Investigators, Coinvestigators and any other member of the study staff responsible for the design, conduct, or reporting of the research (collectively ‘investigators’) must complete the Investigator Disclosure Form when the research involves ANY of the following: (1) for-profit sponsor or funding source; (2) a marketed drug, device, or other technology, or a drug, device, or other technology in development; or (3) a new technology, software or therapeutic approach. This form can be faxed (617-424-4199) to the PHRC, or attached in Insight/eIRB.

Questions about Conflict of Interest should be directed to Maria Sundquist, Assistant Director, IRB at msundquist@partners.org; 617-424-4101. For more information, refer to the Partners Human Research Committee policy on Financial Conflicts of Interest.


Investigator Disclosure Form
08/12

PROTOCOL SUMMARY

To be included with a PHRC submission unless noted otherwise in submission instructions. Summary document describes protocol and investigator's plan for recruitment and enrollment of subjects. Includes important regulatory information needed for IRB review. Refer to documents Prescreening and Recruitment Guidelines for acceptable methods of recruitment. Sample recruitment letters are available.

Protocol Summary
6/05

Tissue or Sample Repository Protocol Summary
12/05

Data Repository Operating Policies and Procedures
02/07

DETAILED PROTOCOL INSTRUCTIONS

Instructions for investigators who are writing their own protocol for use when there is no sponsor initiated protocol or cooperative group protocol.

Detailed Protocol Instructions
3/02

SCHEMA INSTRUCTIONS

To be included with a PHRC submission when the research involves multiple groups, treatment arms, or randomization.

Schema Instructions
3/98

RESPONSE TO REVIEW

Form for responding point-by-point to IRB concerns or questions. Once complete, attach the document in the Attachments section of the pending application in Insight/eIRB and re-submit. Learn more...

eIRB Response to Review
3/09

CO-INVESTIGATOR / STUDY STAFF CERTIFICATION

To be included with a PHRC submission ONLY when Co-Investigator/study staff do not have a Partners user name to sign electronically in eIRB. If non-BWH/non-MGH employees will perform institutionally designated research activities or exercise institutionally delegated authority or responsibility for research, please see the policy "Non-BWH/MGH Employees As Co-Investigators/Study Staff."

Co-Investigator/ Study Staff Certification
8/07

ENROLLMENT REPORT

To be completed and attached in the Attachments section of an eIRB continuing review submission when subjects have been enrolled.

Enrollment Report

MINOR DEVIATION / VIOLATION TRACKING LOG
To be used for tracking and reporting minor deviations/violations and submitted at the time of continuing review for review by the IRB. Minor deviations/violations are to be reported ONLY at continuing review.

Minor Deviations/Violations Tracking Log
4/11

 

PREPARATION AND SUBMISSION USING eIRB
For eIRB training, refer to the PHRC Insight/eIRB web page. For questions about using Insight eIRB, email the Insight Help Desk or Daniel Connor.
PROTOCOL PREPARATION

For Assistance with Submission Preparation (for help using eIRB, email the Insight Help Desk or Daniel Connor directly) and:

NIH FUNDED STUDIES
Information on gender, race and ethnicity of patients seen at BWH and MGH (PHS internal link)