Training Summary Form Instructions
All individuals with anticipated animal contact must: 1) be listed on the protocol(s), 2) complete all of the required CITI
educational training, and 3) file this Training Summary form with the IACUC office before s/he will be cleared for
training/working with animals in research.
All individuals (including Principal Investigators) must complete training covering animal care and use laws & regulations
and species-specific educational training through the Collaborative Institutional Training Initiative (CITI), hosted by the
University of Miami. In addition, SUNY Upstate Medical University’s Research Integrity Office requires research ethics
education for all basic science & clinical investigators (including faculty, postdoctoral fellows/associates, clinical
residents/fellows, students, lab staff, research nurses, clinical research associates and individuals from affiliated
Universities participating in SUNY Upstate research projects). Completion of the CITI Responsible Conduct of Research
Course (RCR) is required. Recertification in the RCR Refresher Course is required every 4 years.
All courses are available online at the CITI website: http://www.citiprogram.org For guidance, see CITI screenshot below:
1Proof
of completion of comparable training will satisfy this requirement.
recertification in the Refresher course is required as part of the IACUC’s continuing education program.
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ASEPTIC RODENT SURVIVAL SURGERY
Personnel who have no prior experience performing aseptic rodent survival surgery must complete the CITI Aseptic
Surgery course, as noted above and view the Charles River video Principles of Rodent Surgery for the New Surgeon
that demonstrates proper aseptic surgical techniques.

Principles of Rodent Surgery for the New Surgeon (Kathleen R. Pritchett-Corning, Guy B. Mulder and William J.
White; Research Models and Services, Charles River): http://www.youtube.com/watch?v=7ogoAwlE8dM
Personnel may also be required, at the discretion of the animal care director, to complete a hands-on training session.
Individuals who will be performing survival surgeries on other species should contact the DLAR staff (464-6563) for
assistance and are also encouraged to view the video reference above.
FILING YOUR TRAINING SUMMARY WITH THE IACUC OFFICE
1. CITI Completion Reports
Personnel are not required to print the CITI completion reports if s/he affiliates with SUNY Upstate. However, if
s/he completes the courses through another institution, s/he must provide a copy of the CITI completion reports to
the IACUC office.
2. Training Summary Form
Your Training Summary must be on file with the IACUC office and all training must be completed before you
begin working (including training) with animals in research.
Place an “X” in the “Adequately Trained” column for each procedure that you have had previous training and
experience. For example, if you have been trained to use injectable anesthesia, then place an “X” in the
“Adequately Trained” column across from ‘injectable’ under the heading of ‘Anesthesia’.
Documentation of where & when you received your training MUST be provided on page 2 of the Training
Summary form.
Please email your completed Training Summary Form to the IACUC office: cotyk@upstate.edu
Questions? Contact the Institutional Animal Care and Use Committee Office (IACUC):
IACUC Office
315-464-4292 (phone)
315-464-4065 (fax)
cotyk@upstate.edu
Training Summary Form Instructions
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TRAINING SUMMARY
First Name
M
Position Title
Last Name
SUNY ID #
Department
Work Phone
Cell Phone
Degree(s)
ID Badge ISO#:
# on back of ID:
Building
Room#
Home Phone
Email
Documentation of Previous Training and Experience
I have completed the mandatory CITI Program online educational training or
provided documentation of equivalent training.
YES
NO
INSTRUCTIONS:
List one species per column. Place an (X) under each species to indicate that you have had adequate training and/or
experience to independently perform the procedures listed below.
Species 1
Species 2
Species 3
Species 4
Species 5
Species 6
Adequately
Trained
Adequately
Trained
Adequately
Trained
Adequately
Trained
Adequately
Trained
Adequately
Trained
Handling & Restraint
Euthanasia:
Cervical Dislocation
Decapitation
CO2
Injectable agents
Other – describe:
Anesthesia:
Injectable
Inhalational
Regional (local)
Aseptic Survival Surgery
(rodents only)
Sterile Survival Surgery
(other mammals)
Injections:
Subcutaneous (SQ)
Intramuscular (IM)
Intraperitoneal (IP)
Intravenous (IV)
Submandibular
Retro-orbital
Gavage
Other – describe:
Other procedures – list below:
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TRAINING SUMMARY, continued
VERFICATION OF TRAINING AND/OR EXPERIENCE - REQUIRED:
In the space below, describe any training and/or experience you have received which supports the experience
documented on the front of this form (attach verification documents if available). If you have no previous
experience, please enter N/A.
Training Received at SUNY Upstate Medical University
Training / Video / Handout
Date
Occupational Health Assessment => Filed with Employee Student Health
CITI Animal Welfare Course: Investigators, Staff and Students, Basic Course 1
CITI Responsible Conduct of Research (RCR)1, 2
CITI Species Specific Courses
CITI Aseptic Surgery (if applicable)
Charles River Video: Principles of Rodent Surgery for the New Surgeon, if applicable
Other Training/Recertification:
1Proof
of completion of comparable training will satisfy this requirement.
recertification in the Refresher course is required as part of the IACUC’s continuing education program.
2Quadrennial
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