University & Medical Center Institutional Review Board (UMCIRB) IRB00000705 EAST CAROLINA U IRB #1 (Biomedical) NAME(S) OF SIGNATORY INSTITUTION(S) East Carolina University, Greenville, NC(ECU) FWA00000658 NAME(S) OF AFFILIATED INSTITUTION(S) Pitt County Memorial Hospital, Inc. (PCMH)FWA00000652 SurgiCenter of Eastern Carolina, LLC (SEC) FWA00004183 Heritage Hospital (HH) FWA00002331 East Carolina Health—Bertie Hospital (ECHB) FWA00013514 East Carolina Health—Chowan (ECHC) FWA00013573 Roanoke-Chowan Hospital, Inc. (RCH) FWA00013535 Member Name Gender M /F Highest Degree Earned 1. Jeffrey Byers 2. Michelle Eble 3. Stephen Engelke 4. Barbara Fenner 5. Robert Hickner 6. Pamela Larsen 7. Pamela Lepera 8. Susan McCammon 9. L. Wiley Nifong 10. Carole Savitt 11. Mari Stewart M F M F M F F F M F F MBA PhD MD MSW PhD 12. Paul Vos 13. Tammy Worden M F MSN, ANP-BC PhD RPh 1. Michael Bard 2. Denise L. Brigham 3. Paul Cook 4. Edwin Cooper 5. Doyle Cummings 6. James Cummings 7. Cheryl Duke M F M M M M F MD RN MD MD PharmD MD FNP-BC DNSc/DrPH MD PhD MD Primary Scientific or Nonscientific Specialty Institution Affiliation Status Role and replacement designated for alternate members Voting Members Business English Neonatology Community Planner Exercise Physiology Pediatrics Hematology/Oncology Psychology Surgery Child Advocate/Wellness Cardiology/Nursing none ECU ECU none ECU ECU ECU ECU ECU PCMH PCMH NS NS PS NS OS OS PS OS PS NS OS member member member member member member, Alternate Chair member member, Alternate Chair member, Chair member member ECU PCMH OS OS member member ECU ECU ECU ECU ECU ECU PCMH PS OS PS PS OS PS OS alternate for 3, 7, 9 alternate for 6, 11 alternate for 3, 7, 9 alternate for 3, 7, 9 alternate for 13 alternate for 3, 7, 9 alternate for 6, 11 Biostatistics Pharmacy Alternate Members Trauma Surgery Nursing Infectious Disease Orthopedic Surgery Pharmacy Neonatology Nursing FULL MEMBERS: 13 ALTERNATE MEMBERS: 16 EX-OFFICIO MEMBERS: 5 QUORUM: 7 Staff: 3 Chair –L. Wiley Nifong, M.D. Human Protections Administrators: ECU-Suzanne Sparrow PCMH-Dianne Marshburn SEC-Ann Purvis HH-Kim Ledoux ECHB-Claire Mills ECHC-Cindy Coker RCH-Paul Helfrich Duplin-Becky Ross UMCIRB East Carolina University Brody School of Medicine Old Laupus Library Room 1L-09 Greenville, NC 27834 (252) 744-2914 Office (252) 744-2284 FAX umcirb@ecu.edu http://www.ecu.edu/irb/ PS=physician scientist OS=other scientist NS=non-scientist Individuals listed as ex-officio and UMCIRB staff are not eligible to vote. NOTES (1) EACH INSTITUTION MUST BE REPRESENTED BY ONE OR MORE MEMBERS KNOWLEDGEABLE ABOUT THE INTSTITUTION ON THE IRB UPON WHICH IT RELIES FOR REVIEWS FOR THE PURPOSE OF PROVIDING INSTITUTIONAL REPRESENTATION. (2) AFFILIATION MAY TAKE THE FORM OF FULL OR PART-TIME EMPLOYMENT, MEMBER OF GOVERNING PANEL OR BOARD, STOCKHOLDER, OR PAID OR UNPAID CONSULTANT (FOR PURPOSES OTHER THAN THE FUNCTIONS). (3) ALTERNATES MAY VOTE ONLY IN THE ABSENCE OF THEIR PREDESIGNATED MEMBERS. (4) ALL INDIVIDUALS ARE PROHIBITED FROM PARTICITPATING IN THE REVIEW OR APPROVAL OF RESEARCH WHRE THERE IS A POTENTIAL FOR CONFLICT OF INTEREST. Roster effective 1/6/10 PAGE 1 OF 2 University & Medical Center Institutional Review Board (UMCIRB) IRB00000705 EAST CAROLINA U IRB #1 (Biomedical) NAME(S) OF SIGNATORY INSTITUTION(S) East Carolina University, Greenville, NC(ECU) FWA00000658 NAME(S) OF AFFILIATED INSTITUTION(S) Pitt County Memorial Hospital, Inc. (PCMH)FWA00000652 SurgiCenter of Eastern Carolina, LLC (SEC) FWA00004183 Heritage Hospital (HH) FWA00002331 East Carolina Health—Bertie Hospital (ECHB) FWA00013514 East Carolina Health—Chowan (ECHC) FWA00013573 Roanoke-Chowan Hospital, Inc. (RCH) FWA00013535 8. Glenn Harris 9. Charles Hodson 10. Carolyn Horne 11. Suzanne Hudson 12. Janet Malek 13. Gail Marsal M M F F F F 14. Mary Lisa Pories 15. Carrie Simpkins 16. Charles Singhas 17. Norma Epley NV 18. Greg Hassler NV 19. Sue Ann Joyner NV 20. Alan Schreier NV 21.Dianne Marshburn NV 22. Kundan Kumar NV 23. Jason Conrad NV 24. Suzanne Sparrow NV F F M F M F M F M M F MD PhD MSN PhD PhD PhD, CCAS MSW ADN PhD MS PhD, JD BS PhD RN, MSN MPA BS MPH Pediatric/Endo. OBGYN Nursing Biostatistics Ethics Criminal Justice/ Prisoner Advocate Social Work Nursing Biology Regulatory University Attorney Satellite representative Research Pt. Care Svcs. Admin UMCIRB staff UMCIRB staff UMCIRB staff ECU ECU PCMH ECU ECU none PS OS OS OS NS OS alternate for 3, 7, 9 alternate for 5 alternate for 6, 11 alternate for 12 alternate for 2 alternate for 8 ECU PCMH ECU ECU ECU ECU ECU PCMH ECU ECU ECU NS OS OS NA NA NA NA NA NA NA NA alternate for 2 alternate for 6, 11 alternate for 5 ex-officio ex-officio ex-officio ex-officio ex-officio staff staff staff FULL MEMBERS: 13 ALTERNATE MEMBERS: 16 EX-OFFICIO MEMBERS: 5 QUORUM: 7 Staff: 3 Chair –L. Wiley Nifong, M.D. Human Protections Administrators: ECU-Suzanne Sparrow PCMH-Dianne Marshburn SEC-Ann Purvis HH-Kim Ledoux ECHB-Claire Mills ECHC-Cindy Coker RCH-Paul Helfrich Duplin-Becky Ross UMCIRB East Carolina University Brody School of Medicine Old Laupus Library Room 1L-09 Greenville, NC 27834 (252) 744-2914 Office (252) 744-2284 FAX umcirb@ecu.edu http://www.ecu.edu/irb/ PS=physician scientist OS=other scientist NS=non-scientist Individuals listed as ex-officio and UMCIRB staff are not eligible to vote. NOTES (1) EACH INSTITUTION MUST BE REPRESENTED BY ONE OR MORE MEMBERS KNOWLEDGEABLE ABOUT THE INTSTITUTION ON THE IRB UPON WHICH IT RELIES FOR REVIEWS FOR THE PURPOSE OF PROVIDING INSTITUTIONAL REPRESENTATION. (2) AFFILIATION MAY TAKE THE FORM OF FULL OR PART-TIME EMPLOYMENT, MEMBER OF GOVERNING PANEL OR BOARD, STOCKHOLDER, OR PAID OR UNPAID CONSULTANT (FOR PURPOSES OTHER THAN THE FUNCTIONS). (3) ALTERNATES MAY VOTE ONLY IN THE ABSENCE OF THEIR PREDESIGNATED MEMBERS. (4) ALL INDIVIDUALS ARE PROHIBITED FROM PARTICITPATING IN THE REVIEW OR APPROVAL OF RESEARCH WHRE THERE IS A POTENTIAL FOR CONFLICT OF INTEREST. Roster effective 1/6/10 PAGE 2 OF 2