University & Medical Center Institutional Review Board (UMCIRB) IRB00003781 EAST CAROLINA U IRB #2 (Behavioral/SS) 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 East Carolina Health—Bertie Hospital (ECHB) FWA00013514 Roanoke-Chowan Hospital, Inc. (RCH) FWA00013535 Duplin General Hospital, Inc. (Duplin) FWA00014988 Health Access, Inc. (HA) FWA00016005 Albemarle Hospital Authority (AH) FWA00016102 Gender Highest Member Name Primary Scientific or Institution Status Role and replacement designated M /F Degree Nonscientific Specialty Affiliation for Alternate members Earned 1. Michelle F. Eble 2. Margie Gallagher F F PhD PhD 3. 4. 5. 6. M F F F JD DNSc/DrPH PhD PhD 1. L. Wiley Nifong 2. G. Michael Poteat 3. Michael Meloth M M M MD PhD PhD 4. David C. Griffith M PhD 1. Norma Epley 2. Paul Zigas 3. Kundan Kumar 4. Jason T. Conrad 5. Suzanne E. Sparrow 6. Kenneth W. Briley F M M M F M MS JD MPA BS MPH MSW Walt Kitchin Pamela G. Larsen Susan L. McCammon Vivian W. Mott Voting Members English Nutrition & Hospitality Management Law Pediatrics Psychology Education Alternate Members Surgery Psychologist Psychology & Education Anthropology Non-voting Regulatory University Attorney UMCIRB staff UMCIRB staff UMCIRB staff UMCIRB Staff ECU ECU NS OS member member None ECU ECU ECU NS OS OS NS member member member, Chair member ECU ECU ECU PS OS OS alternate for 4, 5 alternate for 5 Alternate for 6 ECU OS Alternate for 2 ECU ECU ECU ECU ECU ECU NA NA NA NA NA NA ex-officio ex-officio staff staff staff staff FULL MEMBERS: 6 ALTERNATE MEMBERS: 4 EX-OFFICIO MEMBERS: 2 Quorum: 4 Staff: 4 Chair –Susan L. McCammon, PhD Human Protections Administrators: ECU-Suzanne Sparrow PCMH-Dianne Marshburn SEC-Ann Purvis ECHB-Claire Mills RCH-Paul Helfrich Duplin-Sue Taylor HA-Pamela Cowin AH-Dan Drake 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 PARTICIPATING IN THE REVIEW OR APPROVAL OF RESEARCH WHRE THERE IS A POTENTIAL FOR CONFLICT OF INTEREST. Roster effective 11/4/11 PAGE 1 OF 1