COLLEGE OF SCIENCE AND
ENGINEERING
Masters of Science in Applied Clinical Research
Instructor Interest Questionnaire
Thank you for your interest in becoming an instructor for St. Cloud State
University’s Masters of Science in Applied Clinical Research (MS-ACR)
degree program, part of the Academic Center for Regulatory Affairs in the
College of Science and Engineering.
In order to help us identify which courses are the best fit for your background
and experience, we ask you to complete this questionnaire. The current
course descriptions are available in the ACR Course Narrative located here.
After reviewing this questionnaire and the course descriptions, if you are
interested in applying to become an instructor, please send the completed
survey to the email addresses below and complete online at application.
Note that guest speakers do NOT need to complete the online application.
If you have any questions, please contact the Program Director, Patty
Feulner.
Please send the completed survey to:
Patty Feulner
Associate Director, Applied Clinical Research Graduate Program
St. Cloud State University
pefeulner@stcloudstate.edu
612-272-3874 (cell)
-ANDJulie Nienaber
Office of the Dean of the College of Science & Engineering
St. Cloud State University
jmnienaber@stcloudstate.edu
320-308-2167 (office)
COLLEGE OF SCIENCE AND
ENGINEERING
MS-ACR Instructor Interest Questionnaire:
1. Contact Information:
Name:
Organization:
Title:
Phone:
Email:
2. Medical Device Expert Areas (sufficient to teach Clinical Research professionals):
Anatomy, Physiology, Pathophysiology (620)
Biostatistics (624, 626, 630)
Clinical study design (624, 626, 630)
Protocol development (630)
Good Clinical Practices (628, 630, 632)
Clinical trial management (628, 630, 632, 634, 636)
Clinical risk management (622, 628, 632, 634, 636)
Clinical safety & efficacy (630)
International trial design & execution (630, 632, 640)
Clinical trial analysis & reporting (624, 636)
Data monitoring committees & adverse event analysis (632, 634, 636)
Medical device product lifecycle & commercialization (622)
Evidence based medicine (626)
Clinical research regulations & compliance (628)
Study Monitoring & Auditing (632, 636)
Research ethics (628, 640)
Clinical research leadership (640)
External committee leadership (640)
Postmarket Studies (630, 632)
Other:
3. Type of instructor role(s) you are interested in:
Course lead instructor (paid): ACR#:
(course numbers)
(Lead instructors are responsible for the overall delivery of course content, are the
primary contact for students, establish student grades, and typically teach a
significant portion of the course content.)
Co-lead instructor (paid) ACR#:
(Co-lead instructors share the lead instructor duties with one other instructor)
Full 4 hour session instructor (paid): ACR#:
(A session instructor is responsible for delivery of course content during one or more
4 hour class sessions.)
Guest speaker (unpaid) less than 4 hours/term: ACR#:
(Guest speakers speak for a fraction of one session – usually on a very specific
topic and do so with the lead or co-lead instructor present.)
4. Are there specific courses/topics you are interested in teaching?
COLLEGE OF SCIENCE AND
ENGINEERING
5. Timeframe preference: (check all that apply)
Monday-Thursday Evenings:
5:00 – 9:00 pm
Friday Evening:
5:00 – 9:00 pm
Saturday
9:00 am – 1:00 pm
Comments:
6. Semester Preference:
None
Summer
Fall
Spring
Comments:
7. Do you have experience as an instructor?
Yes
No If yes, describe:
you can include a reference from the place of instruction, please do so.)
(If