Training Summary - SUNY Upstate Medical University

advertisement

Training Summary Form Instructions

It is mandatory for all personnel (including Principal Investigators) to have participated in a training session covering laws and regulations pertaining to animal care and use and to complete species-specific educational training through the

Collaborative Institutional Training Initiative (CITI), hosted by the University of Miami. All new employees with anticipated animal contact must be listed on the protocol.

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).

Required courses are listed below. Each course is comprised of several modules.

All courses are available online at the CITI website: http://www.citiprogram.org

ANIMAL WELFARE LAWS AND REGULATIONS

Investigators, Staff and Students, Basic Course 1,2

SPECIES SPECIFIC EDUCATION

AMPHIBIANS Working with Amphibians in Research Settings

CATS

DOGS

FISH

GERBILS

Working with Cats in Research Settings

Working with Dogs in Research Settings

Working with Fish in Research Settings

Working with Gerbils in Research Settings

GUINEA PIGS

HAMSTERS

Working with Guinea Pigs in Research Settings

Working with Hamsters in Research Settings

MICE

PRIMATES

RABBITS

RATS

Working with Mice in Research Settings

Post-Procedure Care of Mice and Rats in Research

Working with Non-Human Primates in Research Settings

Working with Rabbits in Research Settings

Working with Rats in Research Settings

Post-Procedure Care of Mice and Rats in Research

SWINE Working with Swine in Research Settings

Training Summary Form Instructions i Rev. 11/2013

ASEPTIC RODENT SURVIVAL SURGERY

Personnel who have no prior experience performing aseptic rodent survival surgery must complete the following CITI course and view the Charles River video Principles of Rodent Surgery for the New Surgeon that demonstrates proper aseptic surgical techniques.

Aseptic Surgery

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 for assistance and are also encouraged to view the video reference above.

RESEARCH ETHICS EDUCATION

Responsible Conduct of Research 1

1 Proof of completion of comparable training will satisfy this requirement.

2 Triennial recertification in the Refresher course is required as part of the IACUC ’s continuing education program.

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)

315-464-4295 (fax) cotyk@upstate.edu

Training Summary Form Instructions ii Rev. 11/2013

First Name

Position Title

Department

Work Phone

M

Cell Phone

TRAINING SUMMARY

Last Name

SUNY ID #

Building

Home Phone

Degree(s)

ID Badge ISO#

Room#

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 6

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:

Species 1

Adequately

Trained

Species 2

Adequately

Trained

Species 3

Adequately

Trained

Species 4

Adequately

Trained

Species 5

Adequately

Trained

Adequately

Trained

Training Summary Form 1 Rev. 11/2013

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

CITI Animal Welfare Course: Investigators, Staff and Students, Basic Course 1

CITI Animal Welfare Refresher Course 2

(triennial recertification is required after completion of Basic Course)

CITI Responsible Conduct of Research (RCR) 1,

CITI Species Specific Courses

CITI Aseptic Surgery (if applicable)

Charles River Video: Principles of Rodent Surgery for the New Surgeon

Occupational Health Handouts & Health Assessment

Other Training/Recertification:

1 Proof of completion of comparable training will satisfy this requirement.

2 Triennial recertification in the Refresher course is required as part of the IACUC ’s continuing education program.

Obtain from IACUC office

Training Summary Form 2 Rev. 11/2013

Download