Collaborative Institutional Training Initiative The CITI Program Course and Module Catalog U.S.-ORIENTED, ENGLISH-LANGUAGE CONTENT ONLY Updated 11 February 2012 The CITI Program © 2000-2012 All rights reserved Contents Using CITI Program content ........................................................................................................................ 10 CITI Program curricula............................................................................................................................. 10 Content organization: modules, courses and course stages .................................................................. 10 Sorting affiliated learners via profiles ..................................................................................................... 11 Customized institutional information and customized content ............................................................. 11 Customized reports: automatic and on-demand.................................................................................... 11 Available languages for content ............................................................................................................. 11 Animal Care and Use (ACU) ........................................................................................................................ 12 ACU Courses ............................................................................................................................................ 12 Working with the IACUC ..................................................................................................................... 12 Working with the IACUC – Refresher .................................................................................................. 13 Essentials for IACUC Members............................................................................................................ 13 Essentials for IACUC Members – Refresher [under development] ................................................... 14 Aseptic Surgery ................................................................................................................................... 14 Post Procedure Care of Mice and Rats in Research: Reducing Pain and Distress .............................. 14 Antibody Production in Animals ......................................................................................................... 15 Wildlife Field Studies [under development] .................................................................................... 15 Animal-Specific Courses ...................................................................................................................... 16 Working with Amphibians in Research Settings ................................................................................. 16 Working with Cats in Research Settings ............................................................................................. 16 Working with Cats in Research Settings – Refresher .......................................................................... 16 Working with Dogs in Research Settings ............................................................................................ 17 Working with Ferrets in Research Settings ......................................................................................... 17 Working with Fish in Research Settings [under development] ......................................................... 17 Working with Gerbils in Research Settings ......................................................................................... 17 Working with Guinea Pigs in Research Settings.................................................................................. 18 Working with Hamsters in Research Settings ..................................................................................... 18 Working with Mice in Research Settings ............................................................................................ 18 Working with Non-Human Primates in Research Settings ................................................................. 19 Working with Rabbits in Research Settings ........................................................................................ 19 Working with Rats in Research Settings ............................................................................................. 19 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 2 of 60 Working with Swine in Research Settings ........................................................................................... 20 Biosafety and Biosecurity (BSS) .................................................................................................................. 20 BSS Courses ............................................................................................................................................. 20 Basic Introduction to Biosafety ........................................................................................................... 20 Biosafety Officer Training – Basic/Initial ............................................................................................. 20 Initial Biosafety Training ..................................................................................................................... 21 Biosafety Retraining ............................................................................................................................ 21 Animal Biosafety ................................................................................................................................. 22 Shipping and Transport of Regulated Biological Materials ................................................................. 22 OSHA Bloodborne Pathogens ............................................................................................................. 22 Select Agents, Biosecurity and Bioterrorism....................................................................................... 22 Emergency and Incident Response to Biohazard Spills and Releases................................................. 22 NIH Recombinant DNA Guidelines ...................................................................................................... 23 Personal Protective Equipment .......................................................................................................... 23 Human Gene Transfer ......................................................................................................................... 23 Nanotechnology .................................................................................................................................. 23 Institutional Biosafety Committee Member Training ......................................................................... 23 BSS Modules............................................................................................................................................ 24 Biosafety Course Overview (BSS01) .................................................................................................... 24 Laboratory-Acquired Infections (BSS02) ............................................................................................. 24 Biohazard Risk Assessment (BSS03) .................................................................................................... 24 Medical Surveillance (BSS04) .............................................................................................................. 24 Risk Management: Work Practices (BSS05) ........................................................................................ 24 Risk Management: Personal Protective Equipment BSS06) ............................................................... 24 Risk Management: Engineering Controls (BSS07) .............................................................................. 24 Risk Management: Laboratory Design (BSS08) ................................................................................... 25 Risk Management: Emergency and Spill Response (BSS09) ............................................................... 25 OSHA Bloodborne Pathogens Standard (BSS10)................................................................................. 25 NIH Guidelines for Research Involving Recombinant DNA Molecules (BSS11) .................................. 25 Human Gene Transfer Research (BSS12) ............................................................................................ 25 Select Agents, Biosecurity and Bioterrorism (BSS13) ......................................................................... 25 Shipping Regulated Biological Materials (BSS14)................................................................................ 25 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 3 of 60 Animal Biosafety (BSS15) .................................................................................................................... 26 Understanding Nanotechnology and its Implications (BSS16) ........................................................... 26 Export Control (EC) ..................................................................................................................................... 26 U. S. Export Control Regulations ............................................................................................................. 26 U.S. Export Control Regulations: General Overview ........................................................................... 26 Export Administration Regulations ..................................................................................................... 26 International Traffic in Arms Regulations ........................................................................................... 27 Office of Foreign Assets Control ......................................................................................................... 27 Good Clinical Practice (GCP) ....................................................................................................................... 27 GCP for Clinical Trials with Investigational Drugs and Medical Devices – U.S. FDA Focus ..................... 27 GCP Introduction................................................................................................................................. 28 Overview of New Drug Development ................................................................................................. 28 ICH Overview....................................................................................................................................... 28 ICH – Comparison Between ICH GCP E6 and U.S. FDA Regulations .................................................... 28 Conducting Investigator-Initiated Studies According to FDA Regulations and Good Clinical Practices ............................................................................................................................................................ 28 Investigator Obligations in FDA-Regulated Clinical Research ............................................................. 28 Managing Investigational Agents According to GCP Requirements ................................................... 28 Conducting Clinical Trials of Medical Devices ..................................................................................... 29 Informed Consent ............................................................................................................................... 29 Detection and Evaluation of Adverse Events ...................................................................................... 29 Reporting Serious Adverse Events ...................................................................................................... 29 Monitoring of Clinical Trials by Industry Sponsors ............................................................................. 29 Audits and Inspections in Clinical Trials .............................................................................................. 29 Completing the CITI GCP Course ......................................................................................................... 30 GCP for Clinical Trials with Investigational Drugs – ICH Focus................................................................ 30 GCP Introduction................................................................................................................................. 30 Conducting Investigator - Initiated Studies According to FDA Regulations and Good Clinical Practices ............................................................................................................................................................ 30 Investigator Obligations in FDA-Regulated Clinical Research ............................................................. 31 Managing Investigational Agents According to GCP Requirements ................................................... 31 Informed Consent in Clinical Trials of Drugs ....................................................................................... 31 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 4 of 60 Monitoring of Clinical Trials of Drugs by Industry Sponsors ............................................................... 31 Audits and Inspections in Clinical Trials .............................................................................................. 31 Overview of New Drug Development ................................................................................................. 32 ICH Overview....................................................................................................................................... 32 ICH—Comparison Between ICH GCP E6 and U.S. FDA Regulations .................................................... 32 Detection and Evaluation of Adverse Events ...................................................................................... 32 Reporting Serious Adverse Events in Investigations of Drugs and Biologics ...................................... 32 Completing the CITI GCP Course ......................................................................................................... 32 GCP for Clinical Trials with Investigational Medical Devices .................................................................. 32 GCP Introduction................................................................................................................................. 33 Conducting Investigator-Initiated Studies According to FDA Regulations and Good Clinical Practices ............................................................................................................................................................ 33 Investigator Obligations in FDA-Regulated Clinical Research ............................................................. 33 Managing Investigational Devices According to GCP Requirements .................................................. 33 Conducting Clinical Trials of Medical Devices ..................................................................................... 33 Informed Consent in Clinical Studies of Devices ................................................................................. 34 Monitoring of Clinical Trials of Devices by Industry Sponsors ............................................................ 34 Audits and Inspections in Clinical Trials of Devices............................................................................. 34 Reporting Requirements for Device Studies ....................................................................................... 34 Completing the CITI GCP Course ......................................................................................................... 34 Human Subjects Research (HSR) ................................................................................................................. 34 Biomedical Research with Human Subjects ............................................................................................ 35 Belmont Report and Course Introduction .......................................................................................... 35 History and Ethical Principles .............................................................................................................. 35 Basic Institutional Review Board (IRB) Regulations and Review Process ........................................... 35 Informed Consent ............................................................................................................................... 36 Social and Behavioral Research (SBR) for Biomedical Researchers .................................................... 36 Records-Based Research ..................................................................................................................... 36 Genetic Research in Human Populations............................................................................................ 36 Research with Vulnerable Subjects: An Overview .............................................................................. 36 Vulnerable Subjects: Research Involving Prisoners ............................................................................ 37 Vulnerable Subjects: Research Involving Children.............................................................................. 37 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 5 of 60 Vulnerable Subjects: Research Involving Pregnant Women, Fetuses, and Neonates ........................ 37 Avoiding Group Harms: U. S. Research Perspectives .......................................................................... 37 Avoiding Group Harms: International Research Perspectives ............................................................ 37 FDA-Regulated Research..................................................................................................................... 37 Stem Cell Research Oversight – Part 1 ................................................................................................ 37 Stem Cell Research Oversight – Part 2 ................................................................................................ 38 Unanticipated Problems and Reporting Requirements in Biomedical Research................................ 38 Biomedical Research with Human Subjects – Refresher Courses .......................................................... 38 Social, Behavioral and Educational Research with Human Subjects ...................................................... 41 Belmont Report and Course Introduction .......................................................................................... 41 History and Ethical Principles – SBR .................................................................................................... 42 Defining Research with Human Subjects – SBR .................................................................................. 42 The Regulations and The Social and Behavioral Sciences – SBR ......................................................... 42 Assessing Risks in Social and Behavioral Sciences - SBR ..................................................................... 42 Informed Consent – SBR ..................................................................................................................... 42 Privacy and Confidentiality – SBR ....................................................................................................... 43 Research with Prisoners as Subjects – SBR ......................................................................................... 43 Research with Children – SBR ............................................................................................................. 43 Research in Public Elementary and Secondary Schools – SBR ............................................................ 43 International Research – SBR .............................................................................................................. 43 Internet Research – SBR...................................................................................................................... 43 Social, Behavioral and Educational Research with Human Subjects – Refresher Courses ..................... 44 Human Subjects Research (HSR) - Additional Modules of Interest ........................................................ 44 Are You Thinking About Being In a Research Study? .......................................................................... 45 Conflicts of Interest in Research Involving Human Subjects............................................................... 45 Hot Topics ........................................................................................................................................... 45 Human Subjects Research at the VA................................................................................................... 45 I Have Agreed to Be an IRB Community Member. Now What? ........................................................ 45 International Studies ........................................................................................................................... 45 Research and HIPAA Privacy Protections ............................................................................................ 46 Students in Research........................................................................................................................... 46 The IRB Member Module – “What Every New IRB Member Needs to Know” ................................... 46 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 6 of 60 The IRB Administrator’s Responsibilities ............................................................................................ 46 Vulnerable Subjects – Research Involving Workers/Employees......................................................... 46 Information Privacy and Security (IPS) ....................................................................................................... 47 Health Information Privacy ..................................................................................................................... 47 Basics of Health Privacy ...................................................................................................................... 47 Health Privacy Issues for Clinicians ..................................................................................................... 47 Health Privacy Issues for Fundraisers ................................................................................................. 47 Health Privacy Issues for Marketers ................................................................................................... 47 Health Privacy Issues for Researchers ................................................................................................ 48 Health Privacy Issues for Students and Instructors ............................................................................ 48 Health Information Security.................................................................................................................... 48 Basics of Information Security ............................................................................................................ 48 Picking and Protecting Passwords ...................................................................................................... 48 Protecting Your Computer .................................................................................................................. 48 Protecting Your Identity ...................................................................................................................... 48 Protecting Your Portable Devices ....................................................................................................... 49 Safer Emailing and Messaging ............................................................................................................ 49 Safer Social Networking [under development] ................................................................................. 49 Safer Web Surfing ............................................................................................................................... 49 Security for Work/Workers Off-Site ................................................................................................... 49 Responsible Conduct of Research (RCR) ..................................................................................................... 49 RCR for Biomedical Sciences ................................................................................................................... 49 Research Misconduct (Biomedical)..................................................................................................... 50 Data Management (Biomedical) ......................................................................................................... 50 Authorship (Biomedical) ..................................................................................................................... 50 Peer Review (Biomedical) ................................................................................................................... 50 Mentoring (Biomedical) ...................................................................................................................... 50 Conflicts of Interest (Biomedical)........................................................................................................ 50 Collaborative Research (Biomedical) .................................................................................................. 50 Export Controls and National Security ................................................................................................ 50 RCR for Engineering ................................................................................................................................ 51 Research Misconduct (Engineering) ................................................................................................... 51 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 7 of 60 Whistleblowing and the Obligation to Protect the Public (Engineering) ............................................ 51 Authorship (Engineering) .................................................................................................................... 51 Peer Review (Engineering) .................................................................................................................. 51 Conflicts of Interest (Engineering) ...................................................................................................... 51 Environmental and Social Dimensions of Engineering Research ........................................................ 52 Mentoring (Engineering) ..................................................................................................................... 52 Human Subjects Research (Engineering) ............................................................................................ 52 Animal Subjects Research (Engineering)............................................................................................. 52 Data Management (Engineering) ........................................................................................................ 52 Collaborative Research (Engineering) ................................................................................................. 52 Export Controls and National Security ................................................................................................ 52 RCR for Humanities ................................................................................................................................. 53 Research Misconduct (Humanities) .................................................................................................... 53 Data Management (Humanities) ........................................................................................................ 53 Authorship (Humanities) ..................................................................................................................... 53 Peer Review (Humanities) ................................................................................................................... 53 Mentoring (Humanities) ..................................................................................................................... 53 Conflicts of Interest (Humanities) ....................................................................................................... 53 Collaborative Research (Humanities).................................................................................................. 54 RCR for Physical Sciences ........................................................................................................................ 54 Research Misconduct (PhySci) ............................................................................................................ 54 Data Management (PhySci) ................................................................................................................ 54 Authorship (PhySci) ............................................................................................................................. 54 Peer Review (PhySci) ........................................................................................................................... 54 Mentoring (PhySci).............................................................................................................................. 54 Conflicts of Interest (PhySci) ............................................................................................................... 55 Collaborative Research (PhySci).......................................................................................................... 55 Export Controls and National Security ................................................................................................ 55 RCR for Research Administration............................................................................................................ 55 Introduction to RCR (Admin)............................................................................................................... 55 Collaborative Research (Admin) ......................................................................................................... 55 Human Subjects Research (Admin) ..................................................................................................... 55 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 8 of 60 Animal Subjects Research (Admin) ..................................................................................................... 56 Conflicts of Interest (Admin) ............................................................................................................... 56 Financial Responsibility (Admin) ......................................................................................................... 56 Mentoring (Admin) ............................................................................................................................. 56 Data Management (Admin) ................................................................................................................ 56 RCR for Social, Behavioral, and Education (SBE) Sciences ...................................................................... 56 Research Misconduct (SBE)................................................................................................................. 57 Data Management (SBE) ..................................................................................................................... 57 Authorship (SBE) ................................................................................................................................. 57 Peer Review (SBE) ............................................................................................................................... 57 Mentoring (SBE) .................................................................................................................................. 57 Conflicts of Interest (SBE) ................................................................................................................... 57 Collaborative Research (SBE) .............................................................................................................. 57 Export Controls and National Security ................................................................................................ 57 RCR Case modules................................................................................................................................... 58 Research Misconduct .......................................................................................................................... 58 Data Management .............................................................................................................................. 58 Authorship .......................................................................................................................................... 58 Peer Review ........................................................................................................................................ 59 Mentoring ........................................................................................................................................... 59 Conflicts of Interest ............................................................................................................................. 59 Collaborative Research ....................................................................................................................... 60 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 9 of 60 Using CITI Program content This catalog provides brief descriptions of all content currently offered by the CITI Program. For additional information on CITI Program content, or for assistance with any aspect of use of the CITI Program website, visit the online Support Center. Chat, email and telephone contact information for CITI Program administrative and technical support staff are provided there. CITI Program curricula CITI Program course content is grouped into subject areas, generally referred to as groups or curricula. The current curricular groups (and standard abbreviations for them) are: Animal Care and Use (ACU) Biosafety and Biosecurity (BSS) Export Control (EC) Good Clinical Practice (GCP) Human Subjects Research (HSR) Information Privacy and Security (IPS) Responsible Conduct of Research (RCR) In some cases these curricular groups are further sub-divided, to cluster content according to subject matter, disciplinary audience or regulatory focus. For example, the HSR curriculum has content focused on social, behavioral and educational research, as well as content oriented to biomedical research. The RCR curriculum has content designed for persons in disciplines such as biomedicine, engineering, humanities, physical sciences, research administration, and social, behavioral and education sciences. Content organization: modules, courses and course stages CITI Program content is organized into modules, which can be thought of as lessons. CITI Program courses are composed of a set of required and optional modules, customized according to the needs of each subscribing institution’s learner groups. At the subscriber’s discretion, the required modules of a course may be presented to learner group members in a fixed order, or learners may be permitted to take them in any order (known as elective order). Optional modules can also be made available. Standard modules that the institution does not wish to present to its learners can be hidden. Most modules have an associated quiz, with one or more multiple choice questions. The passing score for each quiz is determined by the subscribing institution, as is the passing score for the overall course (i.e., the average score on all required quizzes). Once all required modules of a course have been completed, and a minimum score achieved on the associated quizzes, the course completion report is made available to both the learner and to a subscriber’s designated administrator(s). For any curriculum, a subscriber may specify a series of courses, known as course stages, to be taken at defined intervals. Typically, a basic course is constructed for the first stage, composed of basic-level modules. One or more refresher courses may be scheduled at subscriber-defined periods thereafter. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 10 of 60 Learners are individually notified when a refresher course is due. (NOTE: Not all CITI curricula currently offer refresher courses and modules.) Sorting affiliated learners via profiles Access to most CITI Program content requires an individually-assigned username and password. This username and password is assigned during the user registration process. During registration a new CITI user is asked a series of “demographic” questions, including name and contact information. These data form the basis of the user’s global profile. For each subscriber institution with which the user is affiliated, responses to an additional set of customized questions allows sorting of the user into one or more learner groups defined by the subscriber. Each user has a learner profile for each subscribing institution with which he or she is affiliated, and a concomitant set of courses and modules that are associated with that profile. Both the global profile and the learner profile may be updated at any time. Learners who are affiliated with more than one institution may add new learner profiles at any time. (NOTE: Subscribers may allow their affiliated learners to use the institution’s own assigned usernames and password, instead of CITI Program credentials. Contact the Support Center for more information about this single-sign-on (SSO) option.) Customized institutional information and customized content CITI Program subscriber institutions may provide customized contact information and course completion instructions that are made available to their affiliated learners. This information is included on the institutional contacts and institutional instructions pages, which are accessible to the learner from multiple menus in the CITI Program course delivery platform. (The pages typically include contact information for persons who manage the CITI Program subscription, determine institutional training requirements, etc., and any non-standard instructions for completion of modules and courses.) Subscriber institutions can also add their own institution-specific training content to the CITI Platform. These materials are organized into one or more modules, which in turn are made part of one or more courses as determined by learner group. NOTE: There is an additional charge for formatting and configuration of more than one customized content module. Customized reports: automatic and on-demand CITI Program’s software generates and sends (via email) completion reports to selected subscriber institution administrators and coordinators, customized at the learner group level. Designated institutional representatives can also generate their own reports from the CITI Program’s website as needed, and download these data as needed for further processing (e.g., into Excel). Available languages for content Some CITI Program content is available in languages other than English, and/or with a focus on countries other than the United States. This catalog describes only U.S.-oriented, English-language content. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 11 of 60 Animal Care and Use (ACU) ACU Courses CITI Program’s Animal Care and Use (ACU) curriculum is designed to meet the needs of faculty, postdocs, graduate students, technicians, and any other persons involved in the conduct of research that uses non-human vertebrate animals. Working with the IACUC This course is intended for laboratory research personnel who will write animal-use protocols for review by an IACUC or who will handle animals under such protocols. It provides basic information regarding the U.S. regulations for protection of animal subjects used in research, teaching and testing. It describes the sources and applicability of regulations governing animals in these uses. It describes the role, authority and composition of the IACUC, the types of IACUC review, and the items of information required for the review. It discusses in a general way: animal surgery, blood sample collection, antibody production (though this is discussed specifically in the Antibody Production in Animals course), and euthanasia. General discussions are also provided for requirements for personnel training and experience, and occupational health and safety. Recommendations for housing rodents, exercising dogs, enriching the environment of primates, and using human patient care areas for animals are provided. Finally, there is a discussion of the requirements for making changes in a project involving animals and the procedures for reporting inappropriate use of animals. Animal users who will be doing field studies on wild animals should take the Wildlife Field Studies course (under development) instead. Module title Introduction to Working with the IACUC Working with the IACUC Federal Mandates The Veterinary Consultation Getting Started Alternatives Avoiding Unnecessary Duplication USDA Pain/Distress Categories Endpoint Criteria Surgery Antibody Production Collecting Blood Samples Personnel Training and Experience Occupational Health and Safety Using Hazardous and Toxic Agents in Animals Housing Social Animals Recommended Use Required Required Required Required Required Required Required Required Required Required Required Required Required Required Required Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 1807 1808 1809 1810 1811 1812 1813 1814 1815 1816 1817 1818 1819 1820 1821 1822 Page 12 of 60 Housing Rodents on Wire Floors Dog Exercise Primate Psychological Enrichment Prolonged Restraint Euthanasia Using Human Patient Care Areas for Animal Research Using Explosive Agents in the Animal Facility Making Changes after You Receive Approval Reporting Misuse, Mistreatment, or Non-Compliance Final Comments Required Required Required Required Required Required Required Required Required Required 1823 1824 1825 1826 1827 1828 1829 1830 1831 1832 Working with the IACUC – Refresher This course is intended for use by personnel who have previously completed the Working with the IACUC course, and whose institution requires a refresher. It offers reviews of many of the topics covered in the basic course, but adds additional depth, expanding on points that are often sources of concerns and questions by IACUCs and animal users. Module title Introduction to Working With the IACUC - Refresher Course The Regulators Responsibility Justifying Animal Use Consider Alternatives Duplication Training Housing and Husbandry Monitoring and Controlling Pain and Distress Surgery Post-procedure Monitoring and Care Endpoints Euthanasia Occupational Health and Safety Final Words References Recommended Use Required Required Required Required Required Required Required Required Required Required Required Required Required Required Required Required Module ID # 13780 13781 13782 13783 13784 13785 13786 13787 13788 13789 13790 13791 13792 13793 13846 13794 Essentials for IACUC Members This course is intended for persons who are members of an IACUC. It assumes the user is already familiar with the content of the Working with the IACUC course, and it delves more deeply into the IACUC's responsibilities, authority, membership, and relationship to the IO. It discusses the review of animal-use protocols and the required semi-annual program review and facilities inspection in detail. Finally, the procedures for investigating allegations of improper animal care and use are discussed. Module title Introduction to Essentials for IACUC Members Recommended Use Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 1833 Page 13 of 60 Responsibilities of the IACUC and IACUC Members The Members of the IACUC The IACUC, the CEO, and the IO Authority of the IACUC Conducting IACUC Business–-The Quorum Procedures for Reviewing Protocol Forms Outcomes of Animal Protocol Reviews The Types of Protocol Reviews Documenting IACUC Actions The IACUC Semi-Annual Evaluation Performing the Facility Inspection and the Program Review Identifying, Documenting, and Correcting Deficiencies Investigating Allegations of Improper Animal Care or Use Maintaining the Public Trust Required Required Required Required Required Required Required Required Required Required Required Required Required Required 1834 1835 1836 1837 1838 1839 1840 1841 1842 1843 1844 1845 1846 1847 Essentials for IACUC Members – Refresher [under development] This course is intended for use by members of an IACUC who have previously completed the Essentials for IACUC Members course and whose institution requires a refresher. It represents a completely new format for CITI courses. Users are presented with a small numbers of scenarios that present "real-life" problems encountered by IACUCs. They are asked to express opinions or select alternative actions that the IACUC or the PI could take. In many cases, both sides of contentious issues are presented. This approach is intended to form an interesting re-encounter of issues for IACUC members. Aseptic Surgery This single-module course is intended primarily for personnel who will be proposing or actually performing survival surgery in animals. U.S. federal regulations require that all survival surgery be performed aseptically. The course discusses the facilities and equipment recommended for performing such surgery and the training of surgical personnel. It discusses in a general way the need for and process of sterilization, the preparation of instruments and supplies, and the preparation of the animal and the surgeon for surgery. Module title Aseptic Surgery Recommended Use Required Module ID # 12840 Post Procedure Care of Mice and Rats in Research: Reducing Pain and Distress This course provides information on how to minimize pain and distress in mice and rats during and after experimental procedures for personnel who work with these animals. It is assumed that the user has already completed the Working with the IACUC course. The course provides training in the detection and monitoring signs of pain in animals. It discusses the use of animal appearance and behavior, physical condition, and body weight in the monitoring process. The role of body temperature and fluid and electrolyte balance in animal welfare are discussed. Particular attention is paid to the growth of tumors in production of pain and distress. Of course, there is a discussion of the alleviation of pain and distress in the post-procedure animal. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 14 of 60 Module title Introduction to Post-Procedure Care of Mice and Rats in Research: Minimizing Pain and Distress Investigator Responsibility Minimizing Sources of Nonexperimental Variation Systematically Monitoring for Pain and Distress Detecting Clinical Signs of Pain and Distress Appearance and Behavior Physical Exam for Clinical Condition Body Weight Fluid and Electrolyte Balance Body Temperature Tumors Alleviation of Pain and Distress Documentation of Post-Procedure Care Summary References Recommended Use Required Module ID # 1868 Required Required Required Required Required Required Required Required Required Required Required Required Required Required 1869 1870 1871 1872 1873 1874 1875 1876 1877 1878 1879 1880 1881 1882 Antibody Production in Animals This single-module course is intended for people who plan to make their own antibodies or have them made by someone else in the same institution. Under these conditions, the IACUC may require more information for its review than when antibodies are to be purchased. The course discusses the production of polyclonal antibodies: the use of antigens and adjuvants and their ability to produce pain and distress. I t discusses the process of immunization: its location and procedures. In addition, the course discusses the production of monoclonal antibodies and the use of ascites collection. Module title Antibody Production in Animals Recommended Use Required Module ID # 13325 Wildlife Field Studies [under development] This course is intended for persons who will write animal-use protocols for review by an IACUC or handle wildlife animals under such protocols, and it provides basic information regarding the U.S. regulations for protection of wildlife animal subjects used in research, teaching and testing. It describes the sources and applicability of regulations governing animals in these uses. It describes the role, authority and composition of the IACUC, the types of IACUC review and the items of information required for the review. It discusses in a general way: the types of field studies, methods of animal capture, principles and methods of restraint, animal marking, animal transportation and housing, maintenance of wildlife in captivity, translocation and release, animal surgery, blood sample collection, recognition and management of pain, and euthanasia. Animal users who will be doing laboratory studies on animals should take the Working with the IACUC course instead. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 15 of 60 Animal-Specific Courses The animal specific courses are intended for use by personnel who will use a specific class of animals in a research project. It may be that more than one course should be completed because more than one class of animals will be used. Each of these courses addresses issues specific to a single class of animals. These issues include taxonomy of the class, occupational health issues, and special acclimation and quarantine requirements. Special features of the biology and genetics of the class that make it appropriate for certain kinds of research are discussed. Also presented are special considerations in handling, pain and distress, and pain relief along with special considerations for surgery, blood collection, injections, supportive care and monitoring, and euthanasia. Working with Amphibians in Research Settings This course addresses issues in the use of amphibians in research. (See description of animal-specific courses above.) Module title Introduction to Working with Amphibians in Research Settings Taxonomy, Research Mandates and Occupational Health Issues Alternatives Search, Housing, Source, and Acclimation and Quarantine Biology, Pain and Distress, Handling, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Required Required Module ID # 2077 2078 2081 Required Required 2085 2089 Working with Cats in Research Settings This course addresses issues in the use of cats in research. (See description of animal-specific courses above.) Module title Introduction to Working with Cats in Research Settings Research Mandates and Occupational Health Issues Alternatives Search, Humane Standards, Housing, Source, and Acclimation and Quarantine Detecting Pain and Distress. and Biological Features Injections, Blood Collection, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Required Required Module ID # 1883 1884 1886 Required Required Required 1891 1893 1895 Working with Cats in Research Settings – Refresher This course is a refresher course that addresses issues in the use of cats in research. (See description of animal-specific courses above.) Module title Introduction, Occupational Health, Humane Standards, Housing, Recommended Use Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 2063 Page 16 of 60 Source, and Acclimation and Quarantine Pain and Distress, Biology, Procedures, Pain Relief Surgery, Supportive Care, Euthanasia, References Required Required 2069 2073 Working with Dogs in Research Settings This course addresses issues in the use of dogs in research. (See description of animal-specific courses above.) Module title Introduction to Working with Dogs in Research Settings Research Mandates and Occupational Health Issues Alternatives Search, Humane Standards, Housing, Source, and Acclimation and Quarantine Detecting Pain and Distress. and Biological Features Injections, Blood Collection, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Required Required Module ID # 1899 1900 1902 Required Required Required 1908 1910 1912 Working with Ferrets in Research Settings This course addresses issues in the use of ferrets in research. (See description of animal-specific courses above.) Module title Welcome to the course Working with Ferrets in Research Settings Research Mandates and Occupational Health Alternatives Humane Standards Housing Acclimation and Quarantine Detecting Pain and Distress Biological Features Injections and Blood Collection Recommended Use Required Required Required Required Required Required Required Required Required Module ID # 12244 12413 12414 12415 12416 12417 12418 12419 12420 Working with Fish in Research Settings [under development] This course addresses issues in the use of fish in research. (See description of animal-specific courses above.) Working with Gerbils in Research Settings This course addresses issues in the use of gerbils in research. (See description of animal-specific courses above.) Module title Introduction to Working with Gerbils in Research Settings Taxonomy, Research Mandates and Occupational Health Issues Recommended Use Required Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 2014 2015 Page 17 of 60 Alternatives Search, Humane Standards, Housing, Acclimation and Quarantine, and Detection of Pain and Distress Strains, Biology, Injections and Blood Collection, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Required 2001 Required Required 2006 2010 Working with Guinea Pigs in Research Settings This course addresses issues in the use of guinea pigs in research. (See description of animal-specific courses above.) Module title Introduction to Working with Guinea Pigs in Research Settings Taxonomy, Research Mandates and Occupational Health Issues Alternatives Search, Humane Standards, Acclimation and Quarantine, Housing, and Detection of Pain and Distress Genetics, Biology, Injections and Blood Collection, Antibody Production, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Required Required Module ID # 1951 1952 1954 Required 1959 Required 1964 Working with Hamsters in Research Settings This course addresses issues in the use of hamsters in research. (See description of animal-specific courses above.) Module title Introduction to Working with Hamsters in Research Settings Research Mandates and Occupational Health Issues Alternatives Search, Humane Standards, Housing, Acclimation and Quarantine, Detecting Pain and Distress Species/Strains Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Required Required Module ID # 1984 1985 1987 Required Required 1992 1996 Working with Mice in Research Settings This course addresses issues in the use of mice in research. (See description of animal-specific courses above.) Module title Introduction to Working with Mice in Research Settings Research Mandates and Occupational Health Issues Alternatives Searches, Humane Standards, Housing, and Acclimation and Quarantine Detecting Pain and Distress, Genetics, and Biological Features Injections, Blood Collection, and Antibody Production Recommended Use Required Required Required Module ID # 1933 1934 1936 Required Required 1940 1943 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 18 of 60 Surgery, Supportive Care and Monitoring, Euthanasia, and References Required 1946 Working with Non-Human Primates in Research Settings This course addresses issues in the use of non-human primates in research. (See description of animalspecific courses above.) Module title Introduction to Working With Non-Human Primates in Research Settings Research Mandates and Occupational Health Issues Alternatives Search, Humane Standards, Housing, Source, and Acclimation and Quarantine Detecting Pain and Distress, and Biological Features Injections, Blood Collection, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Module ID # 2032 Required Required 2033 2035 Required Required Required 2040 2042 2044 Working with Rabbits in Research Settings This course addresses issues in the use of rabbits in research. (See description of animal-specific courses above.) Module title Introduction to Working with Rabbits in Research Settings Research Mandates and Occupational Health Issues Alternatives Searches, Humane Standards, Housing, and Acclimation and Quarantine Detecting Pain and Distress, Genetics, and Biological Features Injections, Blood Collection, Antibody Production, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Required Required Module ID # 1968 1969 1971 Required Required Required 1975 1977 1980 Working with Rats in Research Settings This course addresses issues in the use of rats in research. (See description of animal-specific courses above.) Module title Introduction to Working with Rats in Research Settings Research Mandates and Occupational Health Issues Alternatives Searches, Humane Standards, Housing, and Acclimation and Quarantine Detecting Pain and Distress, Genetics, and Biological Features Injections, Blood Collection, Antibody Production, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and Recommended Use Required Required Required Module ID # 1916 1917 1919 Required Required Required 1923 1926 1929 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 19 of 60 Reference Working with Swine in Research Settings This course addresses issues in the use of swine in research. (See description of animal-specific courses above.) Module title Introduction to Working with Swine in Research Settings Research Mandates and Occupational Health Issues Alternatives Search, Humane Standards, Housing, Source, and Acclimation and Quarantine Detecting Pain and Distress, and Biological Features Injections, Blood Collection, and Pain Relief Surgery, Supportive Care and Monitoring, Euthanasia, and References Recommended Use Required Required Required Module ID # 2016 2017 2019 Required Required Required 2024 2026 2028 Biosafety and Biosecurity (BSS) BSS Courses CITI Program’s Biosafety and Biosecurity (BSS) curriculum has been designed to provide educational modules for a wide array of biosafety and biosecurity topics. The modules address baseline information requirements for multiple regulations, standards and guidelines. Host institutions should provide sitespecific requirements where applicable. Although the modules attempt to provide as much relevant biosafety information for the learner as possible, the modules are in no way a replacement for the hands on training and experience that those handling biohazards obtain from their Principal Investigators, Laboratory Managers and/or fellow researchers. Basic Introduction to Biosafety This course provides an introduction to biosafety for researchers handling Risk Group 1 working only at Biosafety Level 1 (BSL-1) containment. Module title Biosafety Course Overview Risk Management: Work Practices Recommended Use Required Required Module Alt ID ID # 13314 BSS01 13898 BSS05 Biosafety Officer Training – Basic/Initial This course, which includes the entire set of Biosafety and Biosecurity modules, can provide new biosafety officers and other environmental health and safety professionals with a comprehensive introduction to biosafety. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 20 of 60 Module title Biosafety Course Overview Laboratory Acquired Infections Biohazard Risk Assessment Medical Surveillance Risk Management: Work Practices Risk Management: Personal Protective Equipment Risk Management: Engineering Controls Risk Management: Laboratory Design Risk Management: Emergency and Spill Response OSHA Bloodborne Pathogens Standard NIH Guidelines for Research Involving Recombinant DNA Molecules Human Gene Transfer Research Select Agents, Biosecurity and Bioterrorism (13951, 13857, 13524) Shipping Regulated Biological Materials Animal Biosafety Understanding Nanotechnology and its Implications Recommended Use Required Required Required Required Required Required Required Required Required Required Required Module ID # 13314 13454 13455 13456 13898 13458 13929 13484 13459 13902 13493 Alt ID Required Required Required Required Required 13494 00000 00000 00000 00000 BSS12 BSS13 BSS14 BSS15 BSS16 BSS01 BSS02 BSS03 BSS04 BSS05 BSS06 BSS07 BSS08 BSS09 BSS10 BSS11 Initial Biosafety Training This course provides basic training for researchers handling biohazards in a research or clinical laboratory. This training addresses awareness of biohazards, risk assessment and key risk management principles including work practices, personal protective equipment, engineering controls and emergency response. Module title Biosafety Course Overview Laboratory Acquired Infections Biohazard Risk Assessment Medical Surveillance Risk Management: Work Practices Risk Management: Personal Protective Equipment Risk Management: Engineering Controls Risk Management: Laboratory Design Risk Management: Emergency and Spill Response Recommended Use Required Required Required Required Required Required Required Required Required Module ID # 13314 13484 13455 13456 13898 13458 13929 13484 13459 BSS01 BSS02 BSS03 BSS04 BSS05 BSS06 BSS07 BSS08 BSS09 Biosafety Retraining This course is a refresher for researchers handling biohazards. It is usually scheduled by the institution periodically, to reinforce biocontainment practices to control biohazards. Module title Risk Management: Work Practices Risk Management: Personal Protective Equipment Recommended Use Required Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module Alt ID ID # 13898 BSS05 13458 BSS06 Page 21 of 60 Risk Management: Engineering Controls Risk Management: Laboratory Design Risk Management: Emergency and Spill Response Required Required Required 13459 13484 13459 BSS07 BSS08 BSS09 Animal Biosafety This single-module course is designed for researchers and animal handlers working with small or conventional animals used in experiments involving biohazards. Module title Animal Biosafety Recommended Use Required Module Alt ID ID # 13654 BSS15 Shipping and Transport of Regulated Biological Materials This single-module course is intended as initial training and periodic retraining for employees who package or ship diagnostic and clinical human or animal specimens, human or animal pathogens, and other regulated biohazards. It has been designed to meet requirements of the International Air Transport Association and the U.S. Department of Transportation. Module title Shipping Regulated Biological Materials Recommended Use Required Module Alt ID ID # 13459 BSS14 OSHA Bloodborne Pathogens This single-module course is intended for researchers who handle human blood, tissues, body fluids, or other potentially infectious materials. It is designed as initial training or annual retraining to meet the requirements of the U.S. Occupational Safety and Health Administration’s Bloodborne Pathogen training standard. Module title OSHA Bloodborne Pathogens Standard Recommended Use Required Module Alt ID ID # 13902 BSS10 Select Agents, Biosecurity and Bioterrorism This single-module course is intended for researchers who handle or have access to Select Agents, potential biowarfare agents or other potentially dangerous biological materials. It is designed to provide initial biosecurity awareness training, but must be augmented with site-specific biosecurity information as required by the Select Agent regulations. Module title Select Agents, Biosecurity and Bioterrorism (13951, 13857, 13524) Recommended Use Required Module Alt ID ID # 00000 BSS13 Emergency and Incident Response to Biohazard Spills and Releases This single-module course can be used to document required biohazard training for hazardous materials responders. Module title Recommended The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module Alt ID Page 22 of 60 Risk Management: Emergency and Spill Response Use Required ID # 13459 BSS09 NIH Recombinant DNA Guidelines This single-module course provides principal investigators and those responsible for the conduct of recombinant DNA research experiments basic training and an overview of the requirements established by the U.S. National Institutes of Health. Module title NIH Guidelines for Research Involving Recombinant DNA Molecules Recommended Use Required Module Alt ID ID # 13493 BSS11 Personal Protective Equipment This single-module course may be used to satisfy U.S. Occupational Safety and Health Administration (OSHA) personal protective equipment training requirements for researchers handling biohazards. Module title Risk Management: Personal Protective Equipment Recommended Use Required Module Alt ID ID # 13458 BSS06 Human Gene Transfer This single-module course provides training on the requirements for clinical trials involving the introduction of recombinant DNA to human subjects. It is designed for principal investigators, clinicians, and institutional biosafety committee members. Module title Human Gene Transfer Research Recommended Use Required Module Alt ID ID # 13494 BSS12 Nanotechnology This course provides an introduction to and general awareness of issues in nanoparticle research. Module title Understanding Nanotechnology and its Implications Recommended Use Required Module Alt ID ID # 14044 BSS16 Institutional Biosafety Committee Member Training This course provides training for members of the organization’s Institutional Biosafety Committee (IBC) in general biosafety and the requirements of the NIH Guidelines for Research Involving Recombinant DNA Molecules. Module title Biosafety Course Overview Laboratory Acquired Infections Biohazard Risk Assessment Recommended Use Required Required Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 13314 13454 13455 Alt ID BSS01 BSS02 BSS03 Page 23 of 60 Medical Surveillance NIH Guidelines for Research Involving Recombinant DNA Molecules Human Gene Transfer Research Required Required 13456 13493 BSS04 BSS11 Required 13494 BSS12 BSS Modules Biosafety Course Overview (BSS01) This module serves as an introduction to both the overall course and as Biosafety training for researchers handling Risk Group 1 agents or working only at Biosafety Level 1 containment. It has been designed as initial training, but can also be used to retrain this population as needed on a schedule selected by the host institution. Laboratory-Acquired Infections (BSS02) This module sets the foundation for the importance of biosafety by briefly reviewing seminal laboratory acquired infections that have occurred in the research and clinical laboratory settings. Additional supplemental cases can be explored by the student for further study and increased awareness of how the breakdown of good microbiological practices can lead to infections and in rare cases death. Biohazard Risk Assessment (BSS03) This module outlines the steps involved in identifying risk factors for experiments or procedures involving biohazards. The three P’s of Risk Assessment (Pathogen, Procedures, and Personnel) are reviewed in depth to provide a basic foundation in this important building block of biosafety. Medical Surveillance (BSS04) This module reviews basic medical surveillance and occupational health program recommendations for laboratory or clinical researchers handling biohazards. Risk Management: Work Practices (BSS05) Initial training targeted for researchers handling or who will handle biohazards in a research or clinical laboratory. This training addresses an awareness of biohazards, risk assessment, and key risk management principles including work practices, personal protective equipment, engineering controls, and emergency response. This module now includes content formerly in Disinfection and Sterilization and Work Safely with Sharp Instruments. Risk Management: Personal Protective Equipment BSS06) This module is part of the core biosafety training, but can be used as an independent module to document OSHA required personal protective equipment (PPE) training requirements pertinent to biohazards. The supplemental form at the end of the module and PPE Biohazard Training Table can be used to document this training by each laboratory as well. Risk Management: Engineering Controls (BSS07) This module examines the engineering controls, devices and barriers that can be utilized to protect researchers when handling biohazards in the laboratory. It describes the fundamental engineering The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 24 of 60 controls utilized to handle biohazard safely and describes the concomitant work practices for their safe use. This module now includes content formerly in Centrifuge Precautions and Safe Sharps Devices. Risk Management: Laboratory Design (BSS08) This module describes the safety features of laboratories designed to protect researchers at each of the first three Biosafety Levels (Biosafety Levels 1, 2 and 3). The module provides a comprehensive description of the safety factors associated with the design of a Biosafety Level 3 laboratory. Risk Management: Emergency and Spill Response (BSS09) This module provides biohazard emergency response training for employees who are designated as hazardous materials responders and address the biohazard component of their annual training. OSHA Bloodborne Pathogens Standard (BSS10) This module is directed at researchers, employees and students who handle or have contact with human blood, tissues, body fluids or other potentially infectious materials. In order to be used in an online web format, the host institution must insert important site-specific regulatory and emergency response contact information. It is designed as initial bloodborne pathogens training, to be provided at start of work with these materials. This module can also be used as annual retraining as required by the U.S. Occupational Safety and Health Administration. Retraining must be completed within 365 days of the previous training class. NIH Guidelines for Research Involving Recombinant DNA Molecules (BSS11) This module has been created to provide Principal Investigators (PIs) and others responsible for the conduct of recombinant DNA (rDNA) research experiments, and IBC members who review these experiments, training in the requirements of the U.S. NIH Guidelines for Research Involving Recombinant DNA Molecules. The module has been designed as initial training. It can also be used for periodic refresher training for PIs and IBC members as required by the NIH Guidelines. Human Gene Transfer Research (BSS12) This module has been designed for principal investigators, clinicians, and IBC members participating in the conduct or review of a human gene transfer clinical study. The module reviews the NIH and Institutional Biosafety Committee requirements for Human Gene Transfer clinical trials. Select Agents, Biosecurity and Bioterrorism (BSS13) This module has been targeted for researchers who handle or have access to Select Agents, potential biowarfare agents, or other potentially valuable biological materials. The module is divided into three segments and provides initial and annual retraining options in Select Agents and Laboratory Biosecurity as required by U.S. Select Agent regulations. Each segment must be augmented with site-specific information from the host institution. The Bioterrorism segment can also be used for emergency responders who deal with potential bioterrorism incidents. Shipping Regulated Biological Materials (BSS14) This module is aimed at those researchers and technicians who package and ship diagnostic or clinical human and animal specimens, human and animal pathogens, and related regulated biohazards. It has been designed as initial training and biennial (every 2 years) training as required by the International Air The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 25 of 60 Transport Association or the triennial (every 3 years) training as required by the U.S. Department of Transportation. Animal Biosafety (BSS15) This module has been designed as initial awareness training for researchers and animal handlers working with small or conventional animals used in biohazard experiments. This module can also be used for periodic refresher training based on the schedule outlined by the host institution. Additional CITI Program content for persons involved in the conduct of research using animals can be found in the Animal Care and Use curriculum. Understanding Nanotechnology and its Implications (BSS16) This module has been developed to provide basic awareness and understanding of nanoparticles and the unique safety issues associated with their handling. Export Control (EC) CITI Program’s Export Control (EC) curriculum currently includes a single course, focused on U.S. regulations for Export Control. A shorter treatment of the same topic is provided in the Export Controls and National Security module included in courses in the Responsible Conduct of Research (RCR) curriculum (see the RCR for Engineering course). U. S. Export Control Regulations This course is intended for persons whose research activities include use of or access to technologies that may be subject to U.S. export control regulations. Modules discuss the regulations that emanate from the U.S. Commerce, Defense, State and Treasury departments. Module title U.S. Export Control Regulations: General Overview Export Administration Regulations International Traffic in Arms Regulations Office of Foreign Assets Control Recommended Use Required Elective Elective Elective Module ID # 14270 14268 14271 14272 U.S. Export Control Regulations: General Overview This module provides an introduction to the nature, purpose and scope of the major U.S. export control regulations. It defines key terms and concepts that recur throughout the export control regulations, and identifies the major effects of export controls on research in institutions of higher education. Export Administration Regulations This module provides an overview of the U.S. Department of Commerce’s Export Administration Regulations (EAR) and how those regulations apply to research in a university setting. It discusses The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 26 of 60 situations, materials and activities that may be controlled as well as major exclusions, and steps necessary to comply. International Traffic in Arms Regulations This module provides an introduction to the International Traffic in Arms (ITAR) regulations of the U.S. Department of State. It includes the regulatory basis of, scope and critical definitions in ITAR, and guidance on identifying equipment, information and activities that may be subject to ITAR. Office of Foreign Assets Control This module provides an overview of the functions of the U.S. Department of the Treasury’s Office of Foreign Assets Control (OFAC). OFAC enforces economic and trade sanctions against targeted foreign countries, terrorists, drug traffickers, weapons proliferators and other threats to U.S. national security. Good Clinical Practice (GCP) CITI Program’s Good Clinical Practice (GCP) curriculum currently includes three course offerings: a U.S. FDA-focused course, a course focused on investigational devices, and a course focused on drug and biologic studies from a more international perspective. GCP for Clinical Trials with Investigational Drugs and Medical Devices – U.S. FDA Focus This course is intended for research personnel involved in conducting drug, device, or biologic studies and who would benefit from a U.S. FDA focused curriculum. For this GCP Course, it is strongly recommended that all modules be included and that they be completed in the order listed. Module title GCP Introduction Overview of New Drug Development ICH Overview ICH – Comparison Between ICH GCP E6 and U.S. FDA Regulations Conducting Investigator-Initiated Studies According to FDA Regulations and Good Clinical Practices Investigator Obligations in FDA-Regulated Clinical Research Managing Investigational Agents According to GCP Requirements Conducting Clinical Trials of Medical Devices Informed Consent Detection and Evaluation of Adverse Events Reporting Serious Adverse Events Monitoring of Clinical Trials by Industry Sponsors Audits and Inspections in Clinical Trials Recommended Use Required Required Required Required Required Module ID # 1350 1351 1352 1354 1355 Required Required Required Required Required Required Required Required 1356 1357 1358 1359 1360 1361 1362 1363 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 27 of 60 Completing the CITI GCP Course Required 1364 GCP Introduction This module provides an overview of the GCP course along with links to the Belmont Report. Overview of New Drug Development This module describes the role of industry sponsors in the conduct of clinical trials under an Investigational New Drug (IND) application in the U.S. according to FDA regulations. It provides an overview of definitions, procedures, and timelines associated with the development of a new drug. ICH Overview The purpose of this module is to provide a basic understanding of the role of the International Conference on Harmonisation (ICH) Guidelines and the impact on conducting clinical research according to Good Clinical Practice (GCP). The purpose of ICH and the basic requirements for compliance with ICH are described, including an overview of the ICH E6 GCP guidelines. The module concludes with a discussion of when the ICH GCP guidelines apply and an introduction on how these differ from the FDA regulations. ICH – Comparison Between ICH GCP E6 and U.S. FDA Regulations This module expands on the introduction presented in the ICH Overview module. The major differences between ICH guidelines and U.S. FDA regulations are presented, including critical areas such as confidentiality of medical records, signature of the person conducting the consent discussion, and impartial witnesses for illiterate subjects. The module also covers the differences between ICH GCP E6 and FDA in terms of elements of consent. Conducting Investigator-Initiated Studies According to FDA Regulations and Good Clinical Practices This module discusses topics important to researchers who are also the sponsors of studies and thus are conducting investigator-initiated studies. Topics discussed include how to determine whether an Investigational New Drug (IND) application or an Investigational Device Exemption (IDE) is required, the role of the sponsor-investigator, documentation required for INDs and IDEs, and reports that must be submitted to the FDA for active INDs/IDEs. Investigator Obligations in FDA-Regulated Clinical Research This module describes the commitments and obligations assumed by investigators when they conduct clinical investigations sponsored by pharmaceutical companies under IND requirements, including the requirements of the FDA Form 1572, Statement of Investigator. Required study records and reporting requirements continue the discussion. An overview of the investigator's relationship with the sponsor organization as well as the investigator's commitment to the subjects, the Institutional Review Board/Ethics Committee (IRB/EC), and the U.S. Food and Drug Administration (FDA) are also included. Managing Investigational Agents According to GCP Requirements This module focuses on specific requirements associated with the management of investigational products by investigators. This includes requirements for shipping and storage of investigational agents, The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 28 of 60 as well as recording the receipt, use, and final disposition of investigational agents. The module also reviews what constitutes investigational products and the management requirements for their use by study subjects. Conducting Clinical Trials of Medical Devices This module reviews the responsibilities of investigators conducting clinical research involving medical devices. It includes a discussion of the difference between significant risk and non-significant risk devices. The characteristics and marketing requirements for Class I, II, and III devices are reviewed. The module concludes with a review of investigator and IRB responsibilities associated with clinical trials of medical devices and a discussion of the different options associated with early access to investigational devices in advance of FDA approval. Informed Consent This module discusses informed consent guidelines, the required and optional elements of informed consent and the process for obtaining informed consent. There is also a discussion of the differences between FDA and DHHS regulations. Some of the challenges associated with informed consent and the concept of vulnerable subjects are also reviewed. Detection and Evaluation of Adverse Events This module reviews the definition of adverse events (AEs) and related clinical trial terminology. It describes the process for identifying AEs in clinical research, the issues to consider in assessing the severity and causality of AEs with examples to illustrate the evaluation process. The module also contains a discussion on determining severity and causality. Reporting of AEs to the IRB completes the module. Reporting Serious Adverse Events This module discusses the criteria for reporting of serious adverse events (SAEs) to regulatory agencies, sponsors, etc. The discussion includes definitions for "serious" and "unexpected" adverse events and it reviews the requirements for reporting of SAEs within time frames required by FDA and ICH. The module provides categories of relatedness to the investigational agent and how they affect reporting. Monitoring of Clinical Trials by Industry Sponsors This module describes the obligation of industry research sponsors to monitor the progress of clinical trials under an Investigational New Drug (IND) or Investigational Device Exemption (IDE) application in the U.S. The types of site visits conducted by industry sponsors are described along with the basic requirements for each type of site visit. The module describes the role of the investigative site during interactions with industry sponsors as well as the requirements for record-keeping in studies regulated by the U.S. FDA. Audits and Inspections in Clinical Trials This module provides a basic understanding of monitoring, audits, and inspections of clinical trials conducted according to GCP standards. It describes the different entities that can inspect or audit a clinical trial, the factors that can determine whether an investigator will be audited, what the auditors and inspectors are looking for, and the results and consequences that can occur as a consequence of The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 29 of 60 FDA inspection findings. Some FDA-regulated research may also involve federal funding, thereby requiring oversight by the Office for Human Research Protections (OHRP). As a result, the module includes information on OHRP compliance site visits and outcomes. The purpose of the FDA Bioresearch Monitoring Program is discussed. Completing the CITI GCP Course This module wraps up and summarizes the issues presented in the preceding modules. GCP for Clinical Trials with Investigational Drugs – ICH Focus This course is intended for research personnel involved in conducting drug and biologic studies and who would benefit from a more internationally focused curriculum. It should be noted, however, that when appropriate references to FDA regulations and guidance are also included. For this GCP course, it is strongly recommended that all modules be included and that they be completed in the order listed. Module title GCP Introduction Conducting Investigator - Initiated Studies According to FDA Regulations and Good Clinical Practices Investigator Obligations in FDA-Regulated Clinical Research Managing Investigational Agents According to GCP Requirements Informed Consent in Clinical Trials of Drugs Monitoring of Clinical Trials of Drugs by Industry Sponsors Audits and Inspections in Clinical Trials of Drugs Overview of New Drug Development ICH Overview ICH—Comparison Between ICH GCP E6 and U.S. FDA Regulations Detection and Evaluation of Adverse Events Reporting Serious Adverse Events in Investigations of Drugs and Biologics Completing the CITI GCP Course Recommended Use Required Required Module ID # 14613 14614 Required Required Required Required Required Required Required Required Required Required 14615 14617 14618 14619 14620 14621 14622 14625 14623 14624 Required 14626 GCP Introduction This module provides an overview of the GCP course along with links to the Belmont Report. Conducting Investigator - Initiated Studies According to FDA Regulations and Good Clinical Practices Medical research is important and investigators strive to find novel therapies, new drugs, and modifications or new uses for existing drugs. This module introduces the requirements that must be met to conduct investigator-initiated trials of investigational drugs. The module provides an overview of when an Investigational New Drug (IND) application must be filed, the information that must be provided, and the requirements for monitoring of clinical trials. Given ICH E6 as a standard for the The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 30 of 60 elements of clinical research including design, conduct, performance, monitoring, and auditing, this module provides a discussion as to the purposes of monitoring and a summarizes its components. Investigator Obligations in FDA-Regulated Clinical Research When investigators participate in an industry-sponsored clinical investigation, they assume certain professional and legal obligations. Investigators, therefore, must understand the study and regulatory requirements to ensure the successful outcome of a clinical investigation. The module provides an overview of investigator commitments and obligations, and it summarizes the investigator’s relationship with the industry-sponsor. Particular attention is focused on two aspects of the sponsor’s site assessments covered by ICH guidelines: adequate resources, and medical care of trial subjects. Reporting and record-retention are also included, with applicable references to both FDA and ICH requirements. Managing Investigational Agents According to GCP Requirements GCP standards require specific management of investigational products by principal investigators. Definitions and information related to the requirements for the use of investigational products, as defined by FDA and ICH, are presented as a basis for this module. ICH requirements associated with investigator control continues the discussion. The module concludes with sections on shipping, storage, dispensing, and final disposition of investigational agents. Informed Consent in Clinical Trials of Drugs This module discusses the informed consent guidelines (as reflected in both FDA regulations and ICH guidelines), that set the required and optional elements of informed consent. The module also includes a discussion of the documentation of consent with specific discussion on the role of legally authorized representatives. Some of the challenges associated with informed consent and the concept of vulnerable subjects are also covered, including issues related to subjects who cannot consent and the exceptions to the informed consent requirements. Monitoring of Clinical Trials of Drugs by Industry Sponsors U.S. Federal regulations and the ICH guidelines require that sponsors of clinical research monitor the studies of investigational drugs to ensure that they comply with standards for the protection of human research subjects. This module describes the obligation of industry sponsors to monitor the progress of clinical trials under an Investigational New Drug (IND) application as well as the requirements for site record-keeping in studies that are regulated by the FDA and in adherence to ICH E6. Audits and Inspections in Clinical Trials This module provides basic information on monitoring, audits, and inspections of clinical trials conducted according to standards for Good Clinical Practice (GCP). It describes the different entities that can inspect or audit a clinical trial, the factors that can determine whether an investigator will be audited, what the auditors and inspectors are looking for, and the results and consequences that can occur as a result of FDA inspection findings. Regulatory documents reviewed during inspections are presented and referenced to FDA and ICH GCP requirements. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 31 of 60 Overview of New Drug Development This module describes the role of industry sponsors in the conduct of clinical trials under an Investigational New Drug (IND) application in the U.S. according to FDA regulations. It provides an overview of definitions, procedures, and timelines involved for the development of a new drug. ICH Overview The purpose of this module is to provide an overview of the role of the International Conference on Harmonisation (ICH) Guidelines and their impact on conducting human clinical research. The purpose of and the basic requirements for compliance with ICH are described, including an overview of the ICH E6 GCP guidelines. The module concludes with a discussion on when the ICH GCP guidelines apply and an introduction on how these differ from the FDA regulations. ICH—Comparison Between ICH GCP E6 and U.S. FDA Regulations This module expands on the introduction presented in the ICH Overview module. The major differences between ICH guidelines and U.S. FDA regulations are presented, including a discussion of specific areas such as confidentiality of medical records, signature of person conducting the consent discussion, impartial witnesses for illiterate subjects, and the elements of informed consent. Detection and Evaluation of Adverse Events This module reviews the definition of adverse events (AEs) and related clinical trial terminology in accordance with ICH guidelines. It describes the process for identifying AEs in clinical research and identifies the factors to consider in assessing the severity and causality of AEs. Examples are provided to illustrate the evaluation process. The module also includes discussion on determining AE severity and causality, and reporting of AEs to IRBs. Reporting Serious Adverse Events in Investigations of Drugs and Biologics This module discusses the criteria for reporting serious adverse events (SAEs) to regulatory agencies, sponsors, etc. The discussion, framed by both FDA regulations and ICH guidelines, includes definitions for "serious" and "unexpected" adverse events, and the time frames for reporting of SAEs. The module provides categories of relatedness to the investigational agent and how they affect reporting. Completing the CITI GCP Course This module wraps up and summarizes the issues presented in the preceding modules. GCP for Clinical Trials with Investigational Medical Devices This course is intended for research personnel involved in conducting device studies. It should be noted that, where appropriate, reference to FDA regulations and guidance is also included. For this GCP course, it is strongly recommended that all modules be included and that they be completed in the order listed. Module title GCP Introduction Recommended Use Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 14633 Page 32 of 60 Conducting Investigator-Initiated Studies According to FDA Regulations and Good Clinical Practices Investigator Obligations in FDA-Regulated Clinical Research Managing Investigational Devices According to GCP Requirements Conducting Clinical Trials of Medical Devices Informed Consent in Clinical Studies of Devices Monitoring of Clinical Trials by Industry Sponsors Audits and Inspections in Clinical Trials of Devices Reporting Requirements for Device Studies Completing the CITI GCP Course Required 14634 Required Required Required Required Required Required Required Required 14635 14636 14637 14638 14639 14640 14641 14642 GCP Introduction This module provides an overview of the GCP course along with links to the Belmont Report. Conducting Investigator-Initiated Studies According to FDA Regulations and Good Clinical Practices This module discusses topics relevant to researchers who are also the sponsors of studies, i.e., investigator-initiated device studies. Topics discussed include significant risk (SR) and non-significant risk (NSR) device studies, sponsor-investigator Investigational Device Exemptions (IDEs), and reporting requirements. Investigator Obligations in FDA-Regulated Clinical Research Investigators assume responsibilities when participating in clinical investigations sponsored by device companies under IDE requirements. This module describes the commitments and obligations assumed by investigators. Required study records and reporting requirements continue the discussion. An overview of the investigator's relationship with the sponsor organization as well as the investigator's commitment to the subjects, the Institutional Review Board/Ethics Committee (IRB/EC), and the U.S. FDA is also included. Managing Investigational Devices According to GCP Requirements This module focuses on specific requirements associated with the management of investigational products by principal investigators, with a specific focus on GCP standards. The module includes a discussion of the regulation of studies involving investigational devices, including sponsor requirements for selecting investigators, investigator control of devices, packaging and shipping, and storage of devices. Conducting Clinical Trials of Medical Devices This module reviews the responsibilities of investigators conducting clinical research involving medical devices. It includes a discussion of the difference between significant risk (SR) and non-significant risk (NSR) devices. The characteristics and marketing requirements for Class I, II, and III devices are reviewed. The module concludes with a review of investigator and IRB responsibilities associated with clinical trials of medical devices and a discussion of the different options associated with early access to investigational devices in advance of FDA approval. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 33 of 60 Informed Consent in Clinical Studies of Devices This module discusses the informed consent guidelines, the required and optional elements of informed consent and the process for obtaining informed consent. There is also a discussion of the differences between FDA and DHHS regulations. Challenges associated with informed consent and the concept of vulnerable subjects are also covered. Monitoring of Clinical Trials of Devices by Industry Sponsors This module describes the obligation of industry research sponsors to monitor the progress of clinical trials under an Investigational Device Exemption (IDE) in the U.S. The types of site visits conducted by industry sponsors are described along with the basic requirements for each type of site visit. The role of the investigative site during interactions with industry sponsors as well as the required documentation and a review of record keeping in studies regulated by the U.S. FDA are also covered. Audits and Inspections in Clinical Trials of Devices This module provides a basic understanding of monitoring, audits, and inspections of clinical trials conducted according to standards for good clinical practice (GCP). It describes the different entities that can inspect or audit a clinical trial, the factors that can determine whether an investigator will be audited, what the auditors and inspectors are looking for, and the results and consequences that can stem from FDA inspection findings. Because some FDA-regulated research may also involve federal funds there may also be Office for Human Research Protections (OHRP) oversight. As a result, the module includes an overview of OHRP compliance site visits and outcomes. The purpose of the FDA Bioresearch Monitoring Program is discussed. Reporting Requirements for Device Studies The use of investigational devices can pose significant risks to subjects, and the U.S. Food and Drug Administration (FDA) requires reporting of certain events to ensure that all entities are adequately informed when new risks appear. This module explains the reporting requirements of 21 CFR 812, the FDA regulations for the conduct of investigational device studies. Completing the CITI GCP Course This module wraps up and summarizes the issues presented in the preceding modules. Human Subjects Research (HSR) CITI Program’s Human Subjects Research (HSR) curriculum is divided into materials with a focus on biomedical research and those with a focus on social and behavioral research. Both the biomedical and social-behavioral series include both basic and refresher courses. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 34 of 60 Biomedical Research with Human Subjects This basic course provides an introduction to the elements of biomedical research, focusing on protection of human subjects. It provides historic and current information on regulatory and ethical issues important to the conduct of research involving human subjects. Module title Recommended Use Belmont Report and Course Introduction History and Ethical Principles Informed Consent Social and Behavioral Research for Biomedical Researchers Records-Based Research Genetic Research in Human Populations Research With Vulnerable Subjects: An Overview Vulnerable Subjects: Research Involving Prisoners Vulnerable Subjects: Research Involving Children Basic Institutional Review Board (IRB) Regulations and Review Process Vulnerable Subjects: Research Involving Pregnant Women, Fetuses, and Neonates Avoiding Group Harm: U.S. Research Perspectives Avoiding Group Harm: International Research Perspectives FDA-Regulated Research Stem Cell Research Oversight – Part 1 Stem Cell Research Oversight – Part 2 Unanticipated Problems and Reporting Requirements in Biomedical Research Module ID # 1127 498 3 4 5 6 7 8 9 2 10 14080 14081 12 13882 14584 14777 Belmont Report and Course Introduction This module provides a link to the Belmont Report. It also provides some additional information regarding the CITI website and the availability of the Belmont Report in English, Chinese, Spanish, and French. History and Ethical Principles This module discusses ethical principles for the conduct of research involving human subjects. It provides an overview of the historical events that influenced the development of the current regulatory requirements. A review of the Belmont Principles is also provided. The module concludes with a discussion of the contemporary ethical standards that guide research today. Basic Institutional Review Board (IRB) Regulations and Review Process IRBs are a standard within the area of human subjects research. This module provides basic information about the human subject protection regulations and IRBs, including the role, authority, and composition of the IRB. The information presented is based on the Common Rule as codified by the U.S. Department of Health and Human Services (DHHS) at 45 CFR 46. The different types of IRB review processes are discussed, providing the learner with an overview of the essential issues associated with exempt, The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 35 of 60 expedited, and full (convened) IRB reviews. The module concludes with a discussion of the other regulations and requirements (such as the U.S. Food and Drug Administration [FDA] and the International Conference on Harmonisation [ICH]) and regulatory groups (for example, the National Institutes of Health [NIH] and the Department of Education [DOE]) that require compliance based on certain types of research. Informed Consent A fundamental tenet of human subjects research, the process and documentation of informed consent are important concepts for researchers to understand. To that end, this module provides the learner with the framework for informed consent found within the Common Rule. Some of the special challenges associated with informed consent are also discussed, including informed consent as it relates to vulnerable populations. The module concludes with a review of the requirements for waiver of informed consent as well as the differences between FDA and DHHS regulations. Social and Behavioral Research (SBR) for Biomedical Researchers Because biomedical researchers employ a variety of SBR techniques within the framework of biomedical research, it is important to understand the nature, risks, and benefits associated with these techniques. This module discusses the types of studies that utilize SBR techniques, along with the kinds of data collected. A review of some of the risks and benefits that are unique to SBR completes the course. Records-Based Research Researchers may make important advances in the fields of education, medicine, psychology and public policy by using previously collected information that does not involve prospective interaction with human subjects. Records-based research has its own risks, and researchers who propose to conduct such research must have an understanding of those risks and how to minimize them. As a compliment to that review, this module also provides learners with an overview of the types of review processes required for records-based research. This overview includes the questions that must be addressed in order to make the appropriate determinations with respect to review. Genetic Research in Human Populations Although continued advances in genetic research present exciting opportunities in biomedicine, they also present some of the most difficult challenges with respect to the protection of human subjects. This module begins with an introduction to the types and complexity of genetic research. The learner is then provided with a review of ethical, legal, and regulatory issues associated with genetic research. A discussion of the hot topic of stored biological samples concludes the module. Research with Vulnerable Subjects: An Overview The concept of vulnerable subjects is important to research ethics and regulatory compliance. The foundation for this module is provided by an overview of DHHS and FDA regulations as well as ICH guidelines. This module provides learners with an overview of the issues related to diminished autonomy, and the need for additional protections. An overview of different classes of vulnerable subjects concludes the module. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 36 of 60 Vulnerable Subjects: Research Involving Prisoners This module describes the special requirements for conducting research with prisoners. The learner is provided with a review of why incarcerated individuals need special protection, as well as the regulatory definition of what constitutes a prisoner. The module also includes a discussion of each of the permitted categories for research involving prisoners and the required IRB considerations and determinations. The module concludes with the topic of what happens if an enrolled subject becomes a prisoner. Vulnerable Subjects: Research Involving Children This module describes the major historical events that influenced how research with children can be conducted. It describes problems with this type of research that may violate ethical standards, the assent and informed consent requirements, and the current efforts by the FDA to ensure the inclusion of children in studies on the safety and efficacy of new drugs. An overview of the categories of research involving children is provided, including examples. Vulnerable Subjects: Research Involving Pregnant Women, Fetuses, and Neonates This module describes the historical exclusion of women of child-bearing potential and the special requirements for conducting research involving pregnant women and fetuses. It includes a discussion of each of the permitted categories for research involving the pregnant women, fetuses, and neonates and IRB review requirements and determinations. Informed consent requirements associated with the different categories of research permitted with fetuses are also discussed. Avoiding Group Harms: U. S. Research Perspectives See next module description below. Avoiding Group Harms: International Research Perspectives These Group Harms modules describe some distinct groups or communities of people who are vulnerable. In addition, learners are provided examples of research that have caused group harms. The module concludes with strategies that researchers can take to reduce the risk of group harms. The material is customized for International Research Perspectives and U.S. Research Perspectives. Institutions can choose to assign either of the versions depending upon the institution’s research activities. FDA-Regulated Research This module addresses FDA-regulated clinical research and the responsibilities of investigators, IRBs, and sponsors when an FDA-regulated product is utilized in a study. In particular, the module includes information on when an Investigational New Drug (IND) application is necessary and the requirements of the FDA Form 1572. A sub-module discusses the International Conference on Harmonisation (ICH) guidelines. Stem Cell Research Oversight – Part 1 This module is the first of a pair of modules on human stem cells and introduces the learner to the nature and characteristics both adult and embryonic stem cells. Learners are provided a review of the The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 37 of 60 requirements of the federal regulations associated with stem cell research and the role of both state and local requirements. Stem Cell Research Oversight – Part 2 This module builds on the content presented in Part 1 and provides a framework for institutional review of stem cell research, national guidelines as well as current federal law and policy. This module provides an overview of the National Academy of Sciences (NAS), International Society for Stem Cell Research (ISSCR), and the NIH guidelines related to human stem cell research and research involving human subjects. Consideration is given to DHHS and FDA regulatory requirements, Stem Cell Research Oversight (SCRO) committee composition and responsibilities, categories of research, and a comprehensive definition of provenance as it applies to human stem cell research. A detailed overview of the recommendations of the NAS, ISSCR and NIH Guidelines as well as information related to the procurement, banking, and use of human stem cell lines are provided via the hyperlinks that follow the module. Unanticipated Problems and Reporting Requirements in Biomedical Research The FDA and the DHHS human subject protection regulations require institutions to have policies and procedures to ensure prompt reporting of unanticipated problems (UPs) involving risk to subjects or others to the IRB, regulatory agencies, and appropriate institutional officials. In addition, FDA regulations require investigators to promptly report to the IRB all UPs involving risk to subjects or others and unanticipated adverse device effects. The purpose of this module is to provide guidance to investigators on complying with DHHS and FDA reporting requirements by providing an overview of UPs, unanticipated adverse device effects, and the relationship between adverse events and UPs involving risk to subjects or others. As a part of the discussion, the module includes a discussion on how to detect UPs and how to report them. Biomedical Research with Human Subjects – Refresher Courses See below for a listing of the refresher modules available by refresher series. Module title Recommended Use Refresher Course 101 Introduction (ID: 960) Biomedical 101 Refresher Course - History and Ethics (ID: 975) Biomedical 101 Refresher Course - Regulations and Process (ID: 981) Biomedical 101 Refresher Course - Informed Consent (ID: 980) Biomedical 101 Refresher Course - Social and Behavioral Research (ID: 982) Biomedical 101 Refresher Course - Records Based Research (ID: 983) Biomedical 101 Refresher Course - Genetics Research (ID: 984) Biomedical 101 Refresher Course - Research Involving Vulnerable Subjects (ID: 985) Biomedical 101 Refresher Course - Vulnerable Subjects – Research Involving Prisoners (ID: 973) The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 960 975 981 980 982 983 984 985 973 Page 38 of 60 Biomedical 101 Refresher Course - Vulnerable Subjects – Research Involving Children (ID: 974) Biomedical 101 Refresher Course – Vulnerable Subjects – Research Involving Pregnant Women, Human Fetuses, and Neonates (ID: 986) Biomedical 101 Refresher Course - FDA Regulated Research and Conference on Harmonization (ID: 987) Biomedical 101 Refresher Course - Conducting human subjects Research at the VA (ID: 988) Biomedical 101 Refresher Course - Complete the course (ID: 990) Module title 974 986 987 988 990 Recommended Use Biomedical 200 Refresher Course – Introduction (ID: 764) Biomedical 200 Refresher Course – History and Ethical Principles (ID: 511) Biomedical 200 Refresher Course – Regulations and Process, Part 1 (ID: 512) Biomedical 200 Refresher Course – Regulations and Process, Part 2 (ID: 513) Biomedical 200 Refresher Course – Informed Consent (ID: 514) Biomedical 200 Refresher Course – Social & Behavioral Research (SBR) (ID: 515) Biomedical 200 Refresher Course – Genetics Research, Part 1 (ID: 518) Biomedical 200 Refresher Course – Genetics Research, Part 2 (ID: 672) Biomedical 200 Refresher Course – Records-Based Research, Part 1 (ID: 516) Biomedical 200 Refresher Course – Records-Based Research, Part 2 (ID: 670) Biomedical 200 Refresher Course – Records-Based Research, Part 3 (ID: 671) Biomedical 200 Refresher Course – Research Involving Vulnerable Subjects (ID: 519) Biomedical 200 Refresher Course – Vulnerable Subjects – Research Involving Prisoners, Part 1 (ID: 520) Biomedical 200 Refresher Course – Vulnerable Subjects – Research Involving Prisoners, Part 2 (ID: 549) Biomedical 200 Refresher Course – Vulnerable Subjects – Research Involving Children, Part 1 (ID: 521) Biomedical 200 Refresher Course – Vulnerable Subjects – Research Involving Children, Part 2 (ID: 550) Biomedical 200 Refresher Course – Vulnerable Subjects – Research Involving Children, Part 3 (ID: 551) Biomedical 200 Refresher Course – Vulnerable Subjects – Research The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 764 511 512 513 514 515 518 672 516 670 671 519 520 549 521 550 551 522 Page 39 of 60 Involving Pregnant Women, Human Fetuses, and Neonates, Part 1 (ID: 522) Biomedical 200 Refresher Course – Vulnerable Subjects – Research Involving Pregnant Women, Human Fetuses, and Neonates, Part 2 (ID: 552) Biomedical 200 Refresher Course – FDA Regulated Research, Part 1 (ID: 524) Biomedical 200 Refresher Course – FDA Regulated Research, Part 2 (ID: 553) Biomedical 200 Refresher Course – Human Subjects Protections at the VA, Part 1 (ID: 525) Biomedical 200 Refresher Course – Human Subjects Protections at the VA, Part 2 (ID: 554) Biomedical 200 Refresher Course – HIPAA and Human Subjects Research (ID: 526) Biomedical 200 Refresher Course – Conflicts of Interest in Research Involving Human Subjects (ID: 681) Biomedical 200 Refresher Course – How to Complete The CITI Refresher Course and Receive the Completion Report (ID: 922) Module title 552 524 553 525 554 526 681 922 Recommended Use Biomedical 201 Refresher Course - Introduction Biomedical 201 Refresher Course - History and Ethics (ID: 993) Biomedical 201 Refresher - Introduction and Directions (ID: 12631) Biomedical 201 Refresher Course - Regulations and Process - The IRB Authority and Composition (ID: 12644) Biomedical 201 Refresher Course - Regulations and Process - The IRB Responsibilities (ID: 12645) Biomedical 201 Refresher Course - Regulations and Process Review for Exemption (ID: 994) Biomedical 201 Refresher Course - Regulations and Process Continuing Review (ID: 12646) Biomedical 201 Refresher Course - History and Ethics - Belmont Principles, Respect for Persons (ID: 12640) Biomedical 201 Refresher Course - History and Ethics - Belmont Principles, Beneficence (ID: 12641) Biomedical 201 Refresher Course - History and Ethics - Belmont Principles, Justice (ID: 12642) Biomedical 201 Refresher Course - Informed Consent, The Elements of Informed Consent (ID: 1003) Biomedical 201 Refresher Course - Informed Consent, The Informed Consent Document (ID: 12639) Biomedical 201 Refresher Course - Informed Consent, Risk vs. Benefit (ID: 12634) Biomedical 201 Refresher Course - Informed Consent, Waiving The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 993 12631 12644 12645 994 12646 12640 12641 12642 1003 12639 12634 12638 Page 40 of 60 Informed Consent (ID: 12638) Biomedical 201 Refresher Course - Social & Behavioral Research Minimizing Harms (ID: 12637) Biomedical 201 Refresher Course - Genetics Research (ID: 12633) Biomedical 201 Refresher Course - Social and Behavioral Research - Identifying Risks (ID: 1004) Biomedical 201 Refresher Course – Research Involving Vulnerable Subjects (ID: 12643) Biomedical 201 Refresher Course – Vulnerable Subjects – Research Involving Prisoners (ID: 12647) Biomedical 201 Refresher Course – Vulnerable Subjects – Research Involving Children (ID: 12648) Biomedical 201 Refresher Course – Vulnerable Subjects – Research Involving Pregnant Women, Human Fetuses, and Neonates (ID: 12649) 12637 12633 1004 12643 12647 12648 12649 Social, Behavioral and Educational Research with Human Subjects This basic course provides an introduction to issues that arise in the context of social, behavioral and educational (SBE) research involving human subjects. Module title Recommended Use Belmont Report and CITI Course Introduction (ID: 1127) History and Ethical Principles - SBR (ID: 490) Defining Research with Human Subjects - SBR (ID: 491) The Regulations and The Social and Behavioral Sciences - SBR (ID: 502) Assessing Risk in Social and Behavioral Sciences - SBR (ID: 503) Informed Consent - SBR (ID: 504) Privacy and Confidentiality - SBR (ID: 505) Research with Prisoners - SBR (ID: 506) Research with Children - SBR (ID: 507) Research in Public Elementary and Secondary Schools - SBR (ID: 508) International Research - SBR (ID: 509) Internet Research - SBR (ID: 510) Module ID # 1127 490 491 502 503 504 505 506 507 508 509 510 Belmont Report and Course Introduction This module provides a link to the Belmont Report. It also provides some additional information regarding the CITI website and the availability of the Belmont Report in English, Chinese, Spanish, and French. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 41 of 60 History and Ethical Principles – SBR This module discusses the evolution of the ethical principles in the United States that guide research design as well as the development of the federal regulations that govern the conduct of research relevant to researchers in the social and behavioral sciences. It reviews why ethics are necessary when conducting research involving human subjects including major historical events that have influenced how human subjects research is conducted. It describes problems with past studies that have violated ethical standards or have raised ethical concerns that have contributed to the national dialog related to the protection of human subjects. The Belmont Principles are discussed as the basis for the ethical standards for research that guide us today. Defining Research with Human Subjects – SBR This module discusses an interpretation of definitions of the terms “human subject” and “research” with an emphasis on the interpretation for human subjects research in the social and behavioral sciences. Also included is a discussion as to the differences between private and public information and behavior, a critical aspect of many types of social and behavioral research. The Regulations and The Social and Behavioral Sciences – SBR This module provides an overview of the federal regulations and their basic provisions. A close reading of the regulations includes research methods and topics of inquiry relevant for researchers in the social and behavioral sciences and the humanities. Methods include surveys, interviews, focus groups, oral history, participant observation, observations of public behavior, and the analysis of existing data. This module provides specific examples of the ways in which the federal regulations are particularly pertinent to social and behavioral science researchers and the methodologies noted. In addition, regulatory information pertinent to social and behavioral researchers is covered, including the criteria for expedited and full board review and the authority of the IRB. Assessing Risks in Social and Behavioral Sciences - SBR This module discusses the challenges in identifying and evaluating risks associated with participation in social and behavioral sciences research. Unlike biomedical clinical trials, risks associated with social and behavioral science research are often elusive and less predictable. Topics include assessing risks, balancing risks and potential benefits, minimizing and managing risks, certificates of confidentiality, and ways to address risks in the informed consent document and process. Informed Consent – SBR This module discusses the process and documentation of informed consent, including informed consent guidelines as well as the required and additional elements of informed consent as described by the regulations. There is also a discussion of the circumstances under which an IRB may waive the requirements for informed consent with examples of how this commonly is applied in social and behavioral sciences research. The module also includes information related to recruitment, consent comprehension, timing of consent, and exculpatory language, topics that are important to the overall concept of informed consent. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 42 of 60 Privacy and Confidentiality – SBR This module defines privacy and confidentiality. It includes a discussion on protecting privacy in research and guidelines for designing confidentiality procedures. Topics include private versus public behavior, controlling access to private information, privacy and exempt research, privacy and research methods, confidentiality, privacy and reporting laws, and certificates of confidentiality. The discussion focuses on how these concepts apply to social and behavioral science research. Research with Prisoners as Subjects – SBR This module describes the requirements for conducting research with prisoners. Included in the discussion is a review of the regulatory definition of a “prisoner,” the permitted categories of research involving prisoners and IRB review considerations. Importantly, the module contains a discussion on essential elements related to designing prisoner research, including consent issues and the assessment of risk. The module concludes with information related to accessing prisoner populations. Research with Children – SBR This module describes regulations that apply to research with children. It defines “children” and discusses examples of research that meet the criteria of exempt research and expedited review and issues involved in obtaining and documenting parental permission and child assent. Included in the discussion is a review of the criteria for waiver of parental permission and/or child assent. Research in Public Elementary and Secondary Schools – SBR This module provides an overview of the types of public school research, and the regulations that apply to research in these settings. Individual sections discuss the Family Educational Rights and Privacy Act (FERPA), the Protection of Pupil Rights Amendment (PPRA), and Subpart D at 45 CFR 46: Additional Safeguards for Children. Examples of activities that may qualify for exemption are discussed. The module concludes with a discussion of parental permission and child assent issues, as well as researchrelated harms to children and requirements for reporting observed child abuse and neglect. International Research – SBR Social and behavioral scientists conduct research around the globe. This module includes a discussion of applicable regulations and guidelines and the importance of the local context. Because international research may also include collaborating institutions, the module provides information related to “engagement” in research. Additional topics include determining where research should be reviewed, exempt research, and informed consent considerations. Internet Research – SBR The Internet, with an estimated 500 million users worldwide, has much to offer researchers, both as a research tool and as the object of study. This module presents the problems associated with obtaining consent on-line and explains why privacy and confidentiality may be of particular concern for Internet research. In addition, several problems with assessing risks of harm associated are included as it may often be difficult for investigators to assess these risks if they do not have previous experience with Internet-based research. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 43 of 60 Social, Behavioral and Educational Research with Human Subjects – Refresher Courses See below for a listing of the refresher modules available by refresher series. Module title Recommended Use SBR 101 REFRESHER MODULE 1 - History and Ethics (ID: 936) SBR 101 REFRESHER MODULE 2 - Regulatory Overview (ID: 937) SBR 101 REFRESHER MODULE 3 – Risk, Informed Consent, and Privacy and Confidentiality (ID: 938) SBR 101 REFRESHER MODULE 4 - Vulnerable Subjects (ID: 939) SBR 101 REFRESHER MODULE 5 – Education, International, and Internet Research (ID: 940) How to Complete The CITI Refresher Course and Receive the Completion Report (ID: 943) Module title Module ID # 936 937 938 939 940 943 Recommended Use SBR 201 Introduction (ID: 12629) SBR 201 Undue Influence (ID: 12620) SBR 201 Research Activities Eligible for Exemption (ID: 12621) SBR 201 Privacy vs Confidentiality in Social & Behavioral Research (ID: 12622) SBR 201 Assessing Risk in Social & Behavioral Research (ID: 12624) SBR 201 Social and Behavioral Research With Prisoners (ID: 12627) SBR 201 Defining Research with Human Subjects (ID: 12702) Completing the SBR 201 Refresher Course (ID: 12630) Module ID # 12629 12620 12621 12622 12624 12627 12702 12630 Human Subjects Research (HSR) - Additional Modules of Interest These optional modules may be added to courses in either HSR series – Biomedical or Social and Behavioral. Module title Recommended Use Are You Thinking About Being in a Research Study? Conflicts of Interest in Research Involving Human Subjects (ID: 488) Hot Topics (ID: 487) Human Subjects Research at the VA (ID: 13) I Have Agreed to be an IRB Community Member. Now what? (ID: 13018) International Studies (ID: 971) Research and HIPAA Privacy Protections (ID: 14) Students in Research (ID: 1321) The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 488 487 13 13018 971 14 1321 Page 44 of 60 The IRB Administrator’s Responsibilities (ID: 13813) The IRB Member Module - "What Every New IRB Member Needs to Know" (ID: 816) Vulnerable Subjects - Research with Workers/Employees (ID: 483) 13813 816 483 Are You Thinking About Being In a Research Study? This module is for individuals who are interested in volunteering to be a research subject. This module may also be beneficial as an adjunct to the informed consent process for those who have already been recruited to participate in a research project. The module provides the definition of what “research” is and an overview of critical components of human subjects research. It is presented in a user-friendly question and answer format. Items covered include information on the informed consent process and what to expect after agreeing to participate in research. This module can be used in conjunction with institution specific materials. Conflicts of Interest in Research Involving Human Subjects This module describes conflicts of interest, which are frequently debated and defined by varying regulatory requirements. The module includes a general discussion of conflicts of interest with an emphasis on financial conflicts of interest, and the ethical concerns that arise in human subjects research. This is followed by a review of the current reporting and disclosure requirements for investigators, including the 2011 PHS amendment and the FDA regulations. The role of IRBs and the primary strategies for eliminating, reducing, and managing conflicts of interest completes the module. Hot Topics This optional module is designed to provide learners with current information on recent developments in the IRB universe. It is updated annually, with previous content archived and accessible to learners. Human Subjects Research at the VA This module describes the requirements for protection of research subjects at VA facilities. Many academic centers are affiliated with a VA clinic or hospital. Researchers proposing to recruit research subjects from VA facilities must follow the VA requirements. This module also provides a review of what makes the VA patient population unique and includes an overview of legally authorized representatives for VA research. I Have Agreed to Be an IRB Community Member. Now What? This module is designed for new IRB community members, but may be useful to anyone involved with human subjects research. It provides the basic information and tools, including an overview of definitions and the regulations, and provides strategies for a community member to become a wellinformed IRB member. The module offers an overview of various aspects of the IRB review processes as they relate to specific kinds of protocols. International Studies This module provides information for U.S. researchers and/or collaborating international research investigators who receive funding from the U.S. federal government sources and who plan to conduct human subject research outside the U.S. The module is focused on international research ethics, US The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 45 of 60 government and international guidelines. It includes a list of ethical review hyperlinks for countries and regions of the world. It is intended to help researchers and their staff members identify ethical requirements of their global research partners. Research and HIPAA Privacy Protections This module discusses the requirements of the Health Insurance Portability and Accountability Act (HIPAA) and how they supplement the DHHS and FDA requirements. Situations where full HIPAA privacy protections are required and those that can qualify for waivers, alterations or exemptions with more limited requirements are discussed. The module also includes a discussion of the responsibilities of investigators and institutions for meeting HIPAA privacy requirements, and for appropriate data security protections that are necessary to protect privacy. Students in Research This module is designed as a "one-stop shop" for students who may be involved in a human subjects research as an investigator and/or a subject. Degree requirements in undergraduate, masters, or doctoral degree programs often require students to conduct or assist in research projects that include human subjects. In addition, students may be asked or be "required" to participate as subjects in research projects. A review of the history and principles of ethics for research involving human subjects, including a definition of research and categories of review; students as researchers; the role and operations of IRBs; and the issues related to students as subjects are provided, as well as a resource section. The IRB Member Module – “What Every New IRB Member Needs to Know” This module is designed as an overview and resource for individuals joining an IRB. It includes discussions on time commitment, liability, the role of the IRB chair, and the levels of review. An overview of IRB tools, including the content of new submissions as well as what is often seen during committee review provides a foundation for new IRB members and is complimented by a discussion of how an IRB member can review protocols. The module concludes with information related to the IRB meeting, including the importance of quorum, the types of IRB decisions, and the review of minutes. The module is designed for new scientific and non-scientific members, but may also be useful for any IRB member who continues to serve on an IRB. The IRB Administrator’s Responsibilities This module is intended for IRB administrators and directors; however, all individuals within an IRB office might benefit from the information presented in the module. An overview of the basic policies and procedures that institutions should have with regard to the human subjects protection program, including the IRB, provides the foundation for the IRB administrator’s/director’s responsibilities. Vulnerable Subjects – Research Involving Workers/Employees This module describes why workers may be a vulnerable population when they participate in research, and the potential risks and benefits associated with research involving workers/employees. The module also discusses protections that need to be afforded to workers/employees. It proposes that while workers may serve as study subjects for political as well as scientific reasons, adequacy of the science and adherence to the Common Rule are paramount. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 46 of 60 Information Privacy and Security (IPS) CITI Program’s Information Privacy and Security (IPS) courses provide an overview of the elements of data protection, focusing on requirements in the health sector. Health Information Privacy This course provides an overview of health information privacy issues, focusing on U.S. federal HIPAA requirements but also addressing the requirements of states’ statutes and private certification organizations. An initial module provides general information applicable to all members of the health care workforce. Additional modules focus on rules applicable to particular types of work and roles within a health care organization. Module title Basics of Health Privacy Health Privacy Issues for Clinicians Health Privacy Issues for Fundraisers Health Privacy Issues for Marketers Health Privacy Issues for Researchers Health Privacy Issues for Students and Instructors Recommended Use Required Elective Elective Elective Elective Elective Module ID # 12652 1418 1421 1422 1419 1420 Basics of Health Privacy This module provides general information about health privacy, applicable to all members of the healthcare workforce. It is focused on HIPAA requirements, such as patients’ rights to notice of privacy practices, access to and amendment of records, disclosure accounting, limits on certain kinds of communications, and limits on certain kinds of additional uses. Concepts such as “minimum necessary,” work-related uses and disclosures, and reasonable and appropriate practices are also discussed. Health Privacy Issues for Clinicians This module focuses on how HIPAA applies to persons providing treatment services. Some discussion of state-level requirements is also provided. Health Privacy Issues for Fundraisers This module focuses on how HIPAA applies to persons engaged in fundraising activities. Some discussion of state-level requirements is also provided. Health Privacy Issues for Marketers This module focuses on how HIPAA applies to persons engaged in marketing activities. Some discussion of state-level requirements is also provided. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 47 of 60 Health Privacy Issues for Researchers This module focuses on how HIPAA applies to persons engaged in the conduct of research. Some discussion of state-level requirements is also provided. Health Privacy Issues for Students and Instructors This module focuses on how HIPAA applies to persons engaged in educational activities, whether as students or instructors. Some discussion of state-level requirements is also provided. Health Information Security This course provides an overview of information security practices. An initial module provides brief, general information about security practices applicable to all health care workers. Additional modules focus on particular types of computer activity, such as emailing and other messaging, or web surfing, detailing safer and less safe practices. Module title Basics of Information Security Picking and Protecting Passwords Protecting Your Computer Protecting Your Identity Protecting Your Portable Devices Safer Emailing and Messaging, parts 1 and 2 Recommended Use Required Elective Elective Elective Elective Elective Safer Social Networking [under development] Safer Web Surfing Security for Off-Site and Tele-Workers Elective Elective Elective Module ID # 12653 1449 1425 1428 1427 1429, 1430 00000 1431 1433 Basics of Information Security This module describes basic practices to keep information secure. It briefly discusses security of both paper and electronic records. For the latter, brief “rules of the road” are provided for common activities such as emailing and other messaging, web surfing, and social networking. Replaces Basics of Being Secure, parts 1 and 2 (module IDs 1423, 1424). Picking and Protecting Passwords This module provides practices for safer use of the most common method of identification and authentication. Protecting Your Computer This module focuses on practices to protect non-portable computers. Protecting Your Identity This module focuses on practices to protect one’s on-line identity, to prevent fraudulent use of that identity by others. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 48 of 60 Protecting Your Portable Devices This module focuses on practices to protect portable devices, such as notebooks/laptops, tablets and smart phones. Safer Emailing and Messaging This module focuses on safe practices for email and other forms of messaging such as chat, IM, and SMS texting. Safer Social Networking [under development] This module focuses on safe practices for users of social networking sites and application. Safer Web Surfing This module focuses on safe use of websites and related applications. Security for Work/Workers Off-Site This module focuses on the special security needs of “tele-workers.” Responsible Conduct of Research (RCR) CITI Program’s Responsible Conduct of Research (RCR) curriculum currently includes six courses, each with a disciplinary or occupational focus. The courses are targeted to biomedical, engineering, humanities, physical sciences, and social-behavioral and education researchers; a course is also available for research administrators. RCR for Biomedical Sciences This course provides an introduction to the Responsible Conduct of Research in the biomedical sciences. The course is designed for students, faculty, postdocs and other biomedical researchers. Module title Research Misconduct (Biomedical) Data Management (Biomedical) Authorship (Biomedical) Peer Review (Biomedical) Mentoring (Biomedical) Conflicts of Interest (Biomedical) Collaborative Research (Biomedical) Export Controls and National Security Recommended Use Required Required Required Required Required Required Required Elective The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 1495 1523 1518 1521 1625 1462 1484 00000 Page 49 of 60 Research Misconduct (Biomedical) This module in the Biomedical series describes the three main practices (fabrication, falsification, and plagiarism) that constitute research misconduct and the steps that can be taken to handle allegations of research misconduct. Data Management (Biomedical) This module in the Biomedical series provides an overview of ethical issues relating to data. This includes issues relating to data acquisition, management, sharing and ownership. The module was formerly entitled Data Acquisition, Management, Sharing and Ownership. Authorship (Biomedical) This module in the Biomedical series provides an overview of the ethical responsibilities of authors. It includes a discussion of how authorship should be determined and improper practices such as “ghost authorship” and “gift authorship”. The module was formerly entitled Publication Practices and Responsible Authorship. Peer Review (Biomedical) This module in the Biomedical series provides an overview of the ethical responsibilities of authors, editors, and reviewers of manuscripts. It also includes a discussion of the grant proposal review process. Mentoring (Biomedical) This module in the Biomedical series provides an overview of the ethical responsibilities of mentors and trainees. It includes a discussion of the differences between an advisor and a mentor and strategies for managing conflicts between mentors and trainees. The module was formerly entitled Responsible Mentoring. Conflicts of Interest (Biomedical) This module in the Biomedical series describes conflicts of interest, which are defined by varying regulatory requirements. It includes a discussion of conflicts of interest with an emphasis on financial conflicts of interest, the U.S. Department of Health and Human Services' (DHHS) 2011 final rule, and the ethical concerns that arise from conflicts of commitment. The module was formerly entitled Conflicts of Interest and Commitment. Collaborative Research (Biomedical) This module in the Biomedical series provides an overview of ethical issues relating to collaborative research partnerships. It includes a discussion of issues relating to collaborating with researchers from other disciplines and with industry. Export Controls and National Security This module provides an overview of U.S. export control regulations and a brief discussion of issues researchers should be aware of relating to national security. It is written for a general audience. The module was formerly entitled Export Control Regulations and National Security. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 50 of 60 RCR for Engineering This course provides an introduction to the Responsible Conduct of Research (RCR) in engineering. The course is designed for students, faculty, postdocs, and other engineering researchers. Module title Research Misconduct (Engineering) Whistleblowing and the Obligation to Protect the Public (Engineering) Authorship (Engineering) Peer Review and Publication (Engineering) Conflicts of Interest (Engineering) Environmental and Social Dimensions of Engineering Research Mentoring (Engineering) Human Subjects Research (Engineering) Animal Subjects Research (Engineering) Data Management (Engineering) Collaborative Research (Engineering) Export Controls and National Security Recommended Use Required Elective Module ID # 12858 12862 Required Required Required Required Required Required Required Required Required Elective 12877 12861 12875 12835 12863 12864 12905 12911 12912 00000 Research Misconduct (Engineering) This module in the Engineering series describes the three main practices (fabrication, falsification, and plagiarism) that constitute research misconduct and the steps that can be taken to handle allegations of research misconduct. Whistleblowing and the Obligation to Protect the Public (Engineering) This module in the Engineering series provides a description of whistleblowing and the obligations that engineering researchers have to protect the public. The module includes a discussion of the differences between “internal” and “external” whistleblowing and the fundamental canon of engineering ethics. Authorship (Engineering) This module in the Engineering series provides an overview of the ethical responsibilities of authors. It includes a discussion of how authorship should be determined and improper practices such as “ghost authorship” and “gift authorship”. The module was formerly entitled Responsible Authorship in Engineering. Peer Review (Engineering) This module in the Engineering series provides an overview of the ethical responsibilities of authors, editors, and reviewers of manuscripts. It also includes a discussion of the grant proposal review process. The module was formerly entitled Ethical Issues in Peer Review and Publication in Engineering Research. Conflicts of Interest (Engineering) This module in the Engineering series describes conflicts of interest, which are defined by varying regulatory requirements. It includes a discussion of conflicts of interest with an emphasis on financial conflicts of interest, the U.S. Department of Health and Human Services' (DHHS) 2011 final rule, and the The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 51 of 60 ethical concerns that arise from conflicts of commitment. The module was formerly entitled Conflicts of Interest in Engineering Research. Environmental and Social Dimensions of Engineering Research This module in the Engineering series provides an overview of the responsibilities that engineering researchers have to take environmental and social considerations into account. It includes a discussion of moral development, risk, and sustainability. The module was formerly entitled Environmental Ethics. Mentoring (Engineering) This module in the Engineering series provides an overview of the ethical responsibilities of mentors and trainees. It includes a discussion of the differences between an advisor and a mentor and strategies for managing conflicts between mentors and trainees. The module was formerly entitled The Ethics of Mentoring. Human Subjects Research (Engineering) This module in the Engineering series provides an introduction to ethical and regulatory issues relating to the participation of human beings in research. It includes a description of the informed consent process and the Common Rule, which is a set of regulations adopted by a number of U.S. federal agencies. The module was formerly entitled Human Subjects Research in Engineering Fields. NOTE: this module is NOT intended to replace the Human Subjects Research (HSR) course or other training required by federal agencies or institutional review boards (IRBs). Animal Subjects Research (Engineering) This module in the Engineering series provides an introduction to ethical and regulatory issues relating to the use of animal subjects in research. It includes a description of federal regulations governing how animals subjects research should be conducted. The module was formerly entitled The Use of Live Animals in Research. NOTE: this module is NOT intended to replace the Animal Care and Use (ACU) course or other training required by federal agencies or institutional care and use committees (IACUCs). Data Management (Engineering) This module in the Engineering series provides an overview of ethical issues relating to data. This includes issues relating to data acquisition, management, sharing and ownership. The module was formerly entitled Data Acquisition, Management, Sharing and Ownership. Collaborative Research (Engineering) This module in the Engineering series provides an overview of ethical issues relating to collaborative research partnerships. It includes a discussion of issues relating to collaborating with researchers from other disciplines and with industry. The module was formerly entitled Collaborative Research in Engineering Fields. Export Controls and National Security This module provides an overview of U.S. export control regulations and a brief discussion of issues researchers should be aware of relating to national security. It is written for a general audience. The module was formerly entitled Export Control Regulations and National Security. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 52 of 60 RCR for Humanities This course provides an introduction to the Responsible Conduct of Research (RCR) in the humanities. The course is designed for students, faculty, postdocs, and other humanities researchers. Module title Research Misconduct (Humanities) Data Management (Humanities) Authorship (Humanities) Peer Review (Humanities) Mentoring (Humanities) (ID: 1234 or 1250?) Conflicts of Interest (Humanities) Collaborative Research (Humanities) Recommended Use Required Required Required Required Required Required Required Module ID # 1497 1525 1533 1534 1234 1624 1058 Research Misconduct (Humanities) This module in the Humanities series describes the three main practices (fabrication, falsification, and plagiarism) that constitute research misconduct and the steps that can be taken to handle allegations of research misconduct. Data Management (Humanities) This module in the Humanities series provides an overview of ethical issues relating to data. This includes issues relating to data acquisition, management, sharing and ownership. The module was formerly entitled Data Acquisition, Management, Sharing and Ownership. Authorship (Humanities) This module in the Humanities series provides an overview of the ethical responsibilities of authors. It includes a discussion of how authorship should be determined and improper practices such as “ghost authorship” and “gift authorship”. The module was formerly entitled Publication Practices and Responsible Authorship. Peer Review (Humanities) This module in the Humanities series provides an overview of the ethical responsibilities of authors, editors, and reviewers of manuscripts. It also includes a discussion of the grant proposal review process. Mentoring (Humanities) This module in the Humanities series provides an overview of the ethical responsibilities of mentors and trainees. It includes a discussion of the differences between an advisor and a mentor and strategies for managing conflicts between mentors and trainees. The module was formerly entitled Mentor and Trainee Responsibilities. Conflicts of Interest (Humanities) This module in the Humanities series describes conflicts of interest, which are defined by varying regulatory requirements. It includes a general discussion of conflicts of interest with an emphasis on financial conflicts of interest and the ethical concerns that arise from conflicts of commitment. The module was formerly entitled Conflicts of Interest and Commitment. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 53 of 60 Collaborative Research (Humanities) This module in the Humanities series provides an overview of ethical issues relating to collaborative research partnerships. It includes a discussion of issues relating to collaborating with researchers from other disciplines and with industry. RCR for Physical Sciences This course provides an introduction to the Responsible Conduct of Research (RCR) in the physical sciences (“PhySci”). The course is designed for students, faculty, postdocs, and other physical science researchers. Module title Research Misconduct (PhySci) Data Management (PhySci) Authorship (PhySci) Peer Review (PhySci) Mentoring (PhySci) (ID: 1234 or 1250?) Conflicts of Interest (PhySci) Collaborative Research (PhySci) Export Controls and National Security Recommended Use Required Required Required Required Required Required Required Elective Module ID # 1496 1524 1527 1528 1234 1623 1514 00000 Research Misconduct (PhySci) This module in the Physical Sciences series describes the three main practices (fabrication, falsification, and plagiarism) that constitute research misconduct and the steps that can be taken to handle allegations of research misconduct. Data Management (PhySci) This module in the Physical Sciences series provides an overview of ethical issues relating to data. This includes issues relating to data acquisition, management, sharing and ownership. The module was formerly entitled Data Acquisition, Management, Sharing and Ownership. Authorship (PhySci) This module in the Physical Sciences series provides an overview of the ethical responsibilities of authors. It includes a discussion of how authorship should be determined and improper practices such as “ghost authorship” and “gift authorship”. The module was formerly entitled Publication Practices and Responsible Authorship. Peer Review (PhySci) This module in the Physical Sciences series provides an overview of the ethical responsibilities of authors, editors, and reviewers of manuscripts. It also includes a discussion of the grant proposal review process. Mentoring (PhySci) This module in the Physical Sciences series provides an overview of the ethical responsibilities of mentors and trainees. It includes a discussion of the differences between an advisor and a mentor and The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 54 of 60 strategies for managing conflicts between mentors and trainees. The module was formerly entitled Mentor and Trainee Responsibilities. Conflicts of Interest (PhySci) This module in the Physical Sciences series describes conflicts of interest, which are defined by varying regulatory requirements. It includes a discussion of conflicts of interest with an emphasis on financial conflicts of interest and the ethical concerns that arise from conflicts of commitment. The module was formerly entitled Conflicts of Interest and Commitment. Collaborative Research (PhySci) This module in the Physical Sciences series provides an overview of ethical issues relating to collaborative research partnerships. It includes a discussion of issues relating to collaborating with researchers from other disciplines and with industry. Export Controls and National Security This module provides an overview of U.S. export control regulations and a brief discussion of issues researchers should be aware of relating to national security. It is written for a general audience. The module was formerly entitled Export Control Regulations and National Security. RCR for Research Administration This course provides an introduction to the Responsible Conduct of Research (RCR) for research administrators (“Admin”). Module title Introduction to RCR (Admin) Collaborative Research (Admin) Human Subjects Research (Admin) Animal Subjects Research (Admin) Conflicts of Interest (Admin) Financial Responsibility (Admin) Mentoring (Admin) Data Management (Admin) Recommended Use Required Required Required Required Required Required Required Required Module ID # 1712 1237 00000 00000 12827 12800 12801 12802 Introduction to RCR (Admin) General overview of the topic. Collaborative Research (Admin) This module in the Administration series provides an overview of ethical issues relating to collaborative research partnerships. It includes a discussion of issues relating to collaborating with researchers from other disciplines and with industry. Human Subjects Research (Admin) This module in the Administration series provides an introduction to ethical and regulatory issues relating to the participation of human beings in research. It includes a description of the informed The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 55 of 60 consent process and the Common Rule, which is a set of regulations adopted by a number of U.S. federal agencies. NOTE: this module is NOT intended to replace the Human Subjects Research (HSR) course or other training required by federal agencies or institutional review boards (IRBs). Animal Subjects Research (Admin) This module in the Administration series provides an introduction to ethical and regulatory issues relating to the use of animal subjects in research. It includes a description of federal regulations governing how animals subjects research should be conducted. The module was formerly entitled The Use of Live Animals in Research. NOTE: this module is NOT intended to replace the Animal Care and Use (ACU) course or other training required by federal agencies or institutional care and use committees (IACUCs). Conflicts of Interest (Admin) This module in the Administration series describes conflicts of interest, which are defined by varying regulatory requirements. It includes a discussion of conflicts of interest with an emphasis on financial conflicts of interest and the ethical concerns that arise from conflicts of commitment. Financial Responsibility (Admin) This module in the Administration series covers issues associated with the management of grant monies. Formerly entitled Responsible Financial Management. Mentoring (Admin) This module in the Administration series provides an overview of the ethical responsibilities of mentors and trainees. It includes a discussion of the differences between an advisor and a mentor and strategies for managing conflicts between mentors and trainees. The module was formerly entitled MentorTrainee Relationships. Data Management (Admin) This module in the Administration series provides an overview of ethical issues relating to data. This includes issues relating to data acquisition, management, sharing and ownership. RCR for Social, Behavioral, and Education (SBE) Sciences This course provides an introduction to the Responsible Conduct of Research (RCR) in the social, behavioral, and education sciences. The course is designed for students, faculty, postdocs, and other SBE researchers. Module title Research Misconduct (SBE) Data Management (SBE) Authorship (SBE) Peer Review (SBE) Mentoring (SBE) Conflicts of Interest (SBE) Collaborative Research (SBE) Recommended Use Required Required Required Required Required Required Required The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Module ID # 1495 1523 1518 1521 1625 1462 1484 Page 56 of 60 Export Controls and National Security Elective 00000 Research Misconduct (SBE) This module in the SBE series describes the three main practices (fabrication, falsification, and plagiarism) that constitute research misconduct and the steps that can be taken to handle allegations of research misconduct. Data Management (SBE) This module in the SBE series provides an overview of ethical issues relating to data. This includes issues relating to data acquisition, management, sharing and ownership. The module was formerly entitled Data Acquisition, Management, Sharing and Ownership. Authorship (SBE) This module in the SBE series provides an overview of the ethical responsibilities of authors. It includes a discussion of how authorship should be determined and improper practices such as “ghost authorship” and “gift authorship”. The module was formerly entitled Publication Practices and Responsible Authorship. Peer Review (SBE) This module in the SBE series provides an overview of the ethical responsibilities of authors, editors, and reviewers of manuscripts. It also includes a discussion of the grant proposal review process. Mentoring (SBE) This module in the SBE series provides an overview of the ethical responsibilities of mentors and trainees. It includes a discussion of the differences between an advisor and a mentor and strategies for managing conflicts between mentors and trainees. The module was formerly entitled Mentor and Trainee Responsibilities. Conflicts of Interest (SBE) This module in the SBE series describes conflicts of interest, which are defined by varying regulatory requirements. It includes a discussion of conflicts of interest with an emphasis on financial conflicts of interest and the ethical concerns that arise from conflicts of commitment. The module was formerly entitled Conflicts of Interest and Commitment. Collaborative Research (SBE) This module in the SBE series provides an overview of ethical issues relating to collaborative research partnerships. It includes a discussion of issues relating to collaborating with researchers from other disciplines and with industry. Export Controls and National Security This module provides an overview of U.S. export control regulations and a brief discussion of issues researchers should be aware of relating to national security. It is written for a general audience. The module was formerly entitled Export Control Regulations and National Security. The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 57 of 60 RCR Case modules These case modules provide another way of reinforcing the topics of RCR. Courses may be constructed with cases interspersed with the “topical” modules above, or with provided as entirely optional content. Parenthetical suffixes indicate multiple disciplinary versions of the same case. Research Misconduct Module title Case: Truth or Consequences (A) Case: Truth or Consequences (B) Case: Truth or Consequences (C) Case: Plagiarism (A) Case: Plagiarism (B) Case: Plagiarism (C) Case: Plagiarism (D) Case: No News Is Not Good News (A) Case: No News Is Not Good News (B) Case: No News Is Not Good News (C) Case: In the Field, No One Will Know (A) Case: In the Field, No One Will Know (B) Data Management Module title Case: Data Management Video Vignette Case: Share and Share Alike (A) Case: Share and Share Alike (B) Case: Share and Share Alike (C) Case: Share and Share Alike (D) Case: Who Owns Research Data (A) Case: Who Owns Research Data (B) Case: The New Clinical Data Manager Case: Links to Articles and Interesting Websites Case: AFRI Authorship Module title Case: Case: Case: Case: Case: Case: The Chair as an Author (A) The Chair as an Author (B) The Chair as an Author (C) The Chair as an Author (D) The Chair as an Author (A) The Chair as an Author (B) Recommended Use Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Module ID # 1470 1217 14076 1473 1472 1316 1474 1469 1494 1317 1218 1471 Recommended Use Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Module ID # 1211 1199 1440 1443 1442 1444 1200 1201 1202 1203 Recommended Use Elective Elective Elective Elective Elective Elective Module ID # 1320 1378 1389 1390 1235 1379 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 58 of 60 Case: The Chair as an Author (C) Case: The Chair as an Author (D) Case: Taking Shortcuts Case: The Deceased Author Case: Irresponsible Authorship – Sherry’s Secret Peer Review Module title Case: Case: Case: Case: Case: Case: Case: Case: What Is Responsible Peer Review? (A) What Is Responsible Peer Review? (B) What Is Responsible Peer Review? (C) What Is Responsible Peer Review? (D) Peer Review – Controversial Research (A) Peer Review – Controversial Research (B) Peer Review – Controversial Research (C) Peer Review – Controversial Research (D) Mentoring Module title Case: O, What a Tangled Web We Weave Case: The Graduate Student Laborer Case: Sherry’s Secret Case: Lisa Bach’s Case Case: The Business of Mentoring Case: Too Much Help Is Just Too Much! Conflicts of Interest Module title Case: Case: Case: Case: Case: Case: Case: Case: Case: Case: Case: Case: The Case of the Promising New Technology (A) The Case of the Promising New Technology (B) The Case of the Promising New Technology (C) The Case of the Promising New Technology (D) Janet’s Suspicions (A) Janet’s Suspicions (B) Janet’s Suspicions (C) Janet’s Suspicions (D) Cane and Abel (A) Cane and Abel (B) The Case of the Entrepreneurial Clinician The Case of the Entrepreneurial Psychologist Elective Elective Elective Elective Elective 1387 1388 1255 1256 1319 Recommended Use Elective Elective Elective Elective Elective Elective Elective Elective Module ID # 1369 1374 1382 1386 1375 1370 1383 1385 Recommended Use Elective Elective Elective Elective Elective Elective Module ID # 1337 1338 1339 1340 1341 1342 Recommended Use Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Module ID # 1220 1454 1455 1456 1245 1459 1460 1461 1246 1453 1451 1457 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 59 of 60 Case: The Case of the Entrepreneurial Astronomer Case: The Conflicted Consultant (A) Case: The Conflicted Consultant (B) Case: The Conflicted Consultant (C) Case: The Conflicted Consultant (D) Case: The Case of the Entrepreneurial Anthropologist Case: Wally’s Easy Way Out Collaborative Research Module title Case: Collaborative Research Simulation - 8 Scenarios and resolutions Case: When Collaborators Become Competitors (A) Case: When Collaborators Become Competitors (B) Case: When Collaborators Become Competitors (C) Case: When Collaborators Become Competitors (D) Case: When Collaborators Disagree (A) Case: When Collaborators Disagree (B) Case: When Collaborators Disagree (C) Case: When Collaborators Disagree (D) Case: Why Can't We All Just Get Along (A) Case: Why Can't We All Just Get Along (B) Case: Why Can't We All Just Get Along (C) Case: Why Can't We All Just Get Along (D) Case: Collaborations Between Academics (A) Case: Collaborations Between Academics (B) Case: Collaborations Between Academics (C) Case: Marriage Has Its Advantages (A) Case: Marriage Has Its Advantages (B) Case: Marriage Has Its Advantages (C) Case: Marriage Has Its Advantages (D) Case: The Price of Collaboration Case: A Possible Co-Author Case: Supporting Documentation Case: Facilitating Sharing Between Collaborators Elective Elective Elective Elective Elective Elective Elective 1452 1247 1463 13774 13775 1221 1244 Recommended Use Elective Module ID # 1193 Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective Elective 1182 1401 1402 1403 1391 1314 1179 1435 1396 1180 1397 1398 1394 1393 1181 1183 1404 1405 1406 1238 1239 1240 1241 The CITI Program Course and Module Catalog – U.S. / English-Language Only (updated 11 February 2012) Page 60 of 60