Table 1 Research tasks and responsibilities in the current system and the proposed reengineered research enterprise
From: Reengineering the clinical research enterprise to involve more community clinicians
Key Research Tasks | Current System | Proposed Approach |
|---|---|---|
Research design | PIs | PIs |
Protocol development | PIs | PIs, with input from clinician panel |
Recruitment of clinicians | PIs recruit for single studies; CTNs and PBRNs recruit for multiple studies but are often discipline- and disease-specific | ROPS acts as the source for a large pool of studies; RSOs recruit for multiple studies across disciplines and diseases |
Training | Â | Â |
   General research training | Usually incorporated into study-specific training by PIs | Web-based training |
   Study-specific training | PIs | PIs, with option to link to web-based training |
Ongoing support for clinicians and staff collecting data | Varied and dependent on available resources and capacity by PIs, CTNs, PBRNs | More consistent across studies and research sites and delivered by well-supported and incentivized RSOs |
Quality assurance | PIs | Quality assurance at the site level; PIs for data |
Clinician feedback | Via PIs | Via PIs, ROPS, RSOs, and protocol review panels |
Use of study results | PIs via direct communication and peer-reviewed articles | ROPS to entire relevant network, not just to those who participated in the study; plus PIs via peer-reviewed articles |