Our main purpose is to help the Pharmaceutical Companies and Contract Research Organizations to find the right Physician Investigator to assure the rapid and accurate completion of the clinical trial.
Valuable Investigators Database Concept Research
Pre-Study Assessmen Questoinnaire
Country: ROMANIA City: .......................... Participant name: .......................... Participant speciality: .......................... Participant title: .......................... Practice: □ Private □Public □Hospital □Specialized Clinic □SMO □Other……….
Institution name: .......................... Institution address: .......................... Phone number: .......................... Fax number: .......................... E-mail: ..........................
Site organization
1.How many MDs at your site are engaged in clinical research ? …………………………………………………………………………
2.How many study nurses are involved in clinical trials at your site? (Full time / Part time) ……………………………………………………………………………………….....................
3.How many study coordinators are at your site? (Full time / Part time) ………………………………………………………………………………..
4.Is your site used to work with a central laboratory? ( ) Yes ( ) No
5.Is courier service at your site reliable? ( ) Yes ( ) No
6.Which dedicated staff will be made available for a trial? ( ) Sub-Investigators ( ) Trial Nurse ( ) Trial Coordinator ( ) Data Manager ( ) Regulatory Contact ( ) Pharmacist ( ) Lab Personnel for Sample Processing ( ) Other (Please Specify)
7.Do you ever experienced any audit from sponsor or regulatory inspections? ( ) Yes ( ) No
8.How many audits or inspections do you experienced by now? ………………………………………………………………………
9.When was the last audit or regulatory inspections at your site? ……………………………………………………………………… |
Dear participant thank you very much for giving us a more deep insight into the acceptance and practicability of the planned clinical study and your potential for participating. Please don’t hesitate to give us any further comments to the planned project.
All your answers will be summarized and reported anonymously on a per country basis.
PERSONAL DATA OR PRIVACY PROTECTION
Please be advised that VID Concept Research must track and electronically maintain certain information associated with Investigators and sites in order to perform
expected duties on behalf of its Sponsors, such as Investigator selection and ongoing project management. In compliance with applicable personal
data protection or privacy principles, VID Concept Research is hereby informing you that personal information you provide to us may be maintained in this way and
may be transferred to the Sponsor, or other regulatory bodies. The information to be maintained includes, but is not limited to the following:
• Investigator name and contact information
• Other relevant information to allow selection for appropriate projects in the future