FOR STUDENTS STRUGGLING WITH: Memorizing the 7 Approval Criteria
Level 1 - Visual Learner:
- Print RISK-MDP poster (in visual aids)
- Put on wall/bathroom mirror
- 2 minutes per day staring at it
- Within 1 week, automatic
Level 2 - Kinesthetic Learner:
- Write out RISK-MDP by hand 10 times
- Create physical card for each criterion
- Arrange cards in order
- Shuffle and reorder daily
Level 3 - Auditory Learner:
- Record yourself saying each criterion
- Listen to recording during commute
- Teach someone else (explanation cements learning)
- Watch YouTube videos on IRB requirements
Level 4 - Combination Approach:
- Morning: Review RISK-MDP poster (visual)
- Midday: Do 5-question mini-quiz on criteria
- Evening: Write summary of one criterion by hand
- Before bed: Record yourself explaining it
FOR STUDENTS STRUGGLING WITH: Understanding Expedited vs. Convened Review
Conceptual Confusion: Many students think "expedited" means "easier" or "lower standards." Not true. Both review types use same approval criteria. Only SPEED differs.
CLARIFICATION CHART:
EXPEDITED: CONVENED:
• Minimal-risk category • Higher-risk OR
• Single reviewer beyond categories
• Faster (hours/days) • Full board
• Reviews same criteria • Slower (days/weeks)
• Same approval standards • Reviews same criteria
• Same approval standards
Common Misconception: "Expedited review = lower standards" Correction: "Expedited review = same standards, faster process"
OFFICE HOURS EXERCISE: I'll give you 10 protocol descriptions; you decide expedited vs. convened. Instant feedback on each.
STUDY TIP: Create decision tree flowchart (provided in visual aids) and follow it for every scenario.
FOR STUDENTS STRUGGLING WITH: Conflict of Interest Recusal Rules
Core Confusion: When exactly must someone recuse?
REMEMBER: "Objectivity might be questioned" is the standard. This is a LOW BAR. When in doubt: disclose and recuse.
PRACTICE SCENARIOS:
Scenario A: IRB member consults for drug company for $10,000/year on unrelated work; company sponsors current protocol. Analysis: Even though consulting work is unrelated, financial relationship with sponsor exists. Objectivity might be questioned. Decision: RECUSE
Scenario B: IRB member did PhD under investigator 15 years ago; no recent contact. Analysis: Historical connection might create bias; could go either way. Decision: DISCLOSE and let board decide; leaning toward recusal
Scenario C: IRB member is hospital employee; hospital receives research revenue from sponsor. Analysis: Institutional financial interest affects board's objectivity collectively. Individual member should disclose; board notes institutional interest. Decision: Depends on institutional policy; usually documented conflict
OFFICE HOURS: Bring real or hypothetical conflicts; we'll analyze systematically.
FOR STUDENTS STRUGGLING WITH: Timeline Calculations (7 days, 12 months)
The 7-Day Rule (Adverse Event Reporting):
PRACTICE PROBLEMS:
-
Event occurs Wednesday 3/15. Deadline? Answer: Wednesday 3/22 (7 days later)
-
Event occurs Friday 5/2. Deadline? Answer: Friday 5/9
-
Event occurs on Day 1. Latest report acceptable? Answer: Day 7 (not Day 8)
-
Reported on Day 8. Compliant? Answer: NO—1 day late
The 12-Month Rule (Continuing Review):
-
Approved June 15, 2024. Deadline for continuing review? Answer: June 15, 2025
-
Approved March 1, 2025. Approval expires when? Answer: March 1, 2026 (if continuing review not submitted)
-
Submitted continuing review June 1, 2025 (2 weeks early). Compliant? Answer: YES—submitted before deadline
-
Continuing review submitted July 1, 2025. Original approved June 15, 2024. Compliant? Answer: NO—deadline was June 15, 2025; already expired
OFFICE HOURS DRILL: I'll give you 20 date scenarios. You calculate. Instant feedback.
KEY MANTRA: "It's not when you submit; it's the deadline date that matters. After the deadline = violation."
FOR STUDENTS STRUGGLING WITH: IRB Composition Scenarios
The Challenge: Multiple people with different qualifications; determining who fills which role.
SYSTEMATIC APPROACH:
STEP 1: Identify scientist
- Look for: MD, DO, PhD in relevant field, RN with research experience, clinical pharmacist
- Must have CLINICAL RESEARCH background (not just any scientist)
STEP 2: Identify non-scientist
- Look for: Lawyer, ethicist, clergy, community advocate
- Must have PRIMARY training outside healthcare/research
STEP 3: Identify unaffiliated member
- Look for: NOT employed by institution, NOT financially interested
- Must be someone without institutional ties
STEP 4: Count total members
- Is minimum 5? (Plus higher numbers if available)
STEP 5: Check diversity
- Gender? Professional backgrounds? Racial/ethnic?
OFFICE HOURS GAME: I'll describe 10 fictional IRB members. You classify each and identify any composition problems.
PERSONALIZED STUDY PLAN ADJUSTMENT TEMPLATE
Use this tool to customize your study based on weak areas:
SELF-ASSESSMENT:
Rate your confidence 1-5 (5=very confident):
| Topic | Confidence | Notes |
|---|---|---|
| IRB Composition | ___ | Areas of confusion: _________ |
| RISK-MDP Criteria | ___ | Areas of confusion: _________ |
| Approval Decisions | ___ | Areas of confusion: _________ |
| Review Types | ___ | Areas of confusion: _________ |
| Adverse Event Reporting | ___ | Areas of confusion: _________ |
| Continuing Review | ___ | Areas of confusion: _________ |
| Amendments | ___ | Areas of confusion: _________ |
| 21 vs 45 CFR | ___ | Areas of confusion: _________ |
WEAK AREA ACTION PLAN:
Identify your lowest-rated topic(s): _________________________
For each weak area, choose study strategy:
Option A - Visual/Spatial:
Option B - Reading/Writing:
Option C - Problem-Solving:
Option D - Social/Discussion:
Option E - Audio/Verbal:
CUSTOMIZED STUDY SCHEDULE:
Monday: Strong areas (confidence 4-5): Quick review
- Topic: _________________ (15 minutes)
Monday: Weak area (confidence 1-3): Deep dive
- Topic: _________________ (60 minutes)
- Strategy chosen (A/B/C/D/E): ___
- Specific activity: ________________
Tuesday: Weak area continued
- Topic: _________________ (45 minutes)
- Strategy: ________________
[Continue pattern through Sunday]
QUIZ READINESS CHECKLIST:
Before taking Quiz #2, verify:
OFFICE HOURS FOCUS:
Topics to prioritize in office hours:
Questions to ask:
QUIZ #2 PERFORMANCE ANALYSIS (After Quiz)
After taking Quiz #2, use this reflection:
RESULTS:
- Score: /45 (%)
- Passing score: 32/45 (70%)
- Your performance: ☐ Passed ☐ Below passing
QUESTION ANALYSIS:
Which questions did I miss?
- Question #____ - Topic: _____________________
- Question #____ - Topic: _____________________
- Question #____ - Topic: _____________________
PATTERN RECOGNITION:
- Did I struggle with all RISK-MDP questions? ☐ YES ☐ NO
- Did I struggle with composition questions? ☐ YES ☐ NO
- Did I struggle with procedure questions? ☐ YES ☐ NO
- Did I struggle with scenario application? ☐ YES ☐ NO
STUDY PLAN ADJUSTMENT FOR WEEK 4:
Based on Quiz #2 results, I will focus additional study on:
WHAT WORKED WELL:
Study strategies that helped most:
WHAT DIDN'T WORK:
Study strategies to abandon:
ADDITIONAL RESOURCES
CONTACT INFORMATION:
- Instructor: Dave Spatholt (spat08 @ osumc.edu on Teams or david.spatholt @ osumc.edu )
- IRB Office (for real questions): [OSU Human Subjects Protection
HELPFUL LINKS:
- Full text of 21 CFR Part 56: https://www.ecfr.gov/current/title-21/section-56.101
- FDA IRB Guidance: https://www.fda.gov/regulatory-information/search-fda-guidance-documents
- ICH E6(R3): https://database.ich.org/sites/default/files/ICH_E6(R3)_Step4_FinalGuideline_2025_0106.pdf