photos of Research @ U I C


Program Agenda

7:00 – 8:00am Registration and Continental Breakfast
The Renaissance Hotel, 1 W. Wacker Dr., Chicago, IL 60601 
8:00 – 8:15am

Opening Remarks & Introductions
Location:
Grand Ballroom

Kate-Louise Gottfried, JD, MSPH
Senior Director, Research Integrity and Regulatory Affairs
Rush University Medical Center
Chicago, IL

Welcome:
Larry J. Goodman, MD
President and Chief Executive Officer
Professor of Medicine, Department of Infectious Diseases
Rush University Medical Center
Chicago, IL

Joe G.N. Garcia, MD
Vice Chancellor of Research
Professor of Medicine
University of Illinois at Chicago
Chicago, IL

8:15 – 9:00am

Keynote Address - "The Future of Personalized Medicine and Public Policy"

Speaker:
Kathy Hudson, PhD
Chief of Staff, Office of the Director
National Institutes of Health
U.S. Department of Health and Human Services
Bethesda, MD

9:00 – 10:15am

What's New and Important from the Feds?”
Location:
Grand Ballroom

Regulatory updates on human subject protections will be provided by representatives from the U.S. Department of Health and Human Services' Office for Human Research Protections (OHRP), the National Institutes of Health (NIH), and the U.S. Food and Drug Administration (FDA).

Moderator:
Elyse I. Summers, JD
Director, Division of Education and Development
Office for Human Research Protections (OHRP)
U.S. Department of Health and Human Service
Rockville, MD

Speakers:

  1. Elyse I. Summers, JD
    Director, Division of Education and Development
    Office for Human Research Protections (OHRP)
    U.S. Department of Health and Human Service
    Rockville, MD
  2. Sara F. Goldkind, MD, MA
    Senior Bioethicist
    Office of Good Clinical Practice Office of the Commissioner
    Food and Drug Administration
    Maryland, DC
  3. Ann Hardy, DrPH
    NIH Extramural Research Protections
    Officer Office of Extramural Research
    National Institutes of Health (NIH)
    Rockville, MD
10:15 – 10:30am

Break

10:30 – 11:30am

Plenary Session A: “Research with Minority Populations”
Location:
Grand Ballroom

Moderator:
Lisa Barnes, PhD
Associate Professor, Rush Alzheimer's Disease Center
Rush University Medical Center
Chicago, IL
Panelists:

  1. Rick Kittles, PhD
    Associate Professor
    Department of Medicine; Section of Genetic Medicine
    The University of Chicago
    Chicago, IL
  2. Romina Kee, MD, MPH
    Clinical Investigator
    Collaborative Research Unit (CRU)
    Department of Medicine
    Cook County Health & Hospitals Systems
    Chicago, IL
11:30 – 11:40am

Travel Time

11:40 – 12:40pm Break Out Session A:

A1) Basic: “Historical Overview”
Location:
Cuisines

Moderator:
Judith Blacklidge, MS
Director Research Compliance and Safety
Loyola University Medical Center
Maywood, IL
Speakers:
  1. Bret Moberg, JD, LLM
    Rosalind Franklin University of Medicine and Science
    Chief Compliance Counsel and Assistant Professor
    North Chicago, IL
  2. Anthony Perry, MD
    Associate Professor of Internal Medicine
    Director, Johnston R. Bowman Health Center
    Rush University Medical Center
    Chicago, IL
A2) Socio-Behavioral: “Research Ethics 2.0: Internet Research Ethics and the IRB”
Location:
Breakout Room IV

Drs. Buchanan and Jones will discuss the ethical dimensions of research in virtual worlds. Is email an issue for human subjects research? Do you have a researcher interested in using mechanical turks in a protocol? What do you do about tracking internet addresses so participants' privacy is protected? What about having lifelike avatars interact with others and in some instances stand in for others? Do avatars need to provide consent? Just what is a "tweet" and how should an IRB respond to these emerging forms of technology as they are increasingly used in research? Dr. Jones will assay ethical issues related not only to the development of lifelike avatars but also to interaction with an avatar. Dr. Buchanan will report on projects designed to assist IRBs and researchers find a common ground in the complex and fluid realm of Internet research. Both presentations are based on NSF-funded research.

Moderator: 
Rebecca Ann Lind, PhD
Assistant Vice Chancellor for Research
Associate Professor of Communications
University of Illinois
Chicago, IL
Speakers:
  1. Elizabeth Buchanan, PhD
    Director, Center for Information Policy Research
    School of Information Studies
    University of Wisconsin
    Milwaukee, WI
  2. Steven Jones, PhD
    Professor, Department of Communication
    University of Illinois
    Chicago, IL

A3) Advanced: “Providing clinical care in clinical trials: Ethical Dilemmas and Resolutions”
Location:
Breakout Room V

Trying to follow any two principles will almost always create some sort of conflicts in which one must chose one over the other or compromise both principles to some extent. Clinicians implementing clinical trials must try both to provide excellent care of their patient/subjects and follow the protocol that specifies how the trial should be implemented. Many such clinicians report that there are some difficult conflicts involved. This presentation will report some results of interviews and a national survey of clinical researchers. The results identify some of these conflicts. The presentation will suggest some of the problems that these conflicts can cause for the integrity of the research and suggest some ways in which they might be minimized.

Speaker:

  1. Charles W. Lidz, PhD
    Research Professor, Department of Psychiatry; Medical School
    University of Massachusetts
    Worcester, MA
A4) Hot: Translational Research: “How it’s done in Chicago: Efforts to Reduce Regulatory Barriers for Translational and Clinical Research”
Location:
Breakout VI

Moderator:
James L. Mulshine, MD
Associate Provost for Research
Rush University Medical Center
Chicago, IL
Speakers:
  1. Julian Solway, MD
    Walter L. Palmer
    Distinguished Service Professor of Medicine and Pediatrics
    Associate Dean for Translational Medicine, Biological Sciences Division
    Vice Chair for Research, Department of Medicine
    Chair, Committee on Molecular Medicine
    University of Chicago
    Chicago, IL
  2. Phil Greenland, MD
    Harry W. Dingman Professor of Preventive Medicine and Medicine
    Sr. Associate Dean for Clinical and Translational Research,
    Director, Northwestern University Clinical and Translational Sciences Institute,
    Northwestern University
    Chicago, IL
  3. Mark Stein, PhD
    Professor of Psychiatry and Pediatrics
    Director, Regulatory Support and Advocacy Core, CCTS
    University of Illinois
    Chicago, IL

12:40 – 1:45pm

Lunch: Networking Opportunity
Location: Grand Ballroom

1:45 – 2:45pm

Break Out Session B:

B1) Basic: “Human Subjects Protections”
Location:
Cuisines

This beginner’s session will provide an overview of the basic framework of the HHS human subject protection regulations and the ethical principles of The Belmont Report. Topics of discussion will include IRB membership, IRB functions and operations, IRB review of research, approval of research, and the general requirements for informed consent.

Moderator:
Draco DuShea Forte, M.Ed
Manager
Sonnenschein Health Care Group
Chicago, IL
Speaker:

  1. Michelle Feige, MSW
    Public Health Analyst
    Office for Human Research Protections (OHRP)
    U.S. Department of Health and Human Services
    Rockville, MD

B2) Socio-Behavioral: “Engaging the Hard to Engage”
Location:
Breakout Room IV

Presenter will describe findings from 10 years of research on strategies for increasing participation rates in prevention programs targeting parents of young children in low-income, urban communities. Emphasis will be on what motivates participation in prevention programs, the effects of financial incentives on participation, and lessons learned along the way.

Moderator:
Deborah A. Gross, DNSc, RN, FAAN
Professor, Leonard and Helen Stulman Endowed Chair in Mental Health and Psychiatric Nursing
Johns Hopkins School of Nursing
Johns Hopkins School of Medicine
Department of Psychiatry and Behavioral Sciences
Baltimore, MD
Speakers:

  1. Deborah A. Gross, DNSc, RN, FAAN
    Professor, Leonard and Helen Stulman Endowed Chair in Mental Health and
    Psychiatric Nursing
    Johns Hopkins School of Nursing
    Johns Hopkins School of Medicine
    Department of Psychiatry and Behavioral Sciences
    Baltimore, MD
  2. JoEllen Wilbur,  PhD, RN, CS, FAAN
    Professor and Endowed Independent Foundation
    Associate Dean Nursing Research & Scholarship
    College of Nursing, Rush University Medical Center
    Chicago, IL

B3) Advanced: “Non-Compliance versus Scientific Misconduct”
Location:
Breakout Room V

If an investigator fabricates informed consent documents, is this a violation of the Common Rule or research misconduct?  To which agency should you report this activity?  These and other questions will be addressed in this session, which will provide a comparison of ORI and OHRP jurisdiction, targets and sanctions imposed.  This session will also compare the agencies' different investigation styles and philosophies through a discussion of examples and analysis of case studies.

Moderator: 
Clyde Wheeler, PhD
Associate Director for Research Compliance
Office for the Vice Chancellor for Research
University of Illinois at Chicago
Chicago, IL
Speakers:

  1. Laura Odwazny, JD
    Office for Human Research Protections
    Office of the General Counsel, Public Health Division
    U.S. Department of Health and Human Services
    Rockville, MD
  2. Debbie Parrish, JD
    Parrish Law Offices
    Pittsburgh, PA
B4) Hot/Important Topic: “Data Owed to Research Subjects”
Location:
Breakout Room VI

This presentation will address the reasons for caution in returning individual research results to participants.  These include uncertainty about the clinical significance of research results, debate about whose perspective regarding utility ought to govern and what types of uses ought to considered, what kinds of disclosures ought to be made before the research begins, what kinds of procedures ought to be applied to decide which results to return and how best to do so, issues about scope to responsibility in time and distance, the impact of the Clinical Laboratory Improvement Amendments of 1988, and the recognition that practice begets legal duty.

Moderator: 
Ellen Wright Clayton, MD, JD
Rosalind E. Franklin Professor of Genetics and Health Policy
Director, Center for Biomedical Ethics and Society
Professor of Pediatric; Professor of Law
Vanderbilt University
Nashville, TN
Speakers:
  1. David Kaufman, PhD
    Director of Research of Statistics
    Genetics and Public Policy Center
    Johns Hopkins University
    Washington, DC
  2. Stephanie Malia Fullerton, DPhil
    Assistant Professor
    Department of Bioethics and Humanities
    University of Washington School of Medicine
    Seattle, WA
  3. Ellen Wright Clayton, MD, JD
    Rosalind E. Franklin Professor of Genetics and Health Policy
    Director, Center for Biomedical Ethics and Society
    Professor of Pediatric; Professor of Law
    Vanderbilt University
    Nashville, TN

2:45 – 3:00pm

Travel Time

3:00 – 4:00pm

Break Out Session C:

C1) Basic: “Informed Consent in Research”
Location:
Cuisines

This session will provide an in-depth basic discussion of the informed consent process, including discussion of the Federal regulatory requirements for obtaining and documenting informed consent and when an IRB appropriately may waive informed consent or documentation of informed consent.  This session also will address some of the common (and sometimes confusing) informed consent scenarios, such as whether consent by telephone is permissible, how to consent non-English speaking subjects, and consent requirements in studies involving child subjects or decisionally incapacitated individuals.

Moderator:
Stephanie Guzik, RN, BSN, MBA
Assistant Director, Research Integrity and Regulatory Affairs
Rush University Medical Center
Chicago, IL
Speakers:

  1. Laura Odwazny, JD
    Office for Human Research Protections
    Office of the General Counsel, Public Health Division
    U.S. Department of Health and Human Services
    Rockville, MD
  2. Emily E. Anderson, PhD, MPH
    Project Director, Illinois Prevention Research Center
    Institute for Health Research and Policy
    University of Illinois at Chicago
    Chicago, IL
C2) Social-Behavioral: “Data Security and Mobile Devices: What Should Institutional Policy Say about Laptops and Other Devices That Move Between Your Office and Home”
Location:
Breakout Room IV

Moderator:  
Jaime Parent, MA, MHS
Vice President, Information Technology
Rush University Medical Center
Chicago, IL
Speakers:
  1. Stuart Horowitz
    Huron Consulting
    Chicago, IL
  2. Jeffrey Cooper, MD
    Huron Consulting
    Chicago, IL
C3) Advanced Topic: “Special Populations”
Location:
Breakout Room V

Moderator:
Raj Shah, MD
Assistant Professor, Rush Alzheimer's Disease Center
Rush University Medical Center
Chicago, IL
Speakers:
  1. Brian James, PhD
    "Informed Consent along the Cognitive Spectrum: Research Issues in Mild Cognitive Impairment and Dementia"
    Instructor, Post-doctoral fellow, Rush Alzheimer’s Disease Center
    Rush University Medical Center
    Chicago, IL
    Research in dementia often involves the exposure of persons with cognitive impairments to the risks of research participation.  Participants can range across a wide spectrum of cognitive ability that can affect their capacity to provide valid informed consent for research.  These abilities do not necessarily coincide with diagnostic labels.  Persons with early stage dementia or mild cognitive impairment (MCI), a transitional stage between normal cognition and dementia, may have the capacity to make their own decisions about research, while persons with severe dementia may require someone else to make this decision for them.  This talk will briefly outline some of the issues involved in enrolling subjects with dementia and MCI in research, including 1) how we determine whether a person with cognitive impairments has the capacity to make decisions for themselves, and 2) when, who, and how another person can provide consent for a person without decision making capacity (i.e. proxy consent).  Data will be presented demonstrating the decision-making abilities of persons with both dementia and MCI to provide informed consent.  Data also will be presented regarding the attitudes of AD patients, their family caregivers, and a general sample of older persons about proxy consent.
  2. Paul Song, PhD
    “End of Life Research with the Homeless”
    Professor, Center for Bioethics
    University of Minnesota
    Minneapolis, MN
    Regarding homeless persons from the perspective of the analytic model of vulnerability suggests that these individuals may be particularly vulnerable in some research settings. They are susceptible to states of economic need, poor health, and institutional dependency. Qualitative research exploring end of life care, death, and dying also raises potential ethical dilemmas. This talk will outline these issues, then report on the experience and findings of qualitative end of life research with homeless persons.
  3. Lainie Friedman Ross, MD, PhD
    “Children in Medical Research: Access versus Protection”
    Carolyn and Matthew Bucksbaum Professor of Clinical Ethics
    Professor, Departments of Pediatrics, Medicine, and Surgery
    Associate Director, MacLean Center for Clinical Medical Ethics
    Department Pediatrics, University of Chicago
    Chicago, IL
    The Report, “Research on Children” by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1977) reflected the tension between protecting children and promoting pediatric medicine.  The focus on protection was incorporated into Federal Regulations, although currently there is a shift towards access.  Part of the support for increasing pediatric participation in research, particularly pharmaceutical research, is that major advances have been made during the past half century in adult medicine, but only more modest advances in pediatrics.   More than 80% of drugs prescribed to children have never been tested on them. Unless tested in children, every child’s treatment lacks adequate information on safety and efficacy. This session will focus on ethical issues related to the tension between access and protection in pediatric research.

C4) Hot/Important: “Emergency Research without Informed Consent”
Location:

Breakout Room VI

Regulations allowing emergency medicine research without consent in unusual circumstances were finalized in 1996. These regulations allow research on life-threatening conditions if a number of predicate conditions are satisfied without informed consent from subjects, even when the research risks are substantial.

This presentation will focus on experiences implementing a dozen clinical trials with an IRB-approved waiver of consent for emergency medicine research under DHHS and FDA regulations. The presenters will discuss this type of research from the perspective of the investigator (addressing IRB concerns, implementing community consultations, kinds of feedback from subjects and family members), the IRB Chairperson (evaluating the IRB application, evaluating the results of community consultations, continuing review), and a bioethicist participating in the IRB review process (questions raised beyond the regulatory knowns).

Moderator: 
David Clark, PhD 
Assistant Dean for Clinical Research
Professor of Psychiatry
Medical College of Wisconsin
Milwaukee, WI
Speakers:
  1. Norman Fost, MD, MPH
    University of Wisconsin, Madison
    Professor, Pediatrics and Medical History and Bioethics
    Director, Program in Bioethics, Department of Pediatrics
    University of Wisconsin Hospital
    Madison, WI
  2. Tom Aufderheide, MD
    Professor of Medicine
    Associate Chair of Research Affairs
    Medical College of Wisconsin
    Milwaukee, WI
  3. Ryan Spellecy, PhD
    Associate Professor of Ethics and Psychiatry
    Chairman, Institutional Review Board  
    Center for the Study of Bioethics
    Medical College of Wisconsin
    Milwaukee, WI
4:00 –4:15pm

Break

4:15 –5:30pm Plenary Session B:“Managing Financial Conflicts of Interest in Human Subjects Research”
Location:
Grand Ballroom

Moderator:
Kate Gottfried, JD, MSPH
Senior Director, Research Integrity and Regulatory Affairs
Rush University Medical Center
Chicago, IL
Speakers:
  1. Jordan Cohen, MD
    Professor of Medicine
    George Washington University School of Medicine
    Washington, DC
  2. Jorge O. Galante, MD, DMedSci
    Professor of Orthopedic Surgery
    The Granger Director of the Rush Arthritis and Orthopedics Institute
    Rush Arthritis and Orthopedics Institute
    Chicago, IL
  3. Jeremy Sugarman, MD, MPH, MA
    Harvey M. Meyerhoff Professor of Bioethics and Medicine
    Berman Institute of Bioethics and Department of Medicine
    John Hopkins University
    Baltimore, MD
5:30 – 7:00pm

Thank You & Reception

OHRP is not providing funding for any refreshments or food associated with this event. The co-sponsors of this OHRP Community Forum will not be selling any educational materials associated with this event to make a profit.

 

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