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28 March 2006



A better approach would be to overhal the 1974 law that created IRBs in the first place.

Supremacy Claus

Years ago, I participated in a review meeting. Afterwards, the Chairman thanked me for my great service. He would let me know when I would be needed again.

I found the lawyer, the priest and the housewife to be reasonable. "Doc, once I give you my urine, it's yours," said the lawyer seeking to end the 1 hour debate on the property interest of patients' urines.

The doctors were the most nuts, picayune, and legalistic. They were also obstructing projects by competitors in their specialty. But, in a dilemna, they were the only ones who understood the proposal. Something happens to people on those committees.

Perhaps, doctors should review lawyer research. Lawyers should review medical research. If the proposal cannot be plainly explained to the lawyers, how is it going to be explained to the medical subjects?

Mark Hall

Perhaps because IRBs are not "human"? :)

Supremacy Claus

I was not able to find where these studies of IRB's were approved by an IRB.

Mark Hall

Several recent empirical studies of IRBs coming from large, multi-site medical studies, document considerable inconsistency among IRBs at different institutions that review the exact same protocol, as well as burden on researchers. For instance, researchers with one multi-site study reported that, out of 43 IRBs, 1 exempted the protocol, one rejected it as too risky, 10 gave expedited review, and the rest full review, with a wide variety of conflicting requirements. All of this took almost 5000 hours of staff time. Health Services Research 41:214 (Feb. 2006), at this link: http://www.blackwell-synergy.com/doi/abs/10.1111/j.1475-6773.2005.00458.x

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