The Georgia Clinical & Translational Science Alliance (Georgia CTSA) is a partnership of Emory University, Morehouse School of Medicine, University of Georgia, and Georgia Institute of Technology. The partner institutions of the Georgia CTSA leverage our complementary strengths to accelerate clinical and translational education, research, and community engagement to impact health in Georgia and beyond. 

The Georgia CTSA is looking to establish a registry of those willing to volunteer on a Data and Safety Monitoring Board (DSMB) based upon your answers in the survey. This survey will provide us information as to your previous experience (if any) serving on a DSMB. We will contact you based upon your answers below. Creation of this registry will make it easier for you and others to establish and utilize a DSMB when needed.

Responsibilities of the DSMB include: 
1. Advise investigators and sponsors on safety of actual and potential
   human subjects.

2. Evaluate research data and unanticipated problems to ensure participant  
    safety and research integrity.

3. Provide recommendations to investigators regarding the performance of
    overall study procedures as necessary.

 

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* 1. Have you ever served on a Data and Safety Monitoring Board/Committee?

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* 2. If Yes, what was your primary role?

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* 3. Specify your department while serving as a Voting or Non-Voting Member.

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* 4. Are you currently serving on a DSMB Board/Committee?

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* 5. Are you interested in serving on a Data and Safety Monitoring Board?

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* 6. Name

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* 7. Current Title

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