The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Gy4McXL2iGuHMgaK9WcJInGuNGdaQws9sKLZKhDELBSozXGQ74bDLJ8kdFz

CPC Discipline Group and Protocol Registration Information

Important: Please have your IRB protocol ready and complete at least the first page on the GU-MedStar IRB System prior to completing the CPC Discipline Group (CPC DG) Review process. Your protocol, IRB ID/number, Full title, and Short title will be needed to complete the CPC DG review process. As part of this process you will also be asked (if required) to provide information to help register your study on OnCore/CTRP.

Please remember to click submit at the end of each page.

Protocol Information

Principal Investigator Name

* must provide value

Principal Investigator Email

* must provide value

Do you have your protocol, IRB ID, full/short title ready?

* must provide value

Yes

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Please return to this form when the protocol, IRB ID, and full/short title are ready.

IRB Number:

* must provide value

Study Title:

* must provide value

For the purpose of this protocol/study, at some point there will be an intervention or interaction with human participants for the collection of biospecimens or data (including health or clinical data, surveys, focus groups or observation of behavior). Or previously collected identifiable private information or biospecimens will be obtained, used, studied, analyzed, or generated for the purpose of this study.

Yes - intervention/interaction with human participants

Yes - previously collected information or biospecimens

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Your protocol does not require CPC discipline group or clinical research committee review. Please enter your IRB Number, Study Title, and PI Name. You may proceed with IRB submission.

Please click Submit to exit.

Are you recruiting in the clinic/hospital-based settings or using previously collected biospecimens with access to identifiable information?

Yes

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Please list clinical collaborator(s) with access to participants / biospecimens needed for the research listed for EACH SITE included in the protocol.

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Your protocol requires CPC Discipline Group (DG Lead) review but is exempt from full PRMC review. Please complete the CPC Discipline Group Cover Letter, PRMC Review Exemption Request, and OnCore CTRP Registration forms. Please upload IRB protocol when prompted.

Is this an intervention study?

Yes

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Are you proposing to collect biospecimens (tissue, blood, saliva, urine, stool, swab, etc.) for research purposes?

Yes

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Is your protocol for an externally peer-reviewed and funded (or JIT) grant?

Yes

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Your protocol requires FULL CPC discipline group review and a FULL PRMC review. Please complete the CPC Discipline Group Cover Letter and OnCore CTRP Registration forms. Please upload IRB protocol when prompted.

PLEASE NOTE OnCore REGISTRATION IS REQUIRED FOR PRMC REVIEW.

Yes - intervention/interaction with human participants

Yes - previously collected information or biospecimens

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Are you recruiting a clinical population or obtaining previously collected biospecimens?

Yes

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Is a clinical/biobank collaborator with access to participants/samples needed for the research listed for EACH SITE included in the protocol?

Yes

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Your protocol requires FULL CPC discipline group review. Please complete the CPC discipline group cover letter and upload IRB protocol when prompted.

Is your protocol for an externally peer-reviewed and funded grant?

Yes

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Your protocol requires CPC discipline group (DG) review by one of the DG leads. Please complete the CPC DG cover letter and upload IRB protocol when prompted.

Your protocol requires FULL CPC discipline group review. Please complete the CPC discipline group cover letter and upload IRB protocol when prompted.

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