I worked in clinical trial administration for 30 years, including for Bob Comis. I also audited trials for the NCI. The catching point is always organizational siloing. There MUST be universal review/launch/execution/reporting standards & processes or we’ll never move fwd. 1/
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There is absolutely no way to streamline any part of the process when every involved institution has wildly divergent methods & procedures. How to square “local context oversight” with efficiency is a sticky wicket. I saw no movement in my 30+ years of involvement. 2/2
End of conversation
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