Requirements for Initial Review
REQUIREMENTS FOR INITIAL REVIEW
Basic Documents (must submit)
1. Review Application Form (Form 2.1)
2. Review Summary Sheet (Form 2.2)
3. Protocol Evaluation Form (Form 2.3)
4. Informed Consent Assessment Form (Form 2.4) (not needed if retrospective)
5. Waiver for Informed Consent (Form 2.9) *submit if study is retrospective or does not need informed consent*
6. For retrospective study: Approved request letter from Data Privacy Officer indicating that you will retrieve data (medical records etc.) for the purpose of the study. Data Privacy Officer is Dr. Vicente Paulo M. Perez (under Dept. of Anesthesia)
7. Endorsement from the department/adviser/co-author *protocol should be signed by adviser*
8. Approval of Research Committee (Technical Review)
9. Endorsement/Approval from the thesis adviser/panel (non-DJFMH employees)
10. Research Protocol (include ethical considerations)
11. Informed Consent and assent documents (WHO format)
12. Curriculum vitae (CV) and Good Clinical Practice (GCP)/ Good Research Practice (GRP)
a. researcher/investigator
b. co-researcher/adviser
13. Study/protocol budget
14. Three (3) sets of REC requirements (including all forms, research paper, research tools, etc.) -(1) original and (2) photocopy
15. (2) long brown envelope/self-seal and (1) long orange expandable folder (sample photo attached)
16. Ethics Review Fee:
* (P500) for DJFMH residents/ fellows/ undergraduate (Order of payment will be given once requested)
*For review from outside institution, please call secretariat staff.
17. At the footer part of the protocol, please include this format: REC-____-_____1 ver. 1 dated January 1, 2020 (date of submission)
Study-specific Documents (submit as needed)
1. Study drug or medical device information (researcher brochures, published literature, etc.)
2. Statement of on presence or absence of COI of the researcher
3. Information regarding funding, sponsors, institutional affiliations, other potential COI
4. Contracts and approval of relevant offices (MOA if study is collaborative in nature; Material Transfer Agreement (MTA); Intellectual Property approval; Investigational Device Exemption (IDE), when relevant)
5. Study tools (questionnaires, case report form, posters, etc.)
Note:
1. All documents should be in A4 size.
2. Entry of details in forms must be typewritten.
3. "See attached" written in forms will not be accepted.
4. Email all the protocol package to be submitted for review.
Study-specific Documents (submit as needed)
1. Study drug or medical device information (researcher brochures, published literature, etc.)
2. Statement of on presence or absence of COI of the researcher
3. Information regarding funding, sponsors, institutional affiliations, other potential COI
4. Contracts and approval of relevant offices (MOA if study is collaborative in nature; Material Transfer Agreement (MTA); Intellectual Property approval; Investigational Device Exemption (IDE), when relevant)
5. Study tools (questionnaires, case report form, posters, etc.)
Note:
1. All documents should be in A4 size.
2. Entry of details in forms must be typewritten.
3. "See attached" written in forms will not be accepted.
4. Email all the protocol package to be submitted for review.