Payments for study requirements that exceed standard care are negotiated prior to implementation of the study. The clinical information specialist assists in screening patients for eligibility and directing referring physicians to the appropriate research team. A database is used to record and track all protocol activity. RNs are assigned to clinical teams such as the breast team or thoracic team. They assist with patient recruitment, informed consent, toxicity assessments, and coordination of clinical trials.
DMs collect specimens, record data, and assist the RNs and physicians as needed.
A centralized system has many benefits. The centralized staffing allows RN or DM positions to be shared between two teams when full- time help is not needed. The system allows more efficient orientation and ongoing education of staff, easier cross coverage for illness or vacations, and more opportunities for staff development. The centralized budgeting and contract process allows the staff to develop a greater expertise. Physicians are free to focus on patient care because the CTO staff is managing all aspects of the clinical trials.