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Office of International Medicine Programs

Medical research fellowship program.

The  Medical Research Fellowship Program  (MRFP) at the George Washington University (GW) School of Medicine and Health Sciences (SMHS) provides international medical graduates with the opportunity to enhance their research and clinical skills, preparing them to be strong candidates when applying for U.S. residency programs in the United States. Since the MRFP launched in 2012,  86% of research fellows have successfully matched into U.S. residency positions after completion of the program.

We are now accepting applications for the next program that begins in May 2024! Please refer to the information below for more details.

The goals of the program include providing opportunities for research fellows to:

• Develop a rich and longstanding relationship with a GW faculty member
• Create a network of professional contacts for future support in international medicine
• Develop critical thinking, analytical, and practical inquiry skills utilizing the latest approaches in U.S. healthcare and medical research
• Build a foundation for utilizing evidence-based medicine
• Increase skills in critical appraisal, research design, and understanding of the entire medical research process
• Publish articles or abstracts in peer-reviewed journals and present research posters or papers at conferences
• Gain first-hand knowledge of the U.S. healthcare delivery and medical education system
• Develop personal and group leadership skills necessary for advancement in clinical practice and research
• Develop strategies for communicating clinical research and medical information in spoken and written English
• Gain broad public speaking and presentation experience and participate in at least one professional conference in field of interest

Research : Research fellows attend weekly critical appraisal sessions to increase their knowledge of research methods, analyze the latest in medical publications, and publish letters to the editor. Research fellows also participate in individual and group research projects alongside their faculty mentor aiming to present at a national conference and publish in a peer-reviewed journal.

Clinical observation : Research fellows actively and successfully participate as members of a clinical team. While direct, hands-on patient contact is not permitted, the research fellow engages with the team in all other clinical activities. 

One-on-one mentorship : Each research fellow is matched with a GW faculty mentor in their specialty of choice. Research fellows join the faculty mentor and are integrated into the clinical team, which includes faculty, residents, and students. The faculty mentor provides counseling and guidance through weekly meetings.

U.S. residency application preparation : Research fellows are supported by IMP staff and the Program Medical Director who provide residency preparation interviews and review of curriculum vitae and personal statements. Research fellows can obtain detailed and personalized letters of recommendation from GW faculty members when appropriate. 

Professional development : Research fellows attend regular clinical department grand rounds, conferences, and lectures with their team of faculty, residents, and students. Research fellows are key members of the team and fully participate in department activities. 

Application Process

Research fellows can participate in the program for a duration of 6 months or 12 months and the recommended start date is in May. Earlier or later start dates are also considered on a case-by-case basis. 

Applicants should submit the following required documents to the Office of International Medicine Programs (IMP) at  [email protected] :

• Headshot photograph
• Curriculum vitae 
• Personal statement (1 page)
• Medical school degree
• Medical school transcript
• Three letters of recommendation
• USMLE Step 1 and 2 score reports (if available)

Contact [email protected]  with any questions or to request additional information about the program fees.

Clinical Research After MBBS: Career Opportunities

• October 31, 2022

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Indeed, the majority of us enroll in medical school with the hope of becoming excellent doctors and life savers. Often, our mental image is that of a doctor frantically performing CPR or a surgeon successfully tackling a challenging operation. However, the field of medicine encompasses a broad spectrum of roles and responsibilities beyond these intense and critical moments. Whether it’s delivering compassionate bedside care or conducting groundbreaking research, each healthcare professional plays a vital role in advancing medicine and making a positive impact on people’s lives.

As aspiring doctors, we are driven by the desire to alleviate suffering, promote health, and serve our communities with dedication and empathy. However, there are many additional ways you can support and enhance patient care, beyond the adrenaline rush of emergencies and surgeries. Moreover, as a medical student, you can undoubtedly participate in clinical research even though you are unlikely to ever have the opportunity to give CPR or even prepare for surgery.

What exactly is clinical research?

Indeed, clinical research, as a branch of healthcare science, delves into investigating the safety and efficacy of drugs, equipment, diagnostic products, and treatments for human consumption. This rigorous examination of medical interventions is crucial to ensure that they are safe and effective before being made available to patients. By conducting well-designed clinical trials and studies, researchers can gather reliable data to make evidence-based decisions, leading to improved patient outcomes and the advancement of medical knowledge. The insights gained from clinical research play a significant role in shaping media In doing so, it plays a crucial role in determining the best methods for disease prevention and treatment.

Indeed, a Clinical Research Investigator is someone who conducts clinical research and has completed clinical research courses. Additionally, the area of Clinical Research is often separated into three key sections: pre-clinical research, clinical research, and post-marketing surveillance. Each segment plays a vital role in advancing medical knowledge, ensuring drug safety, and improving patient care. Furthermore, these distinct phases work cohesively to ensure that new medical interventions undergo rigorous testing, scrutiny, and monitoring before they are made available to the public, thereby safeguarding patient well-being and contributing to the overall progress of healthcare.

• Patient-oriented research, basic research, and applied research.
• Epidemiologic and behavioral studies
• Health-care research

When the Indian government specified that each pharmaceutical should only be introduced into the market after a clinical researcher has examined it, the need for clinical researchers skyrocketed. According to recent surveys, around 60,000 healthcare experts are necessary to make this rule a reality.

Diploma in Clinical Research

This curriculum is specifically designed to assist aspiring candidates in learning about the bioethics that occur in a hospital or clinic. Moreover, students who enroll in a clinical research diploma program gain advanced knowledge about the clinical research industry, which significantly enhances their intelligence and skills, ultimately leading to greater exposure in the field. The program covers a wide range of topics, including the latest technologies, safety strategies, and practical applications.

Indeed, a Clinical research course after MBBS in India is thoughtfully designed to develop quality clinical research analysts with the necessary skill set to work effectively in clinics and hospitals.

By combining theoretical learning with practical application, this program empowers students to actively engage in the research process and make significant contributions to the advancement of medical science. Furthermore, the program’s emphasis on cultivating critical thinking and problem-solving skills enables students to tackle complex research questions with confidence and precision. As a result, graduates emerge well-prepared to navigate the dynamic landscape of medical research and drive innovation in the field. As a result, graduates from this course are well-prepared to make significant contributions to the advancement of healthcare and patient outcomes.

Job Opportunities

Recent changes to regulations have had a significant effect on the life of a Clinical Research Investigator. Additionally, the Clinical Research field, which currently boasts a business growth of 250 crores, is projected to soar to around 5000 crores within the next few years.

Consequently, a career in this field can help investigators end up with a good income, comparable to that of a doctor.

Several research sectors have opened job opportunities for clinical investigators, including Pharma Industries, Biotech Companies, and Research Laboratories. The following types of Clinical Research positions are available:

• Clinical Research Associate (CRA)
• Clinical Research Coordinator (CRO)
• Counsellors
• Clinical Research Managers (CRM)
• Project Manager

How can I pursue a career in clinical research?

Clinical research associates coordinate the collection, distribution, and storage of data obtained during clinical trials. The responsibilities associated with this role, however, are numerous.

1. Developing and writing clinical trial protocols

2. Create forms and templates for data collection.

3. Cooperate with the Ethics Committee to ensure that trials are conducted in an ethical manner

4. Establish trial sites, ensure trials are conducted in accordance with procedures and regulations.

6. Inform patients, doctors, and other personnel about the trial. Conduct trials at various sites and review data for regulatory submissions

7. Prepare presentations, reports, and manuscripts for publication

What makes clinical research an attractive career option to you?

Clinical research is a branch of science that seeks new and better ways to cure diseases and improve people’s overall quality of life. Clinical trials have enabled researchers to discover cures for diseases once thought incurable. A career in clinical research allows you to contribute to this noble cause while also making a difference in the lives of others. Furthermore, Clinical Research is an industry with a wide range of professions. You can work in the field, conduct clinical trials, in a corporate office, or in research coordination. This provides you with numerous job possibilities to pick from. Another element that makes this a desirable career path is that it pays well even at the beginning level.

How can I get started as a clinical research associate?

As an MBBS with a medical background, you can try to gain some understanding of clinical research by completing any courses, such as a diploma or other relevant courses. If you already have some clinical research experience, consider applying and trying to attend CRO walk-ins. By doing so, you will have the opportunity to start as a new employee if you pass the interview. This approach can be an excellent way to leverage your existing expertise and secure a position in the clinical research industry.

Opportunities available in clinical research after MBBS ?

Clinical Research is in high demand in the pharmaceutical industry. If you pick Clinical Research, you can work in the following positions:

 1. Principal Investigator

2. As Co-investigator

3. As Medical Advisor

4. As Drug Developer

5. As Regulatory Affairs Manager

6. As Clinical Research

7. Physician Technical Writer

Which is a better professional path?

A medical studies coordinator (CRC), commonly referred to as a clinical trial manager, plays a pivotal role in all types of medical studies. Moreover, they frequently work under the supervision of the principal investigator (PI), who is responsible for planning, participating in, and managing the clinical study from a high level.

It is therefore the CRC’s responsibility to support, guide, and arrange daily scientific trial activities. Clinical study coordinators also assist the department, sponsor, and institution with compliance, financial, and personnel issues. The CRC is responsible for administering the day-to-day medical operations, sports supervising, and carrying out delegated obligations to appropriate events as the manager of clinical research.

Additionally, they play a pivotal role in coordinating and overseeing various aspects of clinical trials, ensuring compliance with protocols, and fostering effective communication between research teams, participants, and healthcare professionals.

With their multifaceted skill set and attention to detail, CRCs contribute significantly to the smooth functioning and successful execution of clinical research studies, ultimately advancing medical knowledge and improving patient care.

To summarise, MBBS is a large field with a lot to offer. However, it requires hard work, careful planning, and the ability to choose the best alternative. Given the importance of MBBS, students should select the top Diploma that adds value to their medical knowledge.

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International Research Fellowship

Contact Information

Division of Trauma, Emergency Surgery and Surgical Critical Care (TESSCC)

165 Cambridge Street, Suite 810 Boston , MA   02114

Email: [email protected]

Explore This Fellowship

The approved applicant will hold a Massachusetts General Hospital and a Harvard Medical School (HMS) appointment as a research fellow. Applications from non-U.S. candidates are encouraged. The program involves clinical and laboratory research activities, allowing the fellow to participate in single- and multi-center studies as well as multiple clinical research projects related to retrospective, prospective and randomized controlled studies. The fellow will also participate in basic science research at the Trauma Research Laboratory and the animal operating rooms. The precise balance between clinical and laboratory research will be decided on a case-by-case basis according to the fellow’s preference and the divisional needs.

The research fellow will be assigned to one faculty member of the division and become actively involved in clinical and laboratory research. The research fellow will attend all educational programs of the division and participate in an observational capacity in clinical activities. At the end of the fellowship, the fellow is expected to have rich knowledge in trauma, emergency surgery and surgical critical care research as well as have completed multiple studies, which can be presented at major surgical meetings and published in major surgical journals.

Note:  Direct contact with patients is not allowed within this program.

Requirements

Individuals interested in applying for a research fellow position must meet the following criteria:

• Fluent in English, both spoken and written
• Medical degree (MD equivalent)
• Minimum two-year commitment

Although United States Medical Licensing Examination (USMLE) scores are not an absolute prerequisite for admission to the Research Fellowship Program, applicants who have taken their USMLE's are preferred. 

The research program of the division is funded by multiple federal agencies and industry. Financial support is possible through grants, but limited, and therefore cannot be promised. Evidence of external institutional financial support is highly desirable. Decisions about financial support are made on a case-by-case basis, depending on availability of funds, nature of research and performance of the fellow.

The fellow is expected to be familiar with study design and methodology as well as simple statistical analysis (univariate analysis, t-test, chi-square).

How to Apply

To apply for a research fellow position, interested individuals should submit:

• Application Form , including current photo
• Letter of intent (one page) describing the applicant's goals and expectations from the research fellowship. The statement should clarify whether the candidate requests full, partial or no financial support, and clearly state the intent (or lack of intent) to pursue residency in the U.S. upon the completion of the program
• A   curriculum vitae  that is detailed and chronologically organized
• Two (2) letters of recommendation from professors or directors at the applicant's institution (from the past 12 months)

This material should be properly ordered and compiled into one (1) PDF and emailed to [email protected] . The applicant will be notified via e-mail within five (5) business days upon receipt of the requested documentation.

Important Dates

Start dates are normally in/around July. The selection committee—chaired by George Velmahos, MD, PhD, Division Chief and John Hwabejire, MBBS, MPH, Director of Trauma Research—will review all applications and select fellows based on need and funding availability (usually, two to four fellows are selected each year). Zoom interviews will be arranged during the selection process. Important dates in the application and selection process are approximate:

• Deadline for applications: October 14, 2024
• Selection Committee meeting: November 18, 2024
• Notifications to applicants: December 30, 2024

Appointment Process

If accepted, the fellow will receive a research fellow appointment package, which should be promptly completed and returned. Delays on receiving a completed appointment package may compromise the appointment. Please note that the appointment and visa process can take three to four months.

Among other forms, the package includes:

• Application for initial appointment to professional staff of Mass General and HMS
• Doctoral degree diploma, translated to English and notarized
• Letter verifying source and level of any external institutional financial support
• Visa application

Note: As part of the appointment process, candidates are required to pass a Criminal Offender Record Information (CORI) background check.

Selection Committee

These are the members of the selection committee for the International Research Fellowship program.

John Hwabejire, MBBS, MPH

• Director, Trauma Research
• Trauma and Acute Care Surgeon

George Velmahos, MD, PhD

• Division Chief of Trauma, Emergency Surgery and Surgical Critical Care
• John F. Burke Professor of Surgery, Harvard Medical School

Teaching Generations of Health Care Professionals

Mass General is the largest teaching hospital of Harvard Medical School. We train future healthcare professionals in innovative therapies.

Contact the International Research Fellowship team for more information.

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Are you a qualified physician working in clinical practice or research, or in industry? Imagine helping to bring drugs to patients across the world. Working on projects that focus on making breakthroughs in areas of unmet medical need. And changing the course of the most serious diseases in our society such as cancer, asthma or COPD, heart or kidney disease.

As a physician at AstraZeneca, you’ll have a unique opportunity to shape the future of BioPharmaceutical medicine. A research career with us will put new perspectives on what you’ve done before. You’ll have the scope to do your best work, and grow as part of a global team of scientists and physicians who are passionate about small molecule biologics. Picture yourself enjoying the satisfaction of translating research into medicines that bring tangible human benefits.

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Keen to help us further expand this pipeline? As a physician, you’ll be immersing yourself in cutting-edge science you won’t find everywhere, in a way you won’t find anywhere, to spark a new generation of medical discoveries.

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We look for physicians with sub-specialty training and research experience who wish to channel their expertise in a new direction, pursuing a clinical investigation career that impacts human health.

You could be working in clinical practice or post-doctoral research. Or you might be working in a clinical development role in industry. Physicians join us from a range of backgrounds, but share many common attributes and attitudes.

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You’ll work alongside talented scientists and physicians, who are as enthusiastic about medical research as you are. Learn from diverse teams of experts in their particular fields, all of whom will readily share their ideas. And have instant access to new data insights.

We’re engaged in truly world-class medicine – and we do it to the highest ethical standards. Being part of a leading global pharmaceutical company, you’ll benefit from the most advanced tools, technologies and facilities. We’ll also help you to publish your work.

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Medical Monitoring in Clinical Research - Non Clinical Physician Jobs

What Is medical monitor in Clinical Research?

A Full Overview and Guide to Becoming a Physician Medical Monitor

Considered a “Hidden Gem” for Non Clinical Physician Jobs

Advanced Physician Medical Monitor Certification (APMMC)™

Clinical trials are the bedrock of medical progress, meticulously evaluating the efficacy and safety of novel drugs and treatments. Within this vital process, medical monitors (MMs) play an indispensable role . These physician-experts oversee critical aspects of the trial, guaranteeing both patient well-being and the scientific integrity of the research.

Distinct Expertise: Physician-Level Oversight Makes the Difference

While clinical research associates (CRAs) ensure protocol adherence and accurate adverse event (AE) reporting at trial sites, medical monitors bring a physician's perspective. They leverage their medical knowledge to:

Guide Protocol Development: Medical monitors advise on designing protocols that prioritize patient safety and align with current best practices as outlined by the National Institutes of Health (NIH) in their guidance document, "Clinical Trial Design Considerations for Safety" https://grants.nih.gov/grants/guide/notice-files/not98-084.html .

Evaluate Safety Concerns: Throughout the trial, they assess and address patient safety issues that may arise, referencing the Food and Drug Administration's (FDA) "Guidance for Investigators for Conduct of Human Clinical Trials" https://www.fda.gov/science-research/clinical-trials-and-human-subject-protection/clinical-trials-guidance-documents for best practices.

Make Unblinding Decisions: In rare cases of severe AEs, medical monitors determine if unblinding is necessary for effective intervention, following the European Medicines Agency's (EMA) ICH Guideline E6(R2) on Good Clinical Practice https://www.ema.europa.eu/en/human-regulatory-overview/research-and-development/compliance-research-and-development/good-clinical-practice .

Beyond Oversight: Fostering Effective Collaboration

Similar to CRAs, medical monitors act as liaisons between sponsors and trial sites. They review and ensure proper coding and reporting of AEs, guaranteeing data accuracy and adherence to regulatory guidelines set forth by organizations like the International Council for Harmonisation of Good Clinical Practice (ICH-GCP) https://ichgcp.net/ .

The Multifaceted Role of the Medical Monitor

The complexities of clinical research in 2024 demand a multifaceted role for medical monitors. Their responsibilities encompass:

Protocol Review and Design: Scrutinizing protocols to prioritize patient safety and ensure alignment with best practices.

Safety Oversight: Continuously monitoring patient well-being throughout the trial and addressing any safety concerns.

Data Analysis and Interpretation: Collaborating with the research team to analyze and interpret trial data effectively.

Regulatory Compliance: Ensuring the trial adheres to all relevant regulatory requirements.

Communication and Collaboration: Acting as a bridge between sponsors, investigators, and research teams, fostering clear communication and collaboration.

Specialist Services for Streamlined Trials

Contract research organizations (CROs) and sponsors often partner with specialist companies like C3i Solutions and GeorgeClinical to leverage their expertise in providing medical monitor services.

Essential Resources

National Institutes of Health (NIH): Role of Medical Monitors in Safety Oversight https://www.niaid.nih.gov/sites/default/files/medicalmonitor.pdf

Key Distinctions: Medical Monitor vs. Other Clinical Trial Roles

It's crucial to distinguish the medical monitor from other vital clinical trial personnel. Here's a quick breakdown:

Medical Monitor vs. Principal Investigator (PI): PIs lead trials at a specific site, while medical monitors offer broader oversight across multiple trials and sites.

Medical Monitor vs. Clinical Research Associate (CRA): CRAs focus on protocol adherence and data collection at a single site, whereas medical monitors provide physician-level expertise for broader trial aspects.

Understanding Medical Monitoring According to E6-GCP

The E6 Good Clinical Practice (GCP) guidelines define a medical monitor as a person responsible for supervising the clinical trial process. They ensure that protocols, standard operating procedures (SOPs), Good Manufacturing Practices (GMP), and regulatory requirements are all followed according to established standards as outlined in the European Medicines Agency's (EMA) ICH Guideline E6(R2) on Good Clinical Practice https://www.ema.europa.eu/en/human-regulatory-overview/research-and-development/compliance-research-and-development/good-clinical-practice

Alternative Terminologies for Medical Monitor

It's important to note that medical monitor is not the only term used for this role. Here are some alternatives:

Clinical research associate (CRA)

Site manager

Clinical trial assistant (CTA)

However, clinical research associate (CRA) is the most frequently used alternative. Be aware that while there may be some overlap in responsibilities, CRAs

Difference between a Medical Monitor and Principal Investigator

What is a medical monitor in clinical research

Salary of a medical monitor

Salary of medical monitor varies due to different factors including education, certifications, additional skills, number of experience years in profession.

The average salary of a medical monitor is 155,000$ and salary usually ranges from 87,000$- 398,000 ( Ziprecruiter) .

The national average for CRA is $65-119k which is different than medical monitors working in the pharmaceutical companies. 

There are so many opportunities in the clinical research industry. At the site level, some are study coordinator, principal investigator, sub investigator, research assistant. At the CRO level there are CRA's, CTA's, CMA's, medical monitors, project managers. At a Sponsor level there are dozens more. What is good about many of these, is one's ability to "level up" over time into more desirable and higher paying positions.

Skills and qualifications required to be a medical monitor:

Medical degree with strong leadership skills

Direct experience in the pharmaceutical industry (i.e. Clinical Research Associate ; preferred; although with CCRPS Medical Monitor Certification you are qualified to work as both a CRA and MM)

The preferred countries for the experience are US and EU

Knowledge of both local and Global regulatory requirements as well as the

knowledge of local and Global GCP

Skillful in converting input into regulatory documentation.

Strong communication skills to deal with stakeholders either internal or external.

Strong writing and presentation skills.

Skillful to deal with audience especially medical and scientific community.

Relevant work experience in medical monitoring and/or pharmacovigilance

and/or drug safety experience in a CRO, pharmaceutical, or clinical trial environment required.

Must have appropriate understanding about the International conference on Harmonization (ICH), GCP guidelines.

Must have appropriate knowledge of research, clinical trials and clinical terminologies.

Having strong decision-making power to deal with the trials.

Proficiency in English (written and verbal) required.

Capable of building and maintaining the trust of clients.

You can showcase and gain the knowledge you need to work as a MM with CCRPS’s Medical Monitor certification which trains you to a Senior Monitor’s level of knowledge to allow for easy promotion in the field. You do need experience before getting promoted so we suggest getting an internship while studying for the course prior to applying for Medical Monitor or CRA jobs!

Individuals who should try to be a medical monitor include:

Typically this is a fully qualified physician (MD, MBBS, IMG, FMG)

Sometimes residency in the work-specific department or in internal medicine is helpful (whether international or US-completed)

In the US it is also permitted to also use a PharmD (pharmacist) as a medical monitor

Role and responsibilities of a Medical monitor:

At the clinical trials site, role of the monitor depends upon the experience of the monitor as well as the phase of the ongoing trial. A monitor is a competent person performing differant responsibilities and activities at different sites in accordance with the phases of trials. Some of these responsibilities are:

While discussing and presenting the facts and initiating a trial with investigator a monitor must become a mentor and counsellor.

Responsible for developing devices and conducting research on drugs in improving the quality of life of patients.

Providing monitoring reports, the guidance about further actions, lacking in the study, elaborating findings to improve compliance.

Dealing with the recruitment of the research patients and their retention or exclusion for obtaining quality findings.

Situation handling is the main responsibility of the monitor to safely resolve the issue by troubleshooting the problem.

Planning of travelling costs and schedules are also maintained by the monitor.

A monitor works as a detector when it comes to decide a site for trial and visiting the

Effective communication and convincing ability while dealing with different levels of

the people is the major skill and responsibility of the medical monitor.

Developing regulatory and study related documents including, study design, writing the abstract of the protocol, concluding the protocols, approval of the study template of informed consent and preparation of the documents.

Conducting a successful study includes, attending the meetings and answering the questions of the management teams, data monitoring committee and other teams.

Data reviewing responsibilities includes, reviewing the patient data along with vital

signs and abnormalities, approving patient narratives and GCP guidelines.

Making the study team capable of resolving the issues, deciding inclusion and

exclusion criteria, studying closeout and inspection readiness.

How to become a certified medical monitor:

MD, MBBS, FMG, IMG are eligible to apply for the certification and for these non clinical physician jobs (learn more at nonclinicaldoctors.com ) . These health care professionals will be able to get adequate knowledge and experience to deal with the clinical trials. These professionals would have the ability to deal with the adverse events occurring during the trials. After medical monitor training and certifications; chances of their hiring by CRO’s (contract research organization) would increase. Unmatched MDs can pursue this as a phenomenal career path (see unmatchedMD.com ).

CCRPS is here to provide one of the most-advanced courses related to medical monitor: https://app.ccrps.org/courses/medial-monitor-certification

Clinical Research Staff Training: Clinical Research Education and Training Requirements

Difference between ich gcp and schedule y.