RCR Program | Attestation of Completion

Email RCR@mgb.org with any questions.
Mass General Brigham has developed a Responsible Conduct of Research (RCR) Program to satisfy NIH and NSF requirements. The RCR Program consists of two components: 1) A 4-hour Mass General Brigham RCR Seminar; and 2) At least 4 credit hours of RCR-eligible lectures/discussions. Please complete this form to attest that you have completed both components of the MGB RCR Program.

RCR Trainee Information:

Name: (Last, First)

Email: (No personal emails)

MGB Username: (Write N/A if you do not have one)

Institution:

Training Grant Information:

PI Name: (Last, First)

Training Grant Type:

NIH or NSF Grant #:

Part 1: MGBE RCO Responsible Conduct of Research (RCR) Seminar

RCR Seminar Date:

# of RCR Credits:

Part 2: Supplemental Coursework

Please list the RCR-eligible lectures/discussions you attended either in person or via live interactive webinars.

Examples of RCR-eligible courses include:

MGBE OCR Research Integrity
MGBE OCR Managing Problems with Co-Authors
MGBE OCR Pathways & Pitfalls: Considerations in Publishing & Research Integrity

MGBE HRA Clinical Research Boot Camp Webinar
MGBE HRA Good Clinical Practice (GCP) Webinar

	Title of Lecture	Date of Lecture	# of RCR Credits
1
2
3
4

Total RCR Credits:

Please provide clarifying comments, if any, required to understand your attestation:

Lecture 1 Lecturer

Lecture 1 Location

RCR-Eligible Lecture/Discussion 2

Lecture 2 Lecturer

Lecture 2 Location

Lecture 3 Lecturer

Lecture 3 Location

Lecture 4 Lecturer

Lecture 4 Location

Attestation

By signing below, I attest that I have completed all of the above RCR Program Requirements.

Signature

Date

Research Compliance Approval

Attestation approved by MGB Research Compliance?

Signature of MGB Research Compliance Staff

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