CITI Completion Reports

CITI Completion Reports

Upload your CITI completion reports. Certificates will not be accepted.

Deadline: September 30th

Full Name*

WRH Email Address*

Title*

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Check this box if you plan to participate in Sponsor/Vendor research.

Residency Program*

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Affiliation*

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Program Year*

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Alert! Reaffiliate*

All residents and staff are required to affiliate with Lake Erie College of Osteopathic Medicine for their CITI training courses. Follow the Resident Registration and Affiliation Guide.

Return to complete this form after you have re-affiliated. Completed modules will transfer over from previous affiliations.

PGY-1 Required Courses*

Attach all the required courses in one submission.

Required Courses:

Human Subject Research (HSR)*

Good Clinical Practice (GCP)

Research Study Design (RSD)

*Please note that once registered, the HSR course will appear as "Resident - Stage 1 Basic Course"

Optional Course:

Health Information Privacy & Security (HIPS)

Please select all reports that are attached to this submission.

Select

PGY-4 Required Courses*

Required Course:

Human Subject Research (HSR)*

*Please note that once registered, the HSR course will appear as "Resident - Stage 1 Basic Course"

Optional Courses:

Good Clinical Practice (GCP)

Research Study Design (RSD)

Health Information Privacy & Security (HIPS)

Please select all reports that are attached to this submission.

Select

Courses*

Required Course:

Human Subject Research (HSR)*

*Please note that once registered, the HSR course will appear as "Your Title** - Stage 1 Basic Course"

**Your Title may be Program Director, Research Administrator, Clinical Researcher, etc.

Optional Courses:

Good Clinical Practice (GCP)

Research Study Design (RSD)

Health Information Privacy & Security (HIPS)

Please select all reports that are attached to this submission.

Select

Properly Labeled *

Each file must be labeled with your last name, course code (HSR), and month/year completed.

EX: DeWitt_HSR_09.2022.

Have you properly labeled your reports?

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Alert! Relabel *

Each file must be labeled with your last name, course code (HSR), and month/year completed.

EX: DeWitt_HSR_09.2022.

Return to complete this form after you have re-labeled the reports.

File Upload*

Please attach all required completion reports in one submission. Do NOT attach certificates.

Drag and drop files here or

Send me a copy of my responses

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