1. October 18, 2012 | Volume 2, Issue 4
Institution Bulletin
Letter from the CEO
This month, two researchers were honored for basic research conducted
in academic settings. The Nobel Assembly awarded the 2012 Nobel Prize
in Physiology or Medicine to John B. Gurdon and Shinya Yamanaka,
investigators who discovered a way to develop stem cells from adult skin
cells—thus removing the need to use and destroy human embryos.
The work of these two scientists illustrates the importance of basic
research conducted every day in institutions across the country. In 1962,
Dr. Gurdon’s work was revolutionary in opening the door to cloning.
When coupled with the work of Dr. Yamanaka and other scientists, his
work now may pave the way for radical advances in medicine that allow
damaged or diseased tissues to be regenerated in the lab - or even inside
CEO Cami Gearhart , JD
patients' bodies.
Here at Quorum Review, we are privileged to review clinical research made possible by the tenacity and ingenuity
of researchers in hospitals and universities across the country. When an institution is ready to use a central IRB,
we are committed to supporting the organization with a high quality review and strong staff support. Today’s
newsletter delves more deeply into how to work with Quorum Review, from waiving jurisdiction to developing a
consent form. We look forward to an opportunity to work with you.
Sincerely,
Cami Gearhart, CEO
Quorum Review IRB

2. October 18, 2012 | Volume 2, Issue 4
Quorum Services: Custom Consent Form Service
Quorum Review offers a Custom Consent Form service to clients who would prefer to have Quorum develop the
consent document. Quorum draws on the combined expertise of legal, medical, and consent form development
staff to produce the consent forms needed for a given study.
When clients elect to use the Custom Consent Form service, they can
expect consent documents to include:
 An accurate summary of relevant information about the presented in
language that is understandable to the lay reader
 Elements required by Quorum Review standards, which include
regulations in the United States and Canada, and relevant U.S.
state and Canadian provincial law
 HIPAA statements for U.S. consent forms and PIPEDA statements
for Canadian consents
 Quorum Review’s preferred style and standards
In general, documents produced through the Custom Consent Form service will be based on Quorum Review’s
internal consent form templates. These templates can be modified to be appropriate for a wide variety of research
studies. In addition, upon request, the documents can incorporate relevant client template language between
Quorum Review and the client.
The time needed to create consent documents depends on the complexity of the study and the number of consent
forms that may be required. In general, most Custom Consent Form service requests can be fulfilled within four
to seven business days after the request submitted to Quorum. Upon receipt of a Custom Consent Form service
request, clients will be provided with a quote containing estimated costs and delivery times for the client’s review
and approval.
Clients will be asked to provide some information with a Custom Consent Form service request, including:
 Descriptions of the risks of study-related products, including the study drug or device, rescue medications,
prophylactic drugs, and other products specifically indicated in the protocol
 Risks of protocol procedures
 Alternative treatments
 The plan for compensating subjects in the event of illness or injury
If a client is not able to provide the information described above, this may extend the time needed to create the
consent documents and additional development charges may be incurred.

3. October 18, 2012 | Volume 2, Issue 4
Waiving Jurisdiction to Another IRB
For various reasons, a hospital, academic medical center, or other research organization may need to waiver
jurisdiction to an outside IRB. Institutions with a Federal Wide Assurances (FWA) from the Office of Human
Research Protections (OHRP) must ensure that the arrangements made with the outside IRB are documented in a
written agreement between the institution and the IRB if the research is covered by the FWA1. Although this
agreement is only required for research covered by an FWA, it is a best practice to ensure that arrangements for
IRB review of a study by an outside IRB are always documented in writing, regardless of whether the research
would fall under an institution’s FWA. The agreement should cover the following points:
 Outline the relationship between the Institution and the organization or institution operating the IRB
 Include a commitment that the IRB will adhere to the requirements of the institution’s FWA.
OHRP provides a sample authorization agreement that includes the required language but Institutions may have
good reason to expand upon this language and develop their own agreement. The agreement must be kept on file
by both organizations and must be made available to OHRP or any U.S. federal department or agency conducting
or supporting research covered by the FWA upon request. If an institution will rely on multiple external IRBs, the
institution must ensure that its FWA designates the external IRB that reviews the largest percentage of the
research covered by the FWA. The institution should also ensure that any IRB that will be reviewing research
covered by their FWA is registered with OHRP2.
Quorum Review solicits information with each new study submission to determine whether the investigator is
affiliated with an institution that has jurisdiction over the study. If so, the investigator is instructed to obtain
permission from the institution to rely on Quorum Review as the IRB for the study. It is important to note that
institutions must still authorize the jurisdiction to an outside IRB even if the institution does not maintain its
own internal IRB. An institution can waive jurisdiction to an outside IRB for a single study or multiple studies.
Quorum Review has an Institutional Jurisdiction Waiver Form and Institutional Authorization Agreement (IAA)
that can be used by institutions waiving to jurisdiction to Quorum. Quorum will also accept the template
authorization agreement developed by OHRP.
1
Assurance Process - FAQs, U.S. Department of Health & Human Services, Office of Human Research Protections, available at:
http://answers.hhs.gov/ohrp/categories/1563, accessed 09/25/2012.
2 2
Id.

4. October 18, 2012 | Volume 2, Issue 4
Healthy Recipe Healthy Tip
Pear Salad with Raspberry Dressing Fast Food Choices
This is a great fall salad and will be popular with the whole There are several easy ways today to reduce calories and
family. The combination of fruit with nuts and raspberry still enjoy an occasional meal at a fast food restaurant.
dressing is pleasing to the palate. This easy recipe also works
well in diabetic menus. Consider the simple reduction of calories
2 medium pears, chopped, not peeled (~3 cups) by as much as 100 – 150 by skipping the
1 tablespoon lemon juice mayonnaise or special sauce. Or try
10–12 ounces mixed salad greens (~2 quarts) substituting the fries. More chains are
1/4 cup chopped walnuts or almonds
1/2 cup reduced-fat raspberry salad dressing including fruits and vegetables, which are
Optional: 2-3 ounces blue cheese, crumbled lower in calories if they are not deep fried
or covered with rich sauces.
In a large salad bowl, mix chopped pears with lemon juice to
prevent browning. Add salad greens and nuts. Pour dressing Before eating out at a fast food restaurant, take a moment
over salad and toss. Optional: Top with blue cheese. to calculate the calories you’ll be consuming. Calories
charts are available in most chain stores and on the
Note: One serving is an excellent source of fiber.
internet. If you own a smart phone, a plethora of apps
Most of the fat in the recipe is heart-healthy omega-3 fat and are available to download that will give you fast food
polyunsaturated fat. caloric info on the go.
Makes 10 cups or 5 servings Here are a few online references that are easy to print:
 http://www.foodfacts.info
Each Serving: 2 cups  http://www.menshealth.com/nutrition/eating-out-
Carb Servings: 1 1/2 restaurants-nutritional-charts
Nutrient Analysis
calories 158
total fat 7g Contact Quorum Review
saturated fat 0g Interested in learning more about Quorum Review?
cholesterol 0mg Our Institutional Specialists are ready to answer your
sodium 243mg inquiries regarding your organization’s specific
total carbohydrate 23g institutional IRB needs.
dietary fiber 5g
sugars 15g Courtney Scott Nancy Jane Earnhardt
protein 3g Institutional Specialist Institutional Specialist
cscott@quorumreview.com nearnhardt@quorumreview.com
T | 206-708-9497 T | 919-930-5198
Source: Quick & Healthy Recipes and Ideas, 3rd Edition, ©2008, Brenda J.
Ponichtera, R.D, Published by Small Steps Press, publishing health conscious The Institution Bulletin is a special publication of the Quorum Forum, and
books for the general population, a division of the American Diabetes brought to you by the Institution Team at Quorum Review.
Association; www.QuickandHealthy.net