Establishing a Human Research Protection Program in a Combatant Command

Abstract

Extensive United States combat operations commenced for the first time in over decade in 2003. Early in 2004 there was no human research protection regulatory review and approval mechanism based in a deployed military combatant command. The absence of such a system presented a critical impediment to implementation of the time-honored tradition of a robust combat casualty care research effort. A coalition of concerned military medical personnel from the US Army proposed a novel mechanism to meet Department of Defense (DOD) requirements for the human research protection oversight of studies conducted in the combat theater of operations. In 2005, the Commander of Task Force 44 Medical Command (44th MEDCOM), who was serving as the Multi-National Corps Iraq (MNC-I) Surgeon, was charged with negotiating a DOD Assurance and implementing a new system of research review and protections. He deployed an Army Medical Department Medical Corps officer to assist in this endeavor and operationalize the plan. On March 19, 2005, the Multi-National Corps Iraq Commander signed a historic agreement with the US Army Surgeon General who developed a regulatory support and oversight mechanism to conduct research in theater. This innovative system not only honored the Army's commitment to human research protections, but also provided much needed support in the form of scientific and ethical review and compliance oversight to those deployed medical personnel with the vision to conduct healthcare studies in the combat environment. On July 20, 2005, the first DOD Assurance of Compliance for the Protection of Human Research Subjects was approved for MNC-I. This assurance allows the conduct of human subjects research in full compliance with all Federal, DOD, and Army regulatory requirements. This article describes that unique process.

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Document Details

Document Type
Technical Report
Publication Date
Feb 01, 2008
Accession Number
ADA480320

Entities

People

  • Jennifer C. Thompson
  • John B Holcomb
  • Laura R. Brosch
  • Paul R. Cordts

Organizations

  • United States Army Medical Research and Development Command

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Biomedical Research
  • Casualties
  • Combat Areas
  • Combat Casualty Care
  • Combat Support Hospitals
  • Command And Control
  • Department Of Defense
  • Health Services
  • Institutional Review Board
  • Law
  • Medical Personnel
  • Military Medicine
  • Patient Care
  • Task Forces
  • Unified Combatant Commands
  • United States
  • Warfare

Readers

  • Enterprise Information Systems Architecture and Joint Command Capability Interoperability Support.
  • Medical or Health Care Field.
  • Technical Research and Report Writing.