1.Do an IRC and Sutter researcher educational/social activity.  Maybe a 2 hour IRC education session to roll out any language changes, form changes and summarize some of the ongoing “red light” issues from the previous year. 

2. Send out an annual letter/newsletter to pharmas, research groups and researchers with summary statistics on our output and turnaround time and summarizing some of problems that continually came up over the year with their consent forms, protocols and study designs.  No need to identify any individual or company.

3. Come up with a way to shift more responsibility for good study design, protocols and consent forms on to the researcher where it belongs.  Perhaps Sutter should reconsider forming a research assessment group.  SIMR cannot do this with current personnel.  A medical writer would be needed.