Minutes Of The Irb Meeting

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TMC-IRB Form 013-1
Minutes of the IRB Meeting
Version 01: Review and Approved 05 June 2012
Modified: 1 October 2012
The Medical City
Institutional Review Board
MINUTES OF THE IRB MEETING
Date:________
Time:________
Venue:________
1. Call to Order:
____________, TMC-IRB Chair, called this regular meeting to order at __________ o’clock in the ________.
PRESENT:
ABSENT:
2. Determination of Quorum and Presence of Non-Institutional and/or Lay Board Member/s
There is ________ declared. ____ members are present, inclusive of the presence of ____ Committee members and ___
non-institutional, including ____ lay member, as confirmed by the IRB secretary, Mr/Ms._______.
3. Conflict of Interest Disclosure
_________ (Chair) called for disclosure of Conflict of Interest (COI) in the protocols scheduled for deliberation in the
meeting. There is ______ (there is or there is none) COI among board members present to the protocols to be reviewed.
4. Reading and Approval of Minutes
Minutes of the _________ (previous meeting) Board meeting were distributed to the Board.. The minutes were corrected
during the discussion and approved as amended. ____________ moved to approve the minutes. __________ seconded the
motion.
5. Protocol Review
5.1 Approved Protocols for the IRBent month
IRB Assigned ID
Date Submitted
Title of Protocol
Principal Investigator
Type of Review
Funding Agency/ Sponsor
Quorum status
Conflict of interest
Protocol assessment
discussion of issues
conclusion
recommendations
Final Action
FORM 013-1

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