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Options for Fulfilling ORD Training Requirements

NOTE: Training in ethical principles on which human subjects research is to be conducted is required every 3 years for VA Investigators conducting human subjects research and their research staff.

VA Courses

The following online courses or conferences satisfy the ORD 3-year requirement for training in ethical principles of human research protection by VA Investigators and their research staff.

1. ORD and Collaborative Institutional Training Initiative (CITI) have developed a training curriculum that satisfies ORD training requirements. VHA Directive 1200.05, "Requirements for the Protection of Human Subjects in Research," requires that all individuals involved in conducting VA human subjects research are required to complete training on ethical principles on which human subjects research is to be conducted. There is no longer an ORD requirement for training in Good Clinical Practices.

ORD has now designated as "required" two of the modules that were previously in the list of electives for each stage of training. This does not affect any completion certificates that have already been earned, and the total number of modules required will not change. The minimum CITI training required to meet ORD requirements is set up for each VA facility and is now as follows:

  • Initial Training (Basic Course). Learners must complete two (2) required Ethics Modules selected by ORD, plus 6 additional modules from a selected list of 28 elective modules.
  • Refresher Training (Refresher Course). Learners must complete two (2) required Ethics
  • Modules selected by ORD, plus 6 additional modules from a selected list of 42 elective modules.

Options available at the discretion of each VA facility include (1) the renewal interval for the Human Subjects Protection training (up to three years), (2) requesting approval to accept training completed to meet the requirements of an affiliated institution, and (3) whether to offer GCP training.

To change your station's options in CITI, please send a request from the AO/R&D, ACOS/R&D, or R&D Coordinator to ORD CITI Training Administrators at, including the following information:

1.) Whether your VA facility wants to have the renewal interval for the Human Subjects Protection course changed.  The default is annual renewal, and it may be set to any number of years up to 3 years. If this is done, all currently valid completion certificates will also be updated accordingly.

2.) If your VA Facility wishes to have ORD approval of the affiliate's CITI modules or training required by another federal agency as meeting ORD training requirements, please submit a list of those CITI modules to both ORD CITI Training Administrators at and

3.) GCP training in CITI that is certified by TransCelerate BioPharma as satisfying the requirements for mutual recognition has now been set up for VA Facilities.  If there are investigators at your VA Facility who are required by their research sponsors to complete GCP training, it is recommended that these courses be turned on for your VA Facility.   These courses can be turned on for your VA Facility by either the ACOS/R&D or AO/R&D submitting a request to ORD CITI Training Administrators at to request it.

Some VA Facilities had custom GCP courses set up previously for your stations, based on the TransCelerate certified curricula.  If those custom courses contain the same modules as are required for the new courses, learners who completed the VA Facility’s custom training will get credit for the new training when the learners enroll in it.  Please note though that the courses that satisfy the requirements for mutual recognition were updated a few years ago, so if the VA Facility’s custom course was set up before that, the modules in it will not match those in the current course, and learners who completed the custom training will still have to take the new course to get credit.  It will be worthwhile in any case to have everyone switch over to the new training, as that is the training that will be updated as needed for all VA stations.

If you have any questions about VA human subject research training requirements, please send your questions to

If you have any technical problems, comments, or suggestions about the CITI site and navigation through it, please contact ORD CITI Training Administrators at



Name and Description of Course

Human Subjects Protection Training For VA Personnel Conducting FDA-Regulated Expanded Access Program Activities for the Treatment of Patients with Monkeypox - ORD has developed a set of training slides to meet ORD's training requirement in ethical principles for personnel who are conducting any FDA-regulated expanded access program for monkeypox. This abbreviated training serves as an alternative to CITI training. No test is associated with the training slides. The individual can enter his or her name and the date the individual has reviewed the training course on the certificate at the end of the training. This certificate may be sent to your local research office as proof of completion of the training. This training is not required to be completed prior to patient treatment.


Non-VA Courses

Name and Description of Course

Public Responsibility in Medicine and Research (PRIM&R) Annual Conferences

Any PRIM&R Annual Advancing Ethical Research (AER)Conferences or Social, Behavioral, and Educational Research (SBER) Conference will meet ORD's requirements for training in ethical principles in human subjects protections.

Certificate from Protecting Human Research Participants (previously offered by NIH)

Dunn CM and Chadwick G. Protecting Study Volunteers in Research: A comprehensive manual designed to assist clinical research professionals in providing the highest standards of safety and ethical treatment for their study volunteers. Developed in accordance with ACCME standards, readers can apply for CME credits and Nursing Contact Hours. An exam is provided with each manual. Manuals can be ordered off


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