Site Monitor/CRA

3 weeks ago


Canada, CA Parexel Full time

The Site Monitor will be responsible for data integrity, data quality and ensuring compliance with ICH GCP and local requirements at the site level. Monitoring will be conducted in line with the Study Monitoring Plan and will be performed virtually for the majority of activities to supplement on-site visit requirements. The Site Monitor will collaborate with the Site Manager to assure that the site is in compliance with the protocol and is inspection ready.


French Speaking proficiency required***


Job Description

Clinical Trial Monitoring and Study Conduct

  • Ensures regulatory, ICH-GCP and protocol compliance. Uses judgment and experience to evaluate overall performance of site and site staff and to provide recommendations regarding site-specific actions; immediately communicates/escalates significant issues to the project team and develops action plans. Maintains a working knowledge of ICH/GCP Guidelines or other applicable guidance, relevant regulations, and company SOPs/processes
  • Verifies the process of obtaining informed consent has been adequately performed and documented for each subject/patient, as required/appropriate. Demonstrates diligence in protecting the confidentiality of each subject/patient. Assesses factors that might affect subject/patient’s safety and clinical data integrity at an investigator/physician site such as protocol deviation/violations and pharmacovigilance issues
  • Per the Clinical Monitoring/Study Monitoring Plan (CMP/SMP): Ability to conduct monitoring activities using different methods, e.g., both on-site and remote, where allowed by country regulations
  • Conducts Source Document Review and Source Data Verification of appropriate site source documents and medical records
  • Verifies required clinical data entered in the case report form (CRF) is accurate and complete
  • Manages reporting of protocol deviations and appropriate follow-up
  • Applies query resolution techniques remotely and on site, and provides guidance to site staff as necessary, driving query resolution to closure within agreed timelines available hardware and software to support the effective conduct of the clinical study data review and capture
  • May perform investigational product (IP) inventory, reconciliation and reviews storage and security. Verifies the IP has been dispensed and administered to subjects/patients according to the protocol. Verifies issues or risks associated with blinded or randomized information related to IP. Applies knowledge of GCP/local regulations and organizational procedures to ensure IP is appropriately (re)labelled, imported and released/returned
  • Manages reporting of identified issues and manages follow-up to resolution
  • Documents activities via follow-up letters, monitoring reports, communication logs, and other required project documents as per SOPs and Clinical Monitoring Plan/Study Monitoring Plan
  • Ensures all activities are managed by site personnel who are appropriately delegated and trained
  • Enters data into tracking systems as required to track all observations, ongoing status and assigned action items to resolution
  • For assigned activities, understands project scope, budgets, and timelines; manages site-level activities / communication to ensure project objectives, deliverables and timelines are met. Must be able to quickly adapt to changing priorities to achieve goals / targets
  • Reviews Data entry timeliness in line with outlined requirements, missing pages, outstanding data queries, timelines for database locks
  • Reviews site signature sheet and delegation of duties log to confirm any newly added or removed site staff are documented appropriately and the log is up to date. Where the site or Site Signature Sheet and Delegation of Duties Log indicates site personnel are no longer active on a study review and assess training compliance with any new/updated training requirements (i.e., protocol amendment(s), etc.)
  • Conducts Follow-up for Escalated AEM Report Query
  • Checks the site/external facilities, equipment and supplies (clinical and non-clinical) continue to be adequate to conduct the trial and with their expiry dates (as applicable)
  • Checks site-specific logs are complete and up to date (e.g., Site Visit Log, Screening and Enrollment Log, Signature Sheet and Delegation of Duties Log, Subject Identification Code List, Investigational Product Accountability Log)

Collaboration

  • Will collaborate with primary Site Manager who will act as the primary liaison with site personnel
  • Prepares for and attends Investigator Meetings and/or sponsor face to face meetings. Participates in global clinical monitoring/project staff meetings (inclusive of Sponsor representation, as applicable) and attends clinical training sessions according to the project specific requirements.

Process, Standards, and Oversight

  • Provides guidance at the site and project level towards audit readiness standards and supports preparation for audit and required follow-up actions.

Compliance with Parexel standards

  • Complies with required training curriculum
  • Completes timesheets accurately as required
  • Submits expense reports as required
  • Updates CV as required
  • Maintains a working knowledge of and complies with Parexel processes, ICH-GCPs and other applicable requirements
  • Skills:
  • Demonstrated networking and relationship building skills
  • Ability to communicate effectively and appropriately with internal & external stakeholders
  • Ability to adapt to changing technologies and processes
  • Effectively overcoming barriers encountered during the implementation of new processes and systems
  • Identifies and builds effective relationships with investigator site staff and other stakeholders
  • Effective verbal and written communication skills in relating to colleagues and associates both inside and outside of the organization
  • Proficiency in local language preferred. English is required
  • Knowledge and Experience:
  • A minimum of 1 year experience (for Site Monitor I) and 3+ years' experience (Site Monitor II) as a clinical monitor with demonstrated experience of monitoring (virtual or onsite)
  • Knowledge of Good Clinical Practice/ICH Guidelines and other applicable regulatory requirements
  • Must demonstrate good computer skills and be able to embrace new technologies
  • Excellent communication, presentation, and interpersonal skills
  • Ability to manage required travel of up to 75% on a regular basis
  • Demonstrated experience of utilizing systems like Siebel CTMS, eTMF , eISF (Florence) OR can demonstrate skill sets that show they have agility to work with new systems to support monitoring practice
  • Education:
  • Bachelor’s degree or RN in a related field or equivalent combination of education, training, and experience

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