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Death by a Thousands Cuts: 
Researcher Burden 
Up Close and Personal 
Michael Conlon, PhD 
Clinical and Translational Science 
Institute 
University of Florida
Research Process 1974 
Hypothesis Experiment Publication
Research Process 2014 
(Simplified version) 
Hypothesis 
Consults 
Assemble 
Team 
Get 
appro 
vals 
Negot 
iate 
Write 
proposal 
Get 
Funded 
Set-up 
Accounts 
Hire 
people 
InfoSec 
review 
Create 
Data 
systems 
Get 
appro 
vals 
Experi-ment 
Audits 
Publi- 
Cation 
Report to 
sponsor 
Archive 
data 
Progress 
reports
Starting a Clinical Trial
But wait, there’s more … 
Application to the NIH: 
125 pages of science 
200 pages of biosketches 
50 pages of budget justification 
50 pages of research resource descriptions 
30 pages of letters of support 
50 pages of consortium sub-contract 
50 pages of appendix material 
278 pages of forms and attachments 
833 pages total. 15% science
Some Domains of Burden 
• Finance 
• Accounting 
• Human Resources 
• Privacy 
• Security 
• Information Security 
• Risk Management 
• Environmental Safety 
• Diversity 
• Space 
• Protection of Human 
Subjects 
• Protection of Animals 
• Protection of 
Intellectual Property 
• Conflict of Interest 
• Environmental 
protection 
• Sub-Contracting 
• Purchasing 
• Effort
Forms of Burden 
• Paperwork/forms 
– Required customized responses 
• Training 
– Tied to evaluation, finance 
• Required use of specific computer systems 
– Up to 50 different systems required for clinical research at UF 
• Approvals 
– Additional process steps. Additional delay 
• Reporting 
– Federal, sponsor, state, university, college, department, institute 
• Required Meetings 
– For reviews, approvals, custom/new situations
How Did It Get This Way? 
• “It’s the law” 
• “If it can be tracked, it must be tracked” 
• It’s easier, simpler, safer, requires less 
thinking, to err on the side of more burden 
• Every domain is entitled to create burden in 
support of their mission without regard to 
total burden 
• No one is checking the checkers 
• Efforts to combat burden are easily 
characterized as being “against compliance”
What can be done?
1. Don’t ignore the problem
2. Use a Team Approach to 
respond to existing burden
Investigator-Centric 
• Senior investigators create staffs to handle 
burden. Isolates the investigator from the 
burden (good), removes the investigator 
as an advocate for change (not so good) 
• Mid-career investigators use whatever 
resources they can to manage burden 
• Junior investigators are often bewildered 
and incapable of managing the burden
Facilitator-centric 
• The Clinical and Translational Science 
Institute provides support to investigators 
managing research burden: 
– Human subjects 
– Clinical trials compliance 
– IND/IDE assistance 
– Proposal development
3. Lower the Burden via Process 
Re-engineering
Clinical Trial Start-up 
• Offices involved in administering 
processes come together to redesign 
clinical trial start-up: human subject 
approval, budgeting, contracting 
• Result: U.S. national average for final 
negotiation of a clinical trial is 55 days, 
final contract execution is 103 days. At 
UF, 20 days and 39 days, respectively.
Simplifying Recruitment

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F&I: Mike Conlon - Death by 1,000 Cuts: Researcher Burden Up Close & Personal

  • 1. Death by a Thousands Cuts: Researcher Burden Up Close and Personal Michael Conlon, PhD Clinical and Translational Science Institute University of Florida
  • 2. Research Process 1974 Hypothesis Experiment Publication
  • 3. Research Process 2014 (Simplified version) Hypothesis Consults Assemble Team Get appro vals Negot iate Write proposal Get Funded Set-up Accounts Hire people InfoSec review Create Data systems Get appro vals Experi-ment Audits Publi- Cation Report to sponsor Archive data Progress reports
  • 5. But wait, there’s more … Application to the NIH: 125 pages of science 200 pages of biosketches 50 pages of budget justification 50 pages of research resource descriptions 30 pages of letters of support 50 pages of consortium sub-contract 50 pages of appendix material 278 pages of forms and attachments 833 pages total. 15% science
  • 6. Some Domains of Burden • Finance • Accounting • Human Resources • Privacy • Security • Information Security • Risk Management • Environmental Safety • Diversity • Space • Protection of Human Subjects • Protection of Animals • Protection of Intellectual Property • Conflict of Interest • Environmental protection • Sub-Contracting • Purchasing • Effort
  • 7. Forms of Burden • Paperwork/forms – Required customized responses • Training – Tied to evaluation, finance • Required use of specific computer systems – Up to 50 different systems required for clinical research at UF • Approvals – Additional process steps. Additional delay • Reporting – Federal, sponsor, state, university, college, department, institute • Required Meetings – For reviews, approvals, custom/new situations
  • 8.
  • 9. How Did It Get This Way? • “It’s the law” • “If it can be tracked, it must be tracked” • It’s easier, simpler, safer, requires less thinking, to err on the side of more burden • Every domain is entitled to create burden in support of their mission without regard to total burden • No one is checking the checkers • Efforts to combat burden are easily characterized as being “against compliance”
  • 10. What can be done?
  • 11. 1. Don’t ignore the problem
  • 12. 2. Use a Team Approach to respond to existing burden
  • 13. Investigator-Centric • Senior investigators create staffs to handle burden. Isolates the investigator from the burden (good), removes the investigator as an advocate for change (not so good) • Mid-career investigators use whatever resources they can to manage burden • Junior investigators are often bewildered and incapable of managing the burden
  • 14. Facilitator-centric • The Clinical and Translational Science Institute provides support to investigators managing research burden: – Human subjects – Clinical trials compliance – IND/IDE assistance – Proposal development
  • 15. 3. Lower the Burden via Process Re-engineering
  • 16. Clinical Trial Start-up • Offices involved in administering processes come together to redesign clinical trial start-up: human subject approval, budgeting, contracting • Result: U.S. national average for final negotiation of a clinical trial is 55 days, final contract execution is 103 days. At UF, 20 days and 39 days, respectively.

Editor's Notes

  1. Work the functionaries, the faculty senate, the office of research, the health systems, the provost, the president.
  2. Work the functionaries, the faculty senate, the office of research, the health systems, the provost, the president.
  3. Work the functionaries, the faculty senate, the office of research, the health systems, the provost, the president.