This document summarizes presentations from ExLPharma's 4th Latin America Clinical Trials conference. It discusses topics like IRB collaboration between institutions, using microfinance organizations' infrastructure to aid in clinical trial recruitment and retention, ensuring quality in clinical research, and considerations for outsourcing clinical research functions. Key aspects covered include developing countries' IRB competencies, challenges and benefits of the clinical trial-microfinance partnership model, importance of quality oversight and planning, and factors to consider for outsourcing research and development activities.