Core competencies

Explore each of the 8 competency domains below to identify the knowledge, skills, and attitudes necessary for the effective, ethical, and safe conduct of clinical trials. The domains are based on the internationally recognised Joint Task Force for Clinical Trial Competency (JTF) framework and have been adapted to Swiss legislation on human research.


Fundamental, skilled, and advanced levels correspond to sub-investigator, investigator and sponsor-investigator roles respectively, as defined by ICH-GCP guidelines and Swiss legislation on human research.

1 — Scientific concepts and research design

Encompasses the knowledge of scientific concepts related to the design and analysis of clinical trials

1.1
Have health-related knowledge and practical experience in the medical area
1.2
Apply scientific principles to the discovery and development of interventions
1.3
Identify scientific questions, clinical research hypotheses, and objectives of clinical trials
1.4
Explain the relationship between trial protocol adherence and eligibility criteria
1.5
Identify elements, explain principles and processes of clinical trials, understand methodology
1.6
Analyse and interpret clinical trial results

2 — Ethics and participant rights

Encompasses the care of patients, their rights, and aspects of participant protection in the conduct of a clinical trial

2.1
Explain the evolution of the regulatory framework ensuring the protection of participants
2.2
Differentiate between standard of care and clinical trial activities
2.3
Define “clinical equipoise”, the “uncertainty principle”, and “therapeutic misconception”
2.4
Apply principles and regulations of trial participant protections and privacy
2.5
Explain the evolution of the requirement for an Informed Consent Form (ICF) for trial participants
2.6
Describe the ethical issues involved when dealing with vulnerable populations
2.7
Evaluate and apply an understanding of the relevant ethical issues and cultural variation
2.8
Summarise the principles and methods of distributing and balancing risks and benefits

3 — Healthcare intervention development and regulation

Encompasses the knowledge of how healthcare interventions are developed and regulated

3.1
Discuss historical events that precipitated the development of regulatory processes
3.2
Describe the roles and responsibilities of parties participating in the development process
3.3
Explain investigational product development
3.4
Compare regulatory frameworks ensuring trial safety, efficacy, and quality
3.5
Describe processes to follow for the marketing authorisation of investigational products
3.6
Describe the pre- and post- approval safety reporting requirements to competent authorities
3.7
Securing or maintaining ethical and regulatory approvals for clinical trials

4 — Clinical research operations (Good Clinical Practice)

Encompasses trial management and GCP compliance, safety management, and the handling of an investigational product (IMP, IMD and transplant)

4.1
Describe the roles and responsibilities of the clinical trial team as defined by GCP guidelines
4.2
Evaluate the design, conduct and documentation of trials in compliance with GCP guidelines
4.3
Develop a Quality Management System (QMS) and Standard Operating Procedures (SOPs)
4.4
Describe appropriate control, storage and dispensing of investigational product
4.5
Differentiate the types of adverse events (AEs), explain identification and reporting
4.6
Describe how regulations and guidelines assure participant protection and privacy
4.7
Describe the role and process of monitoring a clinical trial
4.8
Describe the role and purpose of clinical trial audits and inspections
4.9
Describe methods by which safety issues are identified and managed in clinical trials
4.10
Determining liability and insurance needs

5 — Trial and site management

Encompasses the content required at the site level to run a clinical trial (e.g. infrastructural, financial, and personnel aspects); includes site and trial operations (not necessarily encompassing regulatory/ GCP guidelines)

5.1
Describe the methods used to determine whether to sponsor, supervise or participate in a trial
5.2
Develop and manage the financial, timelines, infrastructure, and personnel resources
5.3
Apply for funding
5.4
Describe the management and training approaches to mitigate risk improving trial conduct
5.5
Develop strategies to manage participant recruitment, retention, compliance, and trial activities
5.6
Identify the legal responsibilities, liabilities and accountabilities involved in trial conduct
5.7
Identify and explain the procedural, documentation and oversight requirements of trial conduct
5.8
Perform and have oversight of trial related tasks
5.9
Trial communication: Reporting, facilitating or attending meetings
5.10
Securing or maintaining contracts

6 — Data management

Encompasses how data are acquired and managed during a clinical trial, including source data, data entry, queries, quality control, correction, and database lock

6.1
Describe the role and importance of data management in clinical trials
6.2
Describe the origin, flow, and management of data through a clinical trial
6.3
Describe best practices for data collection, capture, management, analysis, and reporting
6.4
Describe, develop, and implement processes for data quality assurance
6.5
Analyse data with adequate statistics

7 — Leadership and professionalism

Encompasses the principles and practices of leadership and professionalism in clinical research

7.1
Describe and apply the principles and practices of leadership, management, and mentorship
7.2
Identify conflicts associated with trial conduct, implement prevention or management procedures
7.3
Identify and apply professional guidelines and codes of ethics applying to the conduct of trials
7.4
Describe the impact of regional diversity and show cultural competency in design and conduct
7.5
Interpersonal and organisational skills

8 — Communication and teamwork

Encompasses all elements of communication within the site and between the site and the sponsor, CRO, and regulators as well as understanding of teamwork skills necessary for conducting a clinical trial

8.1
Discuss the relationship and communication between sponsor, CRO, and clinical trial site
8.2
Describe the components of a scientific publication and disseminate research findings
8.3
Communicate the relevance of trial findings to colleagues, advocacy groups, and non-scientists
8.4
Describe team science and methods to work in multidisciplinary and inter-professional settings
8.5
Liaising or acting as a link