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Ethics and Trial Design


ONLINEACPECMECNEEthics/ProfessionalismComplimentary - No FeeMEHP Courses

  • Overview
  • Register
  • Faculty
  • Online Content & Tests


Date & Location
Wednesday, August 2, 2023, 12:00 PM - Sunday, August 2, 2026, 12:00 AM

Course Overview

Intended for both researchers and those involved in research oversight, this course provides an overview of ethical principles relevant to the design of trials involving human subjects. Learners will review foundational study designs and design tools with a focus on ethical and regulatory considerations.

Topics include:

  • Differentiating between research and quality improvement.

  • Observational and interventional designs.

  • Randomization, blinding, and placebos.

  • First-in-Human, or Phase I, trials.

  • Cluster randomization.

  • Comparative effectiveness research.

There was no commercial support used in the development of this educational activity.

Content last reviewed: April 25, 2025


Learning Objectives

After completing this activity, participants should be able to:


  1. Summarize features of sound study design, a key prerequisite for ethical research with human subjects.
  2. Recognize areas of ethical ambiguity in the design of research trials involving human subjects.
  3. Outline strategies to address potential ethical challenges in the design of research studies.

Registration
There is no registration fee but you are still required to register.
 
In this activity, learners will engage with the content by moving through a series of brief video lectures with links to related readings, downloadable resources, and quizzes.
 
The Structure of the Course
• Research vs. QA / QI (8:08)
• Observational Research Design (6:18)
• Interventional Research Design (4:54)
• Randomization (9:00)
• Blinding and Placebos (8:13)
• First-in-Human Trials (9:24)
• Cluster Randomization (9:11)
• Comparative Effectiveness Research (9:24)
 
Each lecture includes a list of suggested readings that provide more detail about what was discussed. Links to external readings will lead you to an abstract or, if available, the full article.

Note that closed captions are available for all video segments.
 
Successful completion of this educational activity and receipt of certificate of credit includes achieving a minimum score of 90% on the post-test.

Accreditation
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 
 
DESIGNATION OF CREDIT
Physicians: Penn Medicine designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nurses: This program provides 1.5 NCPD Hours.
 
Pharmacists: This knowledge-based activity is approved for 1.5 ACPE contact hours of continuing pharmacy education credit. 
UAN: JA0000324-0000-21-031-H04-P

Credits
AMA PRA Category 1 Credits™ (1.50 hours), ACPE (1.50 hours), NCPD Hours (ANCC) (1.50 hours), Non-Physician Attendance / Participation (1.50 hours)
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About the Instructor:

Steven Joffe, MD, MPH, is the Art and Ilene Penn Professor of Medical Ethics and Health Policy at the University of Pennsylvania Perelman School of Medicine. He serves as chair of the Department of Medical Ethics and Health Policy and chief of the Division of Medical Ethics, where he directs a National Human Genome Research Institute- (NHGRI-) funded postdoctoral training program in the ethical, legal, and social implications of genomics. In addition, he is professor of pediatrics at the Perelman School of Medicine and Children’s Hospital of Philadelphia (CHOP). He attended Harvard College, received his medical degree from the University of California at San Francisco (UCSF), and received his public health degree from UC Berkeley. He trained in pediatrics at UCSF and undertook fellowship training in pediatric hematology/oncology at the Dana-Farber Cancer Institute and Boston Children’s Hospital. Prior to coming to Penn, he served on the faculty of Harvard Medical School, and was an attending pediatric oncologist at the Dana-Farber Cancer Institute and Boston Children’s Hospital, for 13 years. 

Dr. Joffe’s research addresses the many ethical challenges that arise in the conduct of clinical and translational investigation and in genomic medicine. He has been the principal investigator (PI) of NIH, Patient-Centered Outcomes Research Institute (PCORI), and foundation-funded studies that examine the roles and responsibilities of PIs in multicenter randomized trials, accountability in the clinical research enterprise, governance of learning activities within learning health care systems, return of individual genetic results to participants in epidemiologic cohort studies, and the integration of genomic sequencing technologies into cancer care. He has also lectured widely on research ethics and on the ethical, legal, and social implications of genomic technologies. He was previously a member of the Department of Health and Human Services Secretary’s Advisory Committee for Human Research Protections, of the National Academy of Sciences Committee on Federal Research Regulations and Reporting Requirements, and of the U.S. Food and Drug Administration’s (FDA) Pediatrics Ethics Subcommittee, and of the Data and Safety Monitoring Board overseeing the federally funded phase III trials of COVID19 vaccines. In addition, he previously chaired the Children's Oncology Group Bioethics Committee and the NHGRI's Genomics and Society Working Group. He is an elected member of the National Academy of Medicine.

In his teaching within the department's online educational initiatives, Dr. Joffe aims to convey a deep understanding of the ethical principles underlying research, while guiding students in how to apply those principles to real-world problems. He hopes students will take one core lesson from his teaching: it is possible to conduct studies on questions relevant to policy and practice that are simultaneously experimentally rigorous and ethically respectful of the rights and interests of the individuals who take part.

Disclosures
The following planning committee member has reported the following relevant financial relationships with commercial interests related to the content of this educational activity:
Ezekiel J. Emanuel, MD, PhD: Leigh Bureau, Speaker Honorarium; Oak HC/FT, Salary; Nuna, Stock Shareholder

The faculty and planning committee members listed below have disclosed that they have no relevant financial relationships with any commercial interests related to the content of this educational activity:
Steven Joffe, MD, MPH
Autumn Fiester, PhD
Dominic A. Sisti, PhD
Connie Ulrich, PhD, MSN
Amy Ashbridge, MBA
Adam Zolkover, MA
Laura C. Hart, MFA
Mila Kostic, CHCP, FACEHP
Michael Schoen, PhD
Rodman Campbell, CHCP
Patricia Smith, DNP, RN, BC

The faculty reported that there will be no mention of investigational and/or off-label use of products in this presentation.
Steven Joffe, MD, MPH, Chief, Division of Medical Ethics
Chair, Department of Medical Ethics and Health Policy
Perelman School of Medicine
Philadelphia, PA

Ethics and Trial Design Pre-Test
How to Receive Credit:

To receive your Certificate of Credit for participating in this CME/CE-certified educational curriculum, please follow these steps:
  •   Read all the introductory material including faculty and disclosure information
  •   Complete the pre-test
  •   Review the video lectures, references and resources
  •   Complete the post-test. You will have 5 attempts to earn at least 90% on the post-test in order to complete the course and earn your certificate.
  •   Evaluate the activity using the brief survey. You must complete the post activity evaluation to receive credit.
  •   You will be able to download your certificate after completing the post-activity evaluation.
Register to Access
Research vs. QA/QI (8:08)
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Observational Research Design (6:18)
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Interventional Research Design (4:54)
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Randomization (9:00)
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Blinding and Placebos (8:13)
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First-in-Human Trials (9:24)
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Cluster Randomization (9:11)
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Comparative Effectiveness Research (9:24)
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References
Once the reference list opens and the pdf is displayed, please right click on the links for them to open in a new window. 
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Ethics and Trial Design Post-Test

There are 8 questions.

  • You will have 5 attempts to earn at least 90% on the post-test in order to complete the course and earn your certificate.
  • Once you have successfully completed the test, you should be prompted to complete the evaluation. 
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UPenn is Joint Accredited for Interprofessional Continuing Education
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
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