Title:
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4Well-trained andmotivated personnel can often
ensure high-quality animal care.
5Training hits
- 64 Guide for the Care and Use of Laboratory
Animals - 36 Institutional Administrators Manual for
Laboratory Animal Care and Use - 35 Institutional Animal Care and Use Committee
Guidebook - 22 Biosafety in Microbiological and Biomedical
Laboratories - 17 Guidelines for Research Involving Recombinant
DNA Molecules - 3 PHS Policy on Humane Care and Use of Laboratory
Animals - 7 Animal Welfare Regulations, 9CFR, Part 3
6AAALAC identified training deficiencies
(mandatory/suggestion)
- Year IACUC OHSP Personnel
- 1998 9/6 3/2 1/1
- 1999 10/5 4/6 1/4
- 2000 5/4 7/3 0/4
- 2001 4/0 4/5 5/3
- 2002 3/3 4/2 1/4
7Many deficiencies and suggestions for improvement
in other areas are related to inadequate
training.
8Institutions should develop and embrace a culture
of training, inclusive of administrators,
compliance staff, IACUC, veterinary staff, animal
care staff, and research staff.
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10The AAALAC International Program Description
- Describe the training, certification level and
type, and experience of animal care personnel. - Describe the continuing education opportunities
provided to animal care personnel.
11The AAALAC International Program Description
- Describe the personnel training for specific
procedures - use of hazardous agents in animals
- educational program(s) to inform personnel about
zoonoses, personal hygiene and other occupational
health and safety considerations
12The AAALAC International Program Description
- Describe the personnel training for specific
procedures - training and experience of personnel performing
surgery - training and experience required to perform
anesthesia - training and experience of personnel carrying out
euthanasia procedures
13Animal care staff
- Husbandry personnel
- Supervisory personnel
- Management personnel
14Animal care staff
- Veterinarians
- Veterinary technicians
- Surgical technicians and support staff
15Animal care staff
- Technical support staff
- Research staff providing husbandry
16Assignments may be specific, or one person may
wear many hats.
17Types of animal care programs
- Large versus small
- Focused versus diverse
18Training requirements
- Regulations and guidelines
- Specific species training
- Specific task training
19Continuing education/retraining important.
20Mechanisms to implement training
- Condition of employment
- Prior to facility/animal access
21Training development/documentation
- Training coordinator
- Facility management
- Veterinary staff
- Other specialists (biosafety officer, etc.)
22Regulations/guidelines/animal welfare basics
- Web-based training
- Generic (VA, etc)
- Institution specific
- Seminars
- Publications
- Videotapes
23Specific species/task training
- AALAS classes and certifying exams (ALAT, LAT,
LATG). - AALAS Certified Manager of Animal Resources
(CMAR) exams. - Institute for Laboratory Animal Management (ILAM)
educational program and certification.
24Specific species/task training
- Web based training
- Textbooks, videos
- Training manuals, SOPs
- On job training
25A combination of methods often helps reinforce
training and accommodates different types of
learners.
26Continuing education/retraining
- National, district and branch AALAS meetings.
- Other professional meetings and sponsored
seminars (AAALAC, LAMA, SCAW, etc). - Reviewing SOPs.
- Reviewing web-based training.
27Case studies
- Immune compromised mice housed in sterile
microisolator cages being changed by animal
facility personnel on open bench. - Animal care staff working in animal rooms in
street clothes. - Animal care staff dumping cages in dirty
cagewash no dump station in room and no PPE
being worn.
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29Institutional responsibilities
- Each institution should establish and provide
resources for an animal care and use program that
is managed in accord with this Guide and in
compliance with applicable federal, state, and
local laws and regulations . . . - Guide for Care Use of Laboratory Animals
30Organizational structureresearch perspective
31Organizational structure university perspective
32IACUC charge
- AWRs and PHS Policy require institutions to
ensure that people caring for or using animals
are qualified to do so. - Guide for Care and Use of Laboratory Animals
33Guide recommendations(personnel qualifications
and training)
- There are a number of options for the training
of technicians. Many states have colleges with
accredited programs in veterinary technology
(AVMA 1995) most are 2-year programs that result
in associate of science degrees, and some are
4-year programs that result in bachelor of
science degrees. Nondegree training, with
certification programs for laboratory animal
technicians and technologists, can be obtained
from the American Association for Laboratory
Animal Science (AALAS). There are commercially
available training materials that are appropriate
for self-study (Appendix B). Personnel using or
caring for animals should also participate
regularly in continuing-education activities
relevant to their responsibilities. They are
encouraged to be involved in local and national
meetings of AALAS and other relevant professional
organizations. On-the-job training should be part
of every technician's job and should be
supplemented with institution-sponsored
discussion and training programs and with
reference materials applicable to their jobs and
the species with which they work (Kreger 1995).
Coordinators of institutional training programs
can seek assistance from the Animal Welfare
Information Center (AWIC) and ILAR (NRC 1991).
The Guide to the Care and Use of Experimental
Animals by the Canadian Council on Animal Care
(CCAC 1993) and guidelines of some other
countries are valuable additions to the libraries
of laboratory animal scientists (Appendix B).
34Guide recommendations(personnel qualifications
and training)
- There are a number of options for the training
of technicians. Many states have colleges with
accredited programs in veterinary technology
(AVMA 1995) most are 2-year programs that result
in associate of science degrees, and some are
4-year programs that result in bachelor of
science degrees. Non-degree training, with
certification programs for laboratory animal
technicians and technologists, can be obtained
from the American Association for Laboratory
Animal Science (AALAS). There are commercially
available training materials that are appropriate
for self-study (Appendix B). Personnel using or
caring for animals should also participate
regularly in continuing-education activities
relevant to their responsibilities. They are
encouraged to be involved in local and national
meetings of AALAS and other relevant professional
organizations. On-the-job training should be part
of every technician's job and should be
supplemented with institution-sponsored
discussion and training programs and with
reference materials applicable to their jobs and
the species with which they work (Kreger 1995).
Coordinators of institutional training programs
can seek assistance from the Animal Welfare
Information Center (AWIC) and ILAR (NRC 1991).
The Guide to the Care and Use of Experimental
Animals by the Canadian Council on Animal Care
(CCAC 1993) and guidelines of some other
countries are valuable additions to the libraries
of laboratory animal scientists (Appendix B).
35Guide recommendations(occupational health
safety of personnel)
- Personnel should be trained regarding zoonoses,
chemical safety, microbiologic and physical
hazards (including those related to radiation and
allergies), unusual conditions or agents that
might be part of experimental procedures
(including the use of genetically engineered
animals and the use of human tissue in
immunocompromised animals), handling of waste
materials, personal hygiene, and other
considerations (e.g., precautions to be taken
during personnel pregnancy, illness, or decreased
immunocompetence) as appropriate to the risk
imposed by their workplace.
36The organizational structure of universities can
make compliance challenging
IACUC Focus Group
37Who trains the trainees?
38Training tiers
39Administration
- Research administrator
- Focus on compliance (regulatory perspective)
- Interested in education
- Academic administrator
- Focus on education
- Interested in compliance (academic integrity)
40Principal investigator
- Professor
- Dedicated teacher
- Dedicated to research
- Believes in academic freedom
- Often believes that regulatory compliance is an
obstruction to academic freedom
41Research staff
- Laboratory manager
- Empowered by the P.I.
- Directs day to day operation of the lab
- Career employee
- Most knowledgeable of regulations
- Laboratory technicians
- Entry level position
- Frequently have other career aspirations
- Regulations learned from lab manager or PI
- Student assistants
- Gaining experience to increase competitiveness
for professional school - Need to work
- Follow directions
- Least knowledgeable of regulations
- Met the professor once
42Trainees
- Postdoctoral fellows
- U.S. citizens foreign nationals
- Well trained in research methodologies
- Highly motivated
- Moderately knowledgeable of regulations
- Graduate students
- U.S. citizens and foreign nationals
- Focus is on studies
- Learning the ropes and pushing the limits
- Marginally knowledgeable of regulations
- Undergraduate students
- Want to learn
- Naïve
- No knowledge of regulations
43Gradients in training exist
44Guide recommendations
- An occupational health and safety program must be
part of the overall animal care and use program
(CDC and NIH 1993 CFR 1984a,b,c PHS Policy).
The program must be consistent with federal,
state, and local regulations and should focus on
maintaining a safe and healthy workplace. The
program will depend on the facility, research
activities, hazards, and animal species involved.
The National Research Council publication
Occupational Health and Safety in the Care and
Use of Research Animals (NRC In press) contains
guidelines and references for establishing and
maintaining an effective, comprehensive program
(also see Appendix A). An effective program
relies on strong administrative support and
interactions among several institutional
functions or activities, including the research
program (as represented by the investigator), the
animal care and use program (as represented by
the veterinarian and the IACUC), the
environmental health and safety program,
occupational-health services, and administration
(e.g., human resources, finance, and
facility-maintenance personnel). Operational and
day-to-day responsibility for safety in the
workplace, however, resides with the laboratory
or facility supervisor (e.g., principal
investigator, facility director, or veterinarian)
and depends on performance of safe work practices
by all employees.
45Building a culture of compliance
- Administration
- IACUC
- Professors
- Staff
- Trainees
46Building a culture of compliance administrative
buy-in
Research Officer Academic Officers must
understand the importance of compliance. IACUC
can be instrumental in educating the
administration.
47Building a culture of compliance IACUC
facilitation
IACUC should be knowledgeable of the regulations
responsible for advocating best practices to
both administrators and professors. Educate
rather than Train.
48Building a culture of compliance IACUC
facilitation
49Building a culture of compliance professorial
buy-in
Let the Professor Teach. Educate rather than
Train.
50Building a culture of compliance encouraging
professorial buy-in
Get the students to ask the Professor to teach a
course. Educate rather than Train.
51Building a culture of compliance encouraging
academic administrative buy-in
Academic affairs will support course development
and delivery. Educate rather than Train.
52Building a culture of compliance closing the loop
Use the Chief Academic Officer to gain support of
the President Educate rather than Train.
53Take home messages
- Strict interpretation of the Guide may be not
always capture students among those who require
training. - Goal of training animal users may be accomplished
under the academic affairs mission of the
university. - Resources for training may not have to come from
the research office.
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55Roadmap
- Why is IACUC training important?
- What needs to be included in the training?
- How do we go about training the IACUC?
- Resources.
56Why is IACUC training important?
- Understand responsibilities and importance of the
role of the IACUC. - Facilitate conduct of required functions.
- Ensure checks and balances.
- Distribute responsibilities in the animal care
program. - Limit regulatory burden.
- Enhance interactions with investigators.
- It is required.
57The regulations
- It shall be the responsibility of the research
facility to ensure that all scientists, research
technicians, animal technicians, and other
personnel involved in animal care, treatment, and
use are qualified to perform their duties - USDA 2.32(a)
58The regulations
- This responsibility shall be fulfilled in
part through the provision of training and
instructions to those personnel. -
- USDA 2.32(a)
59The Guide
- Personnel caring for animals should be
appropriately trained and the institution
should provide for formal or on-the-job training
to facilitate effective implementation of the
program and humane care and use of animals. - The Guide, p. 13
60The Guide
- It is the institutions responsibility to
provide suitable orientation, background
materials, access to appropriate resources, and,
if necessary, specific training to assist IACUC
members in understanding and evaluating issues
brought before the committee. - The Guide, p. 9
61Roadmap
- Why is IACUC training important?
- What needs to be included in the training?
- How do we go about training the IACUC?
- Resources.
62What should be included in the training?
- IACUC Procedures
- Expectations and responsibilities
- Description of the Animal Care Program
- Processes
- Regulations and Policies
- Semi-annual review
- Protocol review
- Review of concerns
- Suspend activities
- Specific Issues
- Humane Endpoints
- Pain and Distress
- Justification of numbers of animals
- Many others
63Roadmap
- Why is IACUC training important?
- What needs to be included in the training?
- How do we go about training the IACUC?
- Resources.
64Approaches to training
- Orientation
- On-going
- E options
- Publications
- Conferences
- Customized workshops
65Orientation for new members
- Overview of requirements and expectations.
- Provide copies of
- The Guide, Animal Welfare Act and Regulations,
- PHS Policy, US Government Principles.
- Institutional policies.
- Institutional protocol form and written
description of this process. - Review role of the attending veterinarian, IACUC
staff, institutional official, and faculty.
66A continuous process
- On-going
- Review specific requirements for both the IACUC
and animal welfare concerns - Inspections
- Environmental enrichment
- Review institutional policies
- You should have some
- They should be reviewed periodically
- Use scenarios
- Lab Animal
- IACUC 101
67Electronic materials
- E options
- OLAW tutorial
- grants1.nih.gov/grants/olaw/tutorial/index.htm
- VA Office of Research and Development
- www.researchtraining.org
- www.iacuc.org
- List-servs IACUC-Forum, CompMed, IACUC Talk
- E-newsletters AMP Digest, NABR E-clips
68Publications
- Lab Animal
- Contemporary Topics
- ILAR Journal
- Animal Lab News
69Conferences
- IACUC 101
- PRIMR ARENA spring conference
- AALAS National meeting
- SCAWs IACUC-Advanced
- SCAW December conference
- State society conferences NJABR, MiSMR, NCABR,
TSBR, and others
70Custom workshops
- Tailored to your facility.
- Optimal if a major upheaval in your program.
71Remember
- Keep training on the front burner.
- Assess the level of need individualize.
- Dont forget the community representative.
- Make it easy.
72Roadmap
- Why is IACUC training important?
- What needs to be included in the training?
- How do we go about training the IACUC?
- Resources.
73Core materials for IACUC training
- Institute of Laboratory Animal Resources,
National Research Council. Guide for the Care and
Use of Laboratory Animals (National Academy
Press, Washington, DC, 1996). - Animal Welfare Act as Amended (7 USC, 2131
et.seq.).http//www.aphis.usda.gov/ac/awapdf.pdf. - Animal Welfare Regulations, 9 CFR Ch. 1,
Subchapter A (1999 edn). Animal and Plant Health
inspection Service, USDA. http//www.aphis.usda.g
ov/ac/9CFR99.html. - Public Health Service. Policy on Humane Care and
Use of Laboratory Animals (Washington, DC, 1986).
- USDA Animal and Plant Health Inspection Animal
Care Policy Manual. http//www.aphis.usda.gov/ac/
polman.pdf.html.
74Core materials for IACUC training
- Health Research Extension Act of 1985 (P.L.
99-158), November 20, 1985-Animals in Research.
http//grants1.nih.gov/grants/olaw/references/hrea
1985.htm. - Interagency Research Animal Committees. U.S.
Government Principles for the Utilization and
Care of Vertebrate Animals Used in Testing,
Research, and Training (Office of Science and
Technology Policy, Washington, DC, 1985). - Federation of Animal Science Societies. Guide for
the Care and Use of Agriculture Animals in
Agricultural Research and Teaching (Savoy, IL,
1999).
75Core materials for IACUC training
- Beaver, B.V. et al. 2000 Report of the AVMA Panel
on Euthanasia. J. Am. Vet. Med. Assoc. 218,
669-696 (2001). - Institute of Laboratory Animal Resources,
National Research Council. Occupational Health
and Safety in the Care and Use of Research
Animals (National Academy Press, Washington, DC,
1997). - ARENA/OLAW Institutional Animal Care and Use
Committee Guidebook, 2nd edn (2002).
76Thanks!
- Molly Greene
- Mary Lou James
77Other resources
- AAALAC International
- www.aaalac.org
- The Connection (Winter/Spring 2002 Seeds for a
Successful Program IACUC Training) - American Association for Laboratory Animal
Science - www.aalas.org
- Animal and Plant Health Inspection Service
Animal Care - http//www.aphis.usda.gov/ac
- Animal Welfare Information Center
- www.nal.usda.gov/awic
- Information Resources for Institutional Animal
Care and Use Committees - 1985 1999, AWIC Resource Series No. 7,
- http//www.nal.usda.gov/awic/pubs/IACUC/iacuc.htm
- CompMed
- E-mail listserv_at_listservaalas.org
78Other resources
- IACUC-Forum
- IACUC-Forum, a closed listserv where issues
relating to laboratory animal research may be
discussed privately among members of the
listserv. Visit www.iacuc.org for details. - IACUC Talk
- http//www.scaw.com/forum.html
- IACUC.ORG
- www.iacuc.org
- IACUC Resource Page
- www.labanimal.com/iacuc/iacuc.htm
- OLAW conferences
- http//grants.nih.gov/grants/olaw/worshop.htm
- OLAWs IACUC Guidebook
- http//grants.nih.gov/grants/olaw/iacuc_guidebook/
iacuc_guidebook.htm - OLAWs PHS Policy Tutorial
79Other resources
- PRIMR / ARENA annual meeting
- Public Responsibility in Medicine and Research
(PRIMR) and Applied Research Ethics National
Association (ARENA) annual IACUC meeting. Visit
http//www.primr.org/conferences.html - Protocol Review
- A monthly column n Lab Animal magazine edited by
Jerald Silverman, www.labanimal.com - Articles
- IACUC Training From New-Member Orientation to
Continuing Education. Lab Animal 31 26, 2002 - The IACUC Handbook
- April 2000, Jerald Silverman, Mark A. Suckow,
Sreekant Murthy, CRC Press. 59.95. Visit
www.crcpress.com to order. - ResearchTraining.org, www.researchtraining.org
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81Agenda
- Characteristics of ag programs
- The Three Tier approach
- Ag specific training
- Examples of training materials
- Case Studies
82Characteristics of ag programs
- Most Land Grant Universities some Pharma
- Veterinary schools, animal science depts
- Experimental stations remote, isolated
- Autonomous, independent
- Highly skilled technicians and herdsmen
- Most have been around a long time
- Students
83The training approach
- The Three Tier approach
- 1 Overview
- Laws and regs and institutional
responsibilities - 2 Species specific training
- 3 Hands On training
- Another tier?
- Ag specific training needs
84The objective of Tier 1 overview of Laws and
Regs
- Provide a basic understanding
- That many laws and regulations exist wrt to
research animals. - That some of them apply to research agricultural
animals. - That an appropriate Animal Care and Use Program
is important!
85The objective of Tier 1 overview of Laws and
Regs
- To do
- Let them know that training is required
(regardless of level of expertise). - Set the stage for an environment of compliance.
- Let them know why compliance is important.
86The Regs! Animal Welfare Act
- 9CFR
- USDA/APHIS
- History Pepper the Dalmatian!
- Does not cover rats mice (bred for research)
or farm animals used for food or fiber - Does cover farm animals used for teaching or for
biomedical research - Institutional responsibilities
87Overview the Regs!
- Public Health Service Policy
- Make sure herdsmen understand that
-
- the Policy applies to any research institution
receiving funding from NIH -
- the Policy applies to all vertebrate animals.
88Overview the regs!
- AAALAC
- Not regulatory but voluntary
- Covers all animals in a Program
- But what the heck is a Program???
89The overview The program of animal care and
use
- Provide information on exactly what a Program
is! - Institutional Policies
- Stress the importance of Institutional Oversight
for animal care and use! - Animal Environment, Housing
- Most Ag folks know about this
90The overview The program of animal care and use
- Veterinary Care
- Tell them about the roles and responsibilities of
the AV! - Discuss the importance of teamwork
- Physical Plant
- May or may not apply
91The overview the GuidesWhat are the standards?
92Tier 2 Species specific training
93Tier 2 Species specific training
- Swine
- Dairy
- Beef
- Sheep and Goats
- Poultry
94Tier 2 species modules content
- Breeds
- Classification (species, genus)
- Nomenclature (freemartin)
- Uses in research
- Main biological characteristics
- Behavior
- General husbandry
- Space requirements
- Procurement
- On Arrival examination
- Technician responsibilities
- Nutrition
- Basic handling and restraint
- Identification
- Animal Health/Common Diseases
- Euthanasia
95Tier 2 species modules the trainer
- Identified most qualified technician/herdsman
per species. - Asked him/her to develop the module.
- Provided presentation skills.
- That technician became the trainer for that
particular species. - Trainer presentation skills and efforts were
recognized by supervision and reflected on
performance management.
96Tier 3Hands On training
97Tier 3 Hands On training
- Herd health SOPs
- Dehorning
- Piglet processing
- Foot Trimming (all species)
- Castration
- Euthanasia (captive bolt)
- Heat check for dairy
- Artificial insemination
- Routine health treatments
- Mastitis
- Hypocalcemia
- Anemia
98Tier 3 Hands On training
- Aseptic technique
- Surgical principles
- Specific surgical procedures
- Rumen cannulation
- Abomasal cannulation
- Vascular access
- Research techniques
- Handling and restraint
- Bleeding and injection techniques
- Anesthesia and analgesia
99Ag specific training!!!
- Zoonoses and biosafety
- Recognition of pain and distress in ag animals
- Ag animal environmental enrichment
- Necropsy room safety
100Readily available trainingFASS Training
- Federation of Animal Science Societies
(www.fass.org) - Beef Cattle
- Dairy Cattle
- Swine Training
- Horse Training
- Ag Guide
101Available video tapes
- National Institute Animal Agriculture (NIAA)
- Swine Handling and Transport
- Cattle Handling and Transport
- Understanding Dairy Cattle Behavior to Improve
Handling and Transport
102Lots of other sources of training material
- AAALAS
- National Practitioner Organizations
- AABP, AASV, AADP.
- National Producer Organizations
- National Cattlemans Beef Association
- Temple Grandin (www.grandin.com)
- American Farm Bureau
- AVMA
- AWIC
- Land Grant University agricultural program
websites
103Case study 1
- Large Land Grant University, USA
- Mandatory inadequate veterinary care
- Problem an inadequate understanding of
- the role of the veterinarian in research,
- the regulations and how they are applied to
agricultural research - and what constitutes an animal care and use
program - Solution (in part) Tier 1 training
104Case study 2
- Large Land Grant University, USA
- Mandatory lack of or inadequate personnel
training - Problem long term very experienced herdsmen who
do not understand the need for training - Solution
- Tier 1 training
- Tier 2 training
- Herdsman as the trainer
105Case study 3
- Land Grant University, USA
- Mandatory inappropriate euthanasia (swine,
cattle) - Problem lack of understanding of appropriate
euthanasia techniques - Solution
- Tier 3 SOP discussion and hands on training for
euthanasia techniques (electrocution, carbon
dioxide, captive bolt..)
106Questions?
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108Industrys unique challenges
- Slides prepared by
- Michael Ballinger, DVM, DACLAM
- Director, Global Animal Resources, Amgen
- President, Council on Accreditation, AAALAC
International
109What is industry
- Vendors
- Contract Research Organizations (CRO)
- Biotech companies
- Pharmaceutical/vaccine companies
- The challenges vary with various industry sectors
110Industry environment/challenges
- Generally risk averse.
- Business model includes regulatory compliance
(FDA, EPA, OECD, ISO, DOD). - Business model includes accreditation, (AAALAC
International). - Cost/benefit ratio analysis evaluated for
programs. - Must have business case for education training.
111Business case for training
- Is it mandated by law or regulation?
- Will it protect the companys resources?
- Will it make us more competitive?
- Will it improve the data?
- How important is it for the company to project
competence? - How important is it to convey that animal welfare
is important?
112Training by job category
- IACUC member training.
- Animal care staff training.
- Research science staff training.
- Personnel at risk for research hazards.
- Awareness/training of the companies rank and
file.
113IACUC training
- Animal Welfare Act compliance sells need.
- 1996 Guide provides specific expectation.
- Support for regular travel to IACUC conferences
is generally available. - Many organizations now bring the trainers in
to maximize return on investment.
114Animal care staff training
- Well defined training programs are common.
- Documentation often excellent, especially if
GLP. - AALAS certification often endorsed and
financially supported. - May be requirement for advancement.
- ILAM CMAR support is common.
115Training for science staff
- Business case not as obvious.
- Qualified versus Trained.
- Who is ultimately responsible for qualification
of research staff? - What cost center should support it?
- IACUC may demand demonstration of proficiency
but should they require training?
116Environmental health and safety training
- Strong business case for adequate occupational
health safety resources. - Strong business case for hazard abatement.
- Formal courses readily available.
- Combining animal use training with other
required training (i.e. EHS) will increase
efficiency and may increase effectiveness.
117GLP versus non-GLP
- GLP animal users take training very seriously,
but focus is not animal welfare. - Well-documented.
- Humane issues not always a key component.
- FDA assumes adequate animal care/welfare.
- USDA focus on welfare, not on study design.
- Mandate and oversight comes from GLP compliance
(QA) organization, not IACUC.
118Research and non-GLP
- Company culture may hinder new demands for
mandated training and especially needless
documentation. - Perhaps an over reaction to GLPs dont apply
here. - Procedural training with humane focus evolved
long after GLPs in most companies.
119Industry examples of approaches
- Risk-based prioritization for hands-on training
and/or proficiency demonstration. - Concentrate on recognizing pain/distress and
reporting problems. - Track proficiencies in a central training
record. - Internal awareness programs for rank and file
culture of care (Aventis, Charles River). - Integrated Needs-Based Training ProgramsAttend
Seminar tomorrow 800 am!!
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