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Ethical Codes and Guidelines for the Protection of Human Subjects in Research

U.S. Codes and Guidelines

The Belmont Report Ethical Principles and Guidelines for the Protection of Human Subjects of Research. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. United States Department of Health, Education, and Welfare. 1979-04-18. Available from (External) http://www.hhs.gov/ohrp/humansubjects/guidance/belmont.htm

Report and Recommendations Research Involving Prisoners. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. United States Department of Health, Education, and Welfare. 1976. [DHEW Publication No. (OS) 76-131] Available from (External) http://www.bioethics.gov/reports/past_commissions/Research_involving_prisoners.pdf . Accessibility verified on 2006-05-15.

Report and Recommendations Research Involving Children. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. United States Department of Health, Education, and Welfare. 1977. [DHEW Publication No. (OS) 77-0004] Available from (External) http://www.bioethics.gov/reports/past_commissions/Research_involving_children.pdf . Accessibility verified on 2006-05-15.

Report and Recommendations Research on the Fetus. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. United States Department of Health, Education, and Welfare. 1975. [DHEW Publication No. (OS) 76-127] Available from (External) http://www.bioethics.gov/reports/past_commissions/research_fetus.pdf . Accessibility verified on 2006-05-15.

Report and Recommendations Psychosurgery. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. United States Department of Health, Education, and Welfare. 1977. [DHEW Publication No. (OS) 77-0001] Available from (External) http://www.bioethics.gov/reports/past_commissions/psychosurgery.pdf . Accessibility verified on 2006-05-15.

The reports and recommendations of the National Commission were codified (for the most part) in two sets of federal regulations. The Common Rule (45 CFR 46) is administered by the Office for Human Research Protections (OHRP), formerly the Office for Protection from Research Risks, and applies to research sponsored by the National Institutes of Health.

NB: This is neither a code nor a guideline but a number of codes and guidelines take it as a point of departure. The Nuremberg Code Directives for Human Experimentation. Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law. No. 10. Vol. 2. Pp. 181-182. Washington, D.C.: U.S. Government Printing Office. (1949) Available from (External) http://ohsr.od.nih.gov/guidelines/nuremberg.html

Follow this link for information about the Common Rule and the Office for Human Research Protections (OHRP)

Follow this link for information about the National Institutes of Health (NIH)

The second set of federal regulations, 21 CFR 50 Protection of Human Subjects and 21 CFR 56 Institutional Review Boards, is administered by the U.S. Food and Drug Administration (FDA) and applies to clinical investigations of drugs and medical devices.

Follow this link for information about 21 CFR 50, 21 CFR 56, and the Food and Drug Administration (FDA)

Follow this link to our collection of information on state legislation on human research protections .

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International Codes and Guidelines

World Medical Association Helsinki Declaration. Ethical Principles for Medical Research Involving Human Subjects. 2004. Available from (External) http://www.wma.net/e/policy/b3.htm

International Ethical Guidelines for Biomedical Research Involving Human Subjects. Council for International Organizations of Medical Sciences (CIOMS). November, 2002. Available from (External) http://www.cioms.ch/frame_guidelines_nov_2002.htm

International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use Guideline for Good Clinical Practice (ICH). Available from (External) http://www.ich.org/LOB/media/MEDIA482.pdf

National Health and Medical Research Council (NHMRC) National Statement on Ethical Conduct in Research Involving Humans. 1999. Available from (External) http://www.nhmrc.gov.au/publications/synopses/e35syn.htm

National Health and Medical Research Council (NHMRC), Health and Human Research Ethics. Available from (External) http://www.nhmrc.gov.au/ethics/human/index.htm

Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, Social Sciences and Humanities Research Council of Canada, Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. 1998 (with 2000, 2002 and 2005 amendments). Available from (External) http://www.pre.ethics.gc.ca/english/policystatement/policystatement.cfm

Follow this link to find CIRCARE's collected information on research and human research protections in Canada: http://www.circare.org/CAindex.htm

International Resources

The International Compilation of Human Subject Research Protections. Office for Human Research Protections. 2005-10-01. Available from (External) http://www.hhs.gov/ohrp/international/HSPCompilation.pdf

World Health Organization (WHO) Ethics Resources. Available from (External) http://www.who.int/health_topics/ethics/en/

Schuklenk U. HIV/AIDS: Ethical, Legal & Social Issues, Bioethics Information for the Developing World. Centre for Ethics in Public Policy and Corporate Governance, Witwatersrand University. Available from (External) http://www.developing-world-bioethics.org/

Professional Codes, Guidelines, and Resources

Read the best first:

On Being a Scientist: Responsible Conduct in Research. National Academy of Science. 1994. National Academy Press. Available from (External) http://www.nap.edu/readingroom/books/obas/index.html

AAAS Policy Brief: Human Research Subject Protections. American Association for the Advancement of Science, AAAS Center for Science, Technology, and Congress. Available from (External) http://www.aaas.org/spp/cstc/briefs/humsub/humsublinks.shtml

AAAS Scientific Freedom, Responsibility, and Law Program. American Association for the Advancement of Science (AAAS). Available from (External) http://www.aaas.org/spp/sfrl/

Ethical and Legal Aspects of Human Subject Research in Cyberspace. AAAS Scientific Freedom, Responsibility, and Law Program. Available from (External) http://www.aaas.org/spp/sfrl/projects/intres/main.htm

The American Geriatrics Society. AGS Position Statement: The Responsible Conduct of Research. 2007. Accessed on 2007-11-01 at: (External) http://www.americangeriatrics.org/products/positionpapers/respcondresearch.shtml

American Medical Association (AMA) Ethics Resource Center. Available from (External) http://www.ama-assn.org/ama/pub/category/2732.html

American Medical Association (AMA) Index to the Code of Medical Ethics. Available from (External) http://www.ama-assn.org/ama/pub/category/2498.html

American Medical Association (AMA) Federation Repository of Ethics Documents Online. Available from (External) http://www.ama-assn.org/ama/pub/category/7665.html . (FRED, the collected codes of ethics from state and specialty medical association members of the AMA federation.)

American College of Physicians Ethics Manual. 4th Ed. 1998-04-01. Available from (External) http://www.acponline.org/ethics/ethicman.htm

Federation of State Medical Boards Policy Documents. Available from (External) http://www.fsmb.org/grpol_policydocs.html

Mann H. ASSERT: A Standard for the Scientific and Ethical Review of Trials. Available from (External) http://www.assert-statement.org/

American Psychological Association Ethical Principles of Psychologists and Code of Conduct. 2002. Available from (External) http://www.apa.org/ethics/code2002.html

The Center For the Study of Ethics in the Professions maintains an extensive public repository of ethical codes:

Health Care Codes of Ethics Online. Center For the Study of Ethics in the Professions. Illinois Institute of Technology. Available from (External) http://www.iit.edu/departments/csep/codes/codes_index.html

American Association of Medical Colleges Task Force on Financial Conflicts of Interest in Clinical Research. Available from (External) http://www.aamc.org/research/coi/start.htm

American Association of Medical Colleges / Medical Research. Available from (External) http://www.aamc.org/research/start.htm

Association of American Universities / Research Issues. Available from (External) http://www.aau.edu/research/research.cfm

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Working List 2006-09

(External) First Clinical Research Regulatory Database search (Search 300+ CFR, FDA, NIH, OHRP, ICH, EU and other regulatory documents.)

European Union

Directive 2001/20/EC of The European Parliament and of the Council of 4 April 2001 on the approximation of the laws, regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use. Available from (External) http://europa.eu.int/eur-lex/pri/en/oj/dat/2001/l_121/l_12120010501en00340044.pdf

Australia

Australian Therapeutic Goods Administration. Available from (External) http://www.tga.gov.au/

Australia New Zealand Therapeutic Products Authority. Available from (External) http://www.anztpa.org.nz/

Australian Medical Association. Available from (External) http://www.ama.com.au/web.nsf?opendatabase

Australian Medical Council. Available from (External) http://www.amc.org.au/

Licensure (by state or territory):   Australian Medical Council / State & Territory Medical Boards. Available from (External) http://www.amc.org.au/board.asp

New South Wales Medical Board. Available from (External) http://www.nswmb.org.au/

Medical Board of the Northern Territory. Available from (External) http://www.nt.gov.au/health/org_supp/prof_boards/prof_licensing_auth.shtml

The Medical Board of Queensland. Available from (External) http://www.medicalboard.qld.gov.au/

Medical Board of South Australia. Available from (External) http://www.medicalboardsa.asn.au/

The Medical Council of Tasmania. Available from (External) http://www.medicalcounciltas.com.au/

Medical Practitioners Board of Victoria. Available from (External) http://medicalboardvic.org.au/

Medical Board of Western Australia. Available from (External) http://www.wa.medicalboard.com.au/

Or try: HealthInsight / Health Districts. Available from (External) http://www.healthinsite.gov.au/topics/Health_Services

CHOICE (where to complain). Available from (External) http://www.choice.com.au/viewArticle.aspx?id=100901&catId=100392&tid=100008&p=4

HealthInsight Quality Health Information for Australians. Available from (External) http://www.healthinsite.gov.au/

New Zealand

New Zealand Regional Ethics Committees. Available from (External) http://www.newhealth.govt.nz/ethicscommittees/

New Zealand Good Clinical Research Practice. Available from (External) http://www.medsafe.govt.nz/profs.htm

New Zealand Medsafe. Available from (External) http://www.medsafe.govt.nz/

New Zealand Adverse Reaction Reporting and IMMP. Available from (External) http://www.medsafe.govt.nz/Profs/adverse.htm

Licensure:   Medical Council of New Zealand. Available from (External) http://www.mcnz.org.nz/

Discipline:   Medical Practitioners Disciplinary Tribunal. Available from (External) http://www.mpdt.org.nz/

Discipline:   (phasing in) New Zealand Health Practitioners Disciplinary Tribunal. Available from (External) http://www.hpdt.org.nz/Default.aspx?tabid=1

New Zealand Guidelines Group. Available from (External) http://www.nzgg.org.nz/

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United Kingdom

Statutory Instrument 2004 No. 1031 The Medicines for Human Use (Clinical Trials) Regulations 2004 (=Directive 2001/20/EC). Available from (External) http://www.opsi.gov.uk/si/si2004/20041031.htm

National Health Service Central Office for Research Ethics Committees (COREC). Available from (External) http://www.corec.org.uk/index.htm

Medicines and Healthcare products Regulatory Agency (MHRA). Available from (External) http://www.mhra.gov.uk/home/idcplg?IdcService=SS_GET_PAGE&nodeId=5

Licensure and Discipline:   UK General Medical Council. Available from (External) http://www.gmc-uk.org/

National Health Service England (NHS). Available from (External) http://www.nhs.uk/

Critical Appraisal Tools, Critical Appraisal Skills Programme (CASP) and Evidence-based Practice. National Health Service. Available from (External) http://www.phru.nhs.uk/casp/critical_appraisal_tools.htm


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Last Updated: 2007-11-01

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