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The Clinical Research Associate Retention Study: A Report From the Children's Oncology Group
Emily E Owens Pickle1, Dawn Borgerson2, Anelise Espirito-Santo3
11 Arnold Palmer Medical Center, Orlando, FL, USA.
Insights
High turnover in clinical research associates (CRAs) impacts pediatric oncology research. Addressing low pay, workload, and career growth can improve CRA retention and job satisfaction.
Area of Science:
- Pediatric Oncology Research
- Clinical Trial Management
- Healthcare Workforce Studies
Background:
- Pediatric medicine faces funding challenges, yet pediatric oncology research thrives due to collaboration.
- Clinical Research Associates (CRAs) are vital for research site operations, including data collection and subject management.
- High turnover and vacancies among CRAs pose a significant challenge to research continuity.
Purpose of the Study:
- To identify factors influencing Clinical Research Associate (CRA) retention in pediatric oncology research.
- To understand the reasons CRAs consider leaving or staying in their positions.
- To inform strategies for improving CRA job satisfaction and reducing turnover.
Main Methods:
- A cross-sectional survey design was employed.
- The study surveyed CRAs to gather data on their job satisfaction and retention factors.
- Analysis focused on frequently cited reasons for staying or leaving CRA positions.
Main Results:
- Factors associated with intent to leave include low salary, unmanageable workload, and limited career advancement.
- Lack of research commitment from the medical team also contributed to CRA turnover.
- Reasons for staying include meaningful work, supportive principal investigators, and positive colleague relationships.
Conclusions:
- CRAs report significant, yet addressable, issues impacting job satisfaction and retention.
- Practical, low-cost solutions can be implemented to improve the CRA work environment.
- Enhancing CRA retention is crucial for the sustained success of pediatric oncology research.
Abstract:
Pediatric medicine often struggles to receive adequate research funding for its small, yet vulnerable population of patients. Remarkable discovery in pediatric oncology is credited in large part to the collaborative structure of its research community. The Children's Oncology Group conducts studies supported by the National Cancer Institute. The clinical research associate (CRA) discipline comprises professionals who support administrative duties, regulatory duties, subject management, and data collection at individual research sites. The purpose of this study was to identify factors associated with CRA retention, as the group continues to have high turnover and position vacancy. A cross-sectional survey design was used to characterize the most frequently cited reasons CRAs gave when considering leaving or staying within their position. Results suggest that low salary, unmanageable workload, lack of career advancement and professional development, and lack of research commitment from the medical team were associated with intent to leave CRA positions. The most frequently cited reasons for staying at their job were the meaningfulness and interest in the work, a supportive principal investigator, and enjoyment working with colleagues. CRAs reported serious but eminently solvable issues that can be addressed using practical and low-cost solutions to improve job satisfaction and retention.
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