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I was impressed that a lot of the<br />

recommendations are let's have the good people <strong>in</strong> the IRB<br />

settle this one for us at the local level.<br />

(Laughter.)<br />

I guess I am really skeptical. I mean, it may<br />

be --<br />

(Simultaneous discussion.)<br />

DR. LO: Should we do a global search and<br />

replace? This is a really tough question. We do not<br />

really have a good answer yet on how to solve it. We are<br />

still th<strong>in</strong>k<strong>in</strong>g but <strong>in</strong> the meanwhile we are go<strong>in</strong>g to pass it<br />

on and we hope these poor overworked, under tra<strong>in</strong>ed, unpaid<br />

people <strong>in</strong> the IRB will do a better job than noth<strong>in</strong>g at all.<br />

But I th<strong>in</strong>k we really should be fairly honest and say if we<br />

are say<strong>in</strong>g the IRB should decide on a case by case basis<br />

and recommend, that is really not a very robust guarantee.<br />

DR. DUMAS: I agree.<br />

DR. CHILDRESS: Trish, and Eric, and I th<strong>in</strong>k I<br />

saw David's hand.<br />

Trish?<br />

MS. BACKLAR: First of all, I want to say that<br />

it is a shape --<br />

DR. SHAPIRO: The microphone.<br />

MS. BACKLAR: First of all, I would like to say

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