Entire Transcript in Adobe Acrobat Format - National Reference ...

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to you, no benefit, you will not benefit, it is simply a
toxicity study," they understand something completely
different. I fear that if you do have one of the tensions
of these long-standing relationships might get better
understanding between the patient and the doctor but they
have the other fact that you slide, and that the consent
then -- the patient understands something different no
matter how many times the words are said and how competent
they really ought to be.
MR. CAPRON: Right. The longstanding
relationship does not have to be with the researcher. I
mean, the -- if a researcher in an institution says to her
colleagues who have patients in X, Y, Z condition over
time, "I would like you to consider exploring with your
patients participation in research," obviously you -- I
expect you to explore it with them during periods when they
are able to comprehend but I recognize that they may be in
other periods when they cannot, and those may be the
periods when I am interested in studying them.
And after you have determined in this process
that they are willing to participate I will then come into
the picture, tell them that the research -- and I am not
their treater. I am coming in to ask them to be in
research but you have got the ongoing relationship with