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Clinical care versus Research

Research should never take precedence over clinical care.

  • For example, instead of recruiting within a normal clinic appointment, you should book an extra slot.

Patients should be told which part of their care is routine clinical care, and which part is experimental.

  • This is to avoid ‘therapeutic misconception’ when patients believe that an experimental intervention is supposed to help them get better.

Subjects should not be confused between consent for a clinical procedure and consent for a research procedure.

  • For example, if you would like to collect a patient’s surplus tissues during his / her routine operation, the patient should be consented for the surgery first before you obtain a separate consent for research specimen collection.
  • You should make clear to patients that they do not need to agree to provide their specimens for research in order to be eligible for their operation. (1)




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Secretariat for National Committee for Clinical Research, Ministry of Health Malaysia. Malaysian Guideline on the use of Human Biological Samples for Research [Internet]. Ministry of Health Malaysia; 2015. Available from: http://www.crc.gov.my/wp-content/uploads/2016/07/Guideline_on_Human_Tissue_in_Clinical_Research.pdf