Clinical Trials Operations Training

Training for Clinical Research Staff

Instructor-led courses and eCourses are available for UCSF clinical research staff and study team members*. All courses are free of charge.


Who should attend these trainings?

* All UCSF clinical research staff and study team members, including but not limited to:

  • Clinical Research Coordinators (CRCs)  
  • those who train and/or supervise CRCs,  
  • clinical research supervisors/managers,
  • study managers,
  • protocol managers,
  • protocol project managers (PPMs),
  • department or division administrators (DAs),
  • department or division managers (DMs), 
  • Principal Investigators (PIs should utilize the series designed for them, and supplement with the offerings below).

When should each course be attended?

Use the Suggested Training Checklist to build your personalized training program. When all courses in the Foundations and Advanced series have been completed, send us a copy of your checklist to receive your UCSF Clinical Trials Specialist Certificate.  

Suggested timing and prerequisites are included below for each course. Retaking each course every two years, or as needed/desired for continuing education, is recommended.


What else should you know?

Course schedule is subject to change, at the discretion of the Training Team.

Register at learning.ucsf.edu; see below for detailed instructions.  

Logistics: After registering, monitor your inbox for a confirmation email from the UC Learning Center, which will include a calendar invitation with Zoom details. If you do not receive that email, contact [email protected].    

Required Engagement: All CTO courses involve active engagement from trainees. These methods are vital to, and proven to improve, the online learning experience. Only attend when, and from where, you will be able to fully engage. Course completion credit will be determined by:

  • having your video on,
  • responding to Zoom Polls, Quizzes, questions and prompts via the chat or out loud,
  • participating in the workshops,  
  • engaging with your fellow trainees,
  • how long you stay (≥ 80% of the session for most courses), etc.  

Accessibility: UCSF welcomes everyone, including people with disabilities, to participate in clinical research staff trainings. To request a reasonable accommodation, please contact [email protected] as soon as possible.

Registering for Courses – Detailed Instructions
  1. Go to the UC Learning Center: https://learning.ucsf.edu/
  2. Login using your MyAccess credentials (required even if you are already logged into MyAccess)
  3. Click the Search icon
  4. Search for "CTO Training"
  5. From the list, determine which courses/dates you wish to take, and click ADD
  6. Then click REGISTER
  7. If you have questions, email [email protected]

What courses are part of this series?

CTO Foundations

CTO 100: Orientation     

Orientation starts the CTO Foundations series. This course reviews basic components of clinical research coordination and operations at UCSF, including research staff and study team responsibilities, introductions to UCSF partners, and tips for working with those groups. It presents important resources such as the Clinical Research Resource HUB and Institutional Review Board (IRB) websites, and covers details and best practices for job basics such as documentation, data security, privacy protection, the IRB review process, regulatory tools, and more. 

Course Prerequisites:

  1. Complete HIPAA 101, and Human Subjects and GCP via CITI
  2. Review the HUB, including the Suggested Training List
  3. Suggested Prerequisite: Research Integrity Video 

​​​​Audience:  Any clinical research staff and study team members, including new and current CRCs.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 100: Orientation
January 13, 2026 | 9:30 AM – 12:30 PM
February 24, 2026 | 9:30 AM – 12:30 PM
March 24, 2026 | 9:30 AM – 12:30 PM
April 28, 2026 | 9:30 AM – 12:30 PM
May 21, 2026 | 9:30 AM – 12:30 PM
June 23, 2026 | 9:30 AM – 12:30 PM
July 28, 2026 | 9:30 AM – 12:30 PM
September 22, 2026 | 9:30 AM – 12:30 PM
October 27, 2026 | 9:30 AM – 12:30 PM
November 17, 2026 | 9:30 AM – 12:30 PM
CTO 102: Adverse Events, Protocol Violations, & Incidents: Documentation & Reporting

This course covers best practices for identifying, documenting, and reporting (when necessary) the following occurrences: Adverse Events, Protocol Violations & Research Incidents, and other Safety-Related Information. It includes a review of the UCSF IRB’s requirements for reporting events and addresses how IRB reliances may impact reporting requirements. Class participants will fill out an Adverse Event Log together.

Course Prerequisite(s): CTO 100

​​​​​​Audience: Any clinical research staff and study team members, including new and current CRCs.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 102: Adverse Events, Protocol Violations, & Incidents: Documentation & Reporting
January 14, 2026 | 9:00 AM – 12:30 PM
February 25, 2026 | 9:00 AM – 12:30 PM
March 25, 2026 | 9:00 AM – 12:30 PM
April 29, 2026 | 9:00 AM – 12:30 PM
May 27, 2026 | 9:00 AM – 12:30 PM
June 24, 2026 | 9:00 AM – 12:30 PM
July 29, 2026 | 9:00 AM – 12:30 PM
September 23, 2026 | 9:00 AM – 12:30 PM
October 28, 2026 | 9:00 AM – 12:30 PM
November 18, 2026 | 9:00 AM – 12:30 PM
CTO 103: Pre & Post-Award Tasks                        

This course covers the basics of, and tips and tricks for, Pre and Post-Award tasks. Topics include: feasibility, pre-submission, study start-up, working with institutional partners including the Office of Clinical Trial Activation, coverage analysis, budgeting, study and participant management in OnCore and APeX, award set-up, amendments, clinical research billing compliance responsibilities, study closeout, and more.

Course Prerequisites:

​​​​​​Audience:  Any clinical research staff and study team members, including new and current CRCs, who have been in their role for at least 3 to 6 months.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 103: Pre & Post-Award Tasks
February 3, 2026 | 9:00 AM – 12:30 PM
March 3, 2026 | 9:00 AM – 12:30 PM
April 7, 2026  | 9:00 AM – 12:30 PM
May 5, 2026 | 9:00 AM – 12:30 PM
June 2, 2026 | 9:00 AM – 12:30 PM
July 7, 2026 | 9:00 AM – 12:30 PM
September 1, 2026 | 9:00 AM – 12:30 PM
October 6, 2026 | 9:00 AM – 12:30 PM
November 3, 2026 | 9:00 AM – 12:30 PM
CTO 104: Effective Communications + Workshop

Effective Communications are an essential component of day-to-day work in clinical research; from protecting participant privacy and confidentiality, to developing and maintaining positive relationships with participants, supervisors, colleagues, University-wide associates, and non-UCSF collaborators such as sponsors, clinical research organizations (CROs), and more. In this course, we discuss best practices and techniques, considerations, and workshop those skills.

Other Details: Be ready to participate in the workshop where we practice using the tools presented in this course!

Course Prerequisites: CTO 100, CTO 101, and CTO 102

Audience: Any clinical research staff and study team members, including new and current CRCs.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 104: Effective Communications + Workshop
January 22, 2026 | 10:00 AM – 12:00 PM
February 5, 2026 | 10:00 AM – 12:00 PM
April 2, 2026 | 10:00 AM – 12:00 PM
June 4, 2026 | 10:00 AM – 12:00 PM
September 3, 2026 | 10:00 AM – 12:00 PM
November 24, 2026 | 10:00 AM – 12:00 PM
CTO 105e: The Investigational New Drug Process (Online | On-demand)

This course describes how to identify if your study requires an IND, types of INDs, and the scope of the application process. It also discusses how to handle IND modifications, safety reports, and annual reports.

The IND Process course is available at the UC Learning Center. To take it, either login to MyAccess and follow the link for UC Leaning Center (also called the Learning Management System) or follow this link. Once you are in the "Find a Course" section, search for “CTO 105e” or "Investigational New Drug Process".

Course Prerequisites: CTO 100, CTO 101, and CTO 102

Audience: Any clinical research staff and study team members, including new and current CRCs, with responsibilities on Interventional Studies that include INDs.  

CTO 106e: Data Management (Online | On-demand)

This course describes the origin, flow, and management of data through a clinical study, and the specific role of research study team members in each phase of the process from data design to analysis and reporting. It highlights best practices for data design, management, and analysis, how to implement processes for quality assurance and quality control, and summarizes resources available at UCSF.

The Data Management course is available at the UC Learning Center. To take it, either login to MyAccess and follow the link for Learning Management System or follow this link. Once you are in the "Find a Course" section, search for "CTO 106e: Data Management".

Course Prerequisites: CTO 100, CTO 101, and CTO 102

Audience: Any clinical research staff and study team members, including current new and current CRCs. 

CTO 107: Clinical Research Systems                       

This course provides introductions to, and overviews of, the three primary clinical research systems used by UCSF research study team members:

  • iRIS/Huron (the online application system used to submit studies to the UCSF IRB),
  • OnCore (UCSF's clinical trial management system), and
  • APeX (UCSF's electronic medical record system).

The system modules may be attended individually and are presented as follows:

  1. Hour one: iRIS/Huron.
  2. Hour two: OnCore.
  3. Hour three: APeX.  

Course Prerequisites:

Audience: Any clinical research staff and study team members using iRIS/Huron for IRB submissions, and/or OnCore and/or APeX to manage study participant enrollment and visit activities, and clinical research billing compliance.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 107: Clinical Research Systems
February 3, 2026 | 2:00 PM – 5:00 PM
March 3, 2026 | 2:00 PM – 5:00 PM
April 7, 2026 | 2:00 PM – 5:00 PM
May 5, 2026 | 2:00 PM – 5:00 PM
June 2, 2026 | 2:00 PM – 5:00 PM
July 7, 2026 | 2:00 PM – 5:00 PM
September 1, 2026 | 2:00 PM – 5:00 PM
October 6, 2026 | 2:00 PM – 5:00 PM
November 3, 2026 | 2:00 PM – 5:00 PM

CTO Advanced

CTO 201: Monitoring & Audit Readiness + Workshop

Part of the Advanced series, this interactive training focuses on the purposes and processes for monitoring, inspections, and audits in clinical research. It reviews the importance of research oversight, study team roles, guidelines, best practices, and resources. Apply those details in the interactive workshop where you’ll be in the role of a monitor!

Other Details: Be ready to participate in the workshop where we practice using the tools presented in this course!

Course Prerequisites: CTO 100, CTO 101, CTO 102, CTO 103, CTO 104, CTO 107

Audience: Experienced clinical research staff and study team members who have been in their role for at least 6 months, who work on studies that may involve monitoring or auditing activities.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 201: Monitoring & Audit Readiness + Workshop
March 4, 2026 | 9:30 AM – 12:30 PM
July 8, 2026 | 9:30 AM – 12:30 PM
October 7, 2026 | 9:30 AM – 12:30 PM
CTO 203: Coverage Analysis Guidance & Concepts

Coverage Analysis Guidance and Concepts is an advanced series course that reviews the importance of a coverage analysis (CA), determining when a CA is required, how to successfully work with the Office of Clinical Trial Activation (OCTA) when reviewing the CA and providing study team sign-off, and understanding how the CA works.

Course Prerequisites:

  1. CTO 103 (for staff new to clinical trial start-up at UCSF)
  2. Review OCTA’s How to Activate a Study with Us webpage

Audience: Clinical research staff and study team members who work on clinical trials that generate charges in the Electronic Medical Record. This training is required for any staff member delegated by the Principal Investigator to approve the draft coverage analysis and internal budget. Delegation of this responsibility is at the discretion of the PI's department.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 203: Coverage Analysis Guidance & Concepts
February 10, 2026 | 10:00 AM – 11:30 AM
April 21, 2026 | 10:00 AM – 11:30 AM
June 9, 2026 | 10:00 AM – 11:30 AM
September 15, 2026 | 10:00 AM – 11:30 AM
November 4, 2026  | 10:00 AM – 11:30 AM
CTO 204: Clinical Trial Budgeting Guidance & Concepts

Clinical Trial Budgeting Guidance and Concepts is an advanced series course for studies supported by the Office of Clinical Trial Activation (OCTA). This course reviews components of an industry clinical trial budget, how to successfully work with OCTA when reviewing the internal budget and providing study team sign-off and understanding negotiations strategies with industry partners.

Course Prerequisites:

  1. CTO 103 (for staff new to clinical trial start-up at UCSF)
  2. Review OCTA’s How to Activate a Study with Us webpage

Audience: Clinical research staff and study team members who work on industry clinical trials with OCTA. This training is required for any staff member delegated by the Principal Investigator to approve the draft coverage analysis and internal budget. Delegation of this responsibility is at the discretion of the PI's department.

This course is conducted on Zoom; register via learning.ucsf.edu.

Course Dates & Times

CTO 204: Clinical Trial Budgeting Guidance & Concepts
February 10, 2026 | 1:00 PM – 2:30 PM
April 21, 2026 | 1:00 PM – 2:30 PM
June 9, 2026 | 1:00 PM – 2:30 PM
September 15, 2026 | 1:00 PM – 2:30 PM
November 4, 2026 | 1:00 PM – 2:30 PM
CTO 300e: Foundations of Clinical Research (Online | On-demand)

This eCourse reviews the foundations of clinical research at UCSF for PIs, including top PI responsibilities, best practices for protocol writing, training, manual of operations and procedures (MOPs), standard operating procedures (SOPs), documentation, checklists, and more. The course introduces resources for each of the topics covered.

The eCourse is designed for PIs and is also helpful for clinical research staff and study team members interested in learning more about these topics.

Complete it anytime: CTO 300e: Foundations of Clinical Research

Course Prerequisites: CTO 100, CTO 101, CTO 102, CTO 103, CTO 104, CTO 107

Audience: Experienced clinical research staff and study team members who have been in their role for at least 6 months. 

OnCore Training & Account Request
Additional Resources
  1. CRC Listserv - all CRCs and study team members are strongly encouraged to sign up for the CRC listserv to ensure they receive pertinent communications. To enroll, send a one-line email with no subject to [email protected]. The one line of the message is: subscribe CLINRESCOORD firstname lastname (firstname lastname are your first and last names.) Delete all other content from the body of the message. The listserv server will pull your email address from the FROM field of your email. You then should receive a confirmation request email to confirm your intention to subscribe to the listserv. Upon confirming your subscription, you will receive a welcome/acceptance message stating that your subscription request has been accepted.
  2. List of Common Research Acronyms
  3. Study Start-Up Diagram (Industry)
  4. Study Start-Up Checklist
  5. Note to File