CITI Training for Protection of Human Subjects

Collaborative Institutional Training Initiative (CITI) training for the protection of human research subjects is a diverse, effective, and comprehensive on-line research training and educational approach in use by hundreds of institutions worldwide (as of Aug 2008). The CITI system offers broad training across both biomedical and social/behavioral science areas and is updated regularly to be current with federal guidelines and regulations.

Goals of CITI training

  • Increase knowledge of, and sensitivity to issues surrounding the responsible conduct of research with human subjects.
  • Improve the ability of researchers to make ethical and legal choices in the face of conflicts involving scientific research with human subjects.
  • Provide information about the regulations, policies, statutes, and guidelines that govern the conduct of research with human subjects.

Providence utilizes this internet-based training program, administered by the University of Miami, to facilitate human subject protection training. CITI training offers a variety of educational modules in the area of human and animal research. Each participating institution chooses a “required” curriculum from a library of educational modules.

CITI is web-based, allowing you to log on from anywhere and do one or more modules at your own pace.

The three areas of required training for our institution are:

  1. Good Clinical Practice (one-time course for staff new to research).
  2. Research (initial course followed by refresher every three years).
    Depending on nature of your project, complete 1 of the 3 training groups:
    • Group1: Biomedical Researchers (For projects involving investigational drugs/devices)
    • Group 2: Social-Behavioral-Educational Researchers (For student/residency projects)
    • Group 3: Data Collection or Specimens Only Researchers
  3. Conflict of Interest in Research (COIR); a Federal requirement every four years.

How to access CITI training

When registering for the courses, you must designate IRB-Spokane as the institutional affiliation so that the correct curriculum is assigned and we receive notice of training completion. Access the courses at (you must create an account, for which there is no charge).

First time users:

  • Go to;
  • click on “Register” to create a new account;
  • enter “IRB-Spokane” as your organizational affiliation;
  • Complete the registration process using your Providence email (for Providence Health & Services employees); and
  • select the Biomedical Research Certification when asked to enroll into a CITI program course.

Returning Users or those with an existing CITI Account:

If you already have an account, or have done some training under affiliation with another institution (i.e. WSU), you must add IRB-Spokane as the institutional affiliation to ensure that the correct curriculum is assigned and we receive notice of training completion.

  • Go to;
  • enter your CITI username and password (this will take you to the Main Menu screen). If you forget the username or password you created previously, you can retrieve them by clicking the “Forgot your username or password” link in the menu on the left-hand side of the screen;
  • on the Main Menu screen, click on the prompt to “affiliate with another institution;”
  • change your affiliation to IRB-Spokane (you will be directed to answer four questions to determine Providence training needs);
  • Return to your main curriculum page and the required modules will be in your list.

After training and testing are complete, be sure to print your completion certificates and send a copy to Providence Medical Research Center.

Is there a passing requirement for CITI training?

Most of the required modules have a short quiz upon completion of the educational activity. An overall average score of 85% is required to successfully complete the CITI training program.

The modules and quizzes may be repeated as many times as needed.