Clinical Staffing Reviews

A site which compares Clinical Recruitment Firms so you are able to select the best Recruiting Company to fit your staffing needs.

Site Mission

Why should you care about this review site?

I want to address something critically important and how we, as clinical operational managers can truly make a positive impact to the results of our clinical trials.

Why do promising clinical trials fail?

Current studies show the rate of failure in pivotal studies to be significant; currently at about 45% (1).  Of course I am no statistical expert, nor am I an expert on biologics, establishing endpoints, novel vs. known mechanisms of failure, randomization, inclusion of biomarkers…and the list goes on.  BUT, I can share with you what I have seen in operations which will contribute to this failure rate.

And the good news is I will only focus on what we, as clinical trial operational managers, can control.

Our team members…

As I am sure you will agree, high attrition rate of your clinical staff can be the death of your trial.  Additionally, team members who are not at the appropriate skill level (both medical/technical and the harder to come by “soft skills”) can wreak havoc on your monitoring plan or the quality of data being collected.

…So why did I build this website?

A little about me:  My name is Fred Elmore and I am a Clinical Operations and Quality Assurance Professional with over 20 years’ staff management experience in quality assurance, records management, general clinical research and training development.

I have seen a concerning trend within clinical trials that I believe we can address through minor changes in the way we attract, select, and on-board clinical staff.  Many sponsors and CROs use recruiting companies to source both permanent and contract staff members and honestly I believe that is the right approach if you are using the right clinical recruiting company.

This website is intended to provide feedback from my experiences and research and hopefully will help you make better partnership and hiring decisions.

Please feel free to contribute your insight and opinion to the articles and reviews.  And if you have any ideas on new content please reach out to me.



linkedin      CSR logo 1

(1) Kola I and Landis J: Can the pharmaceutical industry reduce attrition rates. Nat Rev 3: 711-715, 2004

5 Responses to “Site Mission”

  1. Susan

    Fred, my favorite review section is your Niche: Clinical Recruitment Staffing Agencies reviews.

    I have been a hiring manager in Clinical Research for over 16 years and at this point, I am only going to work with agencies who only recruit in clinical research. For any of you out there who aren’t sure why this is important, Fred’s site can give you an idea. I promise, you will notice a difference when you use an agency that is expert in one field.

  2. Lelia

    Fred, our CRO has been experiencing significant turnover of CRAs. We have assessed the attrition level of each agency we are using, and while some are much better than others we are struggling.

    Any thoughts on an approach to minimize our CRA turnover?


  3. Fred

    Lelia, I think the key really is to partner with an “expert” at providing CRAs.

    All too often I see companies use recruiting agencies who recruit everything – and this often leads to disaster when it comes to needing a specific type of resource.

    For CRA Recruitment, I would specifically check out

    For an agency that only performs CRA Recruitment, I would check out (and their website is

    I hope this helps!

  4. we give e mail list

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