Clinical Research Associate vs Coordinator (CRA vs CRC)
What is a CRA/CRC?
Use this guide to get a detailed side-by-side comparison of two similar acronyms with 2 very different roles.
The clinical research coordinator or CRC helps conduct the trial as one specific site and will archive all the documents at the site when the verification by CRA is complete.
The clinical research associate or CRA will review and verify documents from multiple sites conducting the same trial and do multiple visits to ensure quality and ethical conduct of the clinical trial.
CRA vs CRC (Clinical Research Coordinator vs Associate)
Clinical Research Associate vs Coordinator
Difference between clinical research associate and coordinator:
A clinical research associate (CRA), also called a clinical monitor or trial monitor, is a research professional with a minimum of a bachelors degree (usually nurses!) who works under contracts or hired by sponsors, CROs, or freelancing (by biopharma and research institutes) to perform roles listed in ICH GCP guidelines for monitoring clinical trials.
Who makes up the research team?
A CRA ensures compliance with ICH GCP and the clinical trial protocol by checking clinical site activities, making on-site visits (selection, initiation, routine, close-out), verifying “trial” case report forms (CRFs) are accurate by comparing to medical records, and speaking with the site’s CRC.
CRAs protect the ethical safety of human subjects and ensure the scientific integrity of the data collected through these processes.
Difference between clinical research coordinator and clinical research associate:
When a PI (principal investigator, i.e. often a busy, working physician running a trial on the side) is chosen to conduct a trial at their site, clinical research coordinators often take over part of the essential responsibilities of PI. This includes making sure the trial is 1) conducted and 2) in compliance with the protocol and federal or international regulations.
Site (CRC) vs. Sponsor (CRA)
CRC vs CRA: CRC responsibilities include writing the IRB/Ethics Committee application (specific to each site unless trial is under a single IRB/sIRB), making/performing informed consent (IC) process, developing a budget for the site, subject recruitment, patient care, adverse event reporting (a CRA simply audits and ensures that no AEs were missed!), preparing the case report form (CRF) for the CRA to review against medical records, and submitting tons of data and records to the CRA/Sponsor at each site visit.
Roles of a CRA
CRA interactions with other fields
Roles of a CRC
CRC interactions with other fields
Clinical Research Associate vs Coordinator Salary
Because CRAs manage multiple trial sites at one time, have a bachelors degree (minimum), and produce outcomes that are cost-effective for improving the efficiency of a trial; clinical research associates usually get paid more than coordinators. Unfortunately, clinical research coordinators are really doing the brunt of the “front-line” work and are the reason the trial occurs at that site all together. CRCs take a huge responsibility in both starting the trial and then presenting the trial documents to the CRAs as well as being the “middle-man” of the entire Site vs. Sponsor/CRO communication line. While CRCs deserve to get paid more, of course, it is not cost-effective as there are usually multiple sites and thus budgets are not capable of expanding upon the CRC’s pay-range. Luckily, CRC’s with experience can bridge to becoming a CRA through certifications and exams.
List of Relevant Courses:
Clinical Research Coordinator Certification: Enroll Here
Pharmacovigilance Certification: Enroll Here
Clinical Research Associate (CRA) Certification: Enroll Here
ICH-GCP Certification: Enroll Here
Clinical Trials Assistant Training: Enroll Here
Advanced Clinical Research Project Manager Certification: Enroll Here
Advanced Principal Investigator Physician Certification: Enroll Here
Medical Monitor Certification: Enroll Here
CRC to CRA bridge program
You can bridge into being a CRA in your own company or apply for jobs to be a CRA by completing CRA certification and trying to get experience with any on-site “in house” CRAs your site may have. CCRPS provides advanced “senior”-level CRA certification for CRCs so that:
1) on resumes you can prove knowledge competency of CRA tasks up to an advanced level (easier for in-job promotion)
2) during interviews you can prove your application of knowledge
3) during the job itself you can be efficient and diligent in preventing errors.
7 Reasons Why You Should Start a Career in Clinical Research
begin a Career in Clinical Research
How you ever thought that there’s a perfect job out there for you, but you just haven’t found it yet? If you are motivated, informed, and interested in a science and medical career, you might have just found your answer. Many clinical research professionals say this is the golden ticket to a great career in the science field.
Why Clinical Research as a Career
The clinical research industry is a highly lucrative and expanding field. The global clinical trials market has been estimated at $46.8 billion in 2019.
As the push for new vaccines and therapeutics continues to get stronger, the field is expected to grow even more in value. Experts predict that the global market will hit $69.9 billion by 2027. The future in clinical research is bright, and it is one that you will want to be a part of.
Contrary to popular belief, working in clinical research doesn’t have to mean you have to stay in a lab. There are demands and opportunities for every skill set, if you know how to find them. Below, I have put together an in-depth guide on why you should get into clinical research.
Working in Clinical Research
You like a job that’s flexible
Don’t like working in a cubical? How about heading to the airport every morning instead? If you like a job that keeps you moving, then becoming a Clinical Research Associate (CRA) and working in clinical trials might be the right move for you. Learn more about becoming a CRA with this CRA Certification Course.
CRAs, contrary to what most people believe, don’t collect data or interact with patients. A CRA’s day-to-day job is to travel between different research sites and verify data transcription (i.e., data management). CRAs can also become part of the project management as a clinical trial manager of an entire trial.
They are also called “monitors” and a part of "regulatory affairs", because it is also their job and clinical experience to ensure that every site is following proper compliance and protocols.
There are two types of CRAs: home base or in-house. Home base CRAs work remotely. That means they work and travel from home. Most CRAs work for contract research organizations who are hired by sponsors to conduct their multi-site trials.
If you get tired of working home base, you can become an in-house CRA. In-house CRAs stay in one site and work together with a home base CRA to keep each other updated with what is happening at their site.
You like working with people
Have you ever been told that you are a people person with great communication skills? If talking to someone about how you can change their health for the better sounds like something you’d enjoy, you should definitely look into becoming a Clinical Research Coordinator (CRC). Explore our Clinical Research Coordinator Course to get started.
CRCs are the backbones to every project. They conduct patient visits, input source documents into the electronic data capture (EDC), and ensure that every trial is following compliance. They are also responsible for handling regulatory documents and updating the Principal Investigator (PI) with trial results.
CRCs conduct a variety of tasks, all of which impact the progress and development of the trial. Every successful clinical trials team needs is a good CRC. So, if you have strong interpersonal skills and know how to stay organized, you will be an indispensable part of the team.
You are detail-oriented and tech-savvy
Are you a self-proclaimed techie? Perhaps you’ve dabbled in coding, pick up computer programs easily, and maybe even have a background in IT. Technology is the future. If you think you have a knack for organizing data, you should look into becoming a Clinical Trial Assistant (CTA). Check out our Clinical Trials Assistant Training to learn more.
CTAs, also known as Clinical Research Assistants, manage the Trial Master File (TMF). They file, archive, and maintain trial documents and study files. They are also responsible for closing inquiries from the CRA, as well as providing administrative support to the research team. Every important step in clinical research, pre-clinical research, study startup, site management, needs a dependable CTA.
While most jobs in clinical research require some understanding of technology, it is especially important for the CTA to know what they are doing when it comes to managing trial documents and study files. In addition, it is equally important that the CTA is organized and knows how to pay attention to detail.
Working in Clinical Trials
Means you like a good salary...with room for promotion
Though there are many career paths within clinical research, most people begin their career as CTAs or CRCs in entry-level positions. Depending on your skill set and what kind of experiences you can bring to the table, either position will help you get your feet through the door.
According to salary.com, a CTA’s average salary in 2020 is $63,000. They generally earn between a range of $54,300 and $73,000, and are provided with benefits such as healthcare and social security.
If being more hands-on in the research process appeals to you, you might be a good fit for a CRC. Similarly, CRCs are making an average of $63,117 in 2020. Most make between a range of $54,210 and $72,902, plus employee benefits.
While numbers tend to fluctuate between cities and states, there’s no denying that these are great salaries for an entry position. Since according to one of the largest global job recruitment sites, Glassdoor, the average base salary in America is $40,000. Starting with an annual salary of $60,000 is considered uncommon and on the high end of the spectrum.
After one to two years of experience on the job, most companies provide CTAs and CRCs opportunities for professional development and promotion. Many become Clinical Research Associates, or CRAs. Indeed reports that the average salary of a CRA with one to two years of experience is $72,358. After building at least 6 years experience, a seasoned CRA should expect to earn $110,102 a year. If you would like to make more money, you can consider becoming an individual contractor CRAs. They can earn up to $300,000 in a year.
You are a science professional wanting to change careers and don’t want to go back to school
In clinical research, experience is often valued over degrees. Rather than what you didn’t study in college, hiring managers are more interested in what you have done in the past and how they can integrate you into their company.
This includes getting certified through clinical research courses, but more so what you learn from the courses you take. CCRPS offers the most in-depth CRA and CRC training so that there's tons to talk about during the interview and a working bank of knowledge during the first few months of the job. Explore more specialized certifications like ICH-GCP, Advanced Clinical Research Project Manager Certification, and Advanced Principal Investigator Physician Certification to further enhance your qualifications.
While graduate programs can help point you in the right direction, you don’t need a master’s degree to succeed in clinical research. In fact, certain positions don’t even require a bachelor’s or associate’s degree; they have certification in clinical research.
Applying to CRC and CTA positions are one of the most common segways into higher positions in clinical research. CRCs don’t need a bachelor’s or associate’s degree to get their foot in the door. While both CTA and CRA positions require a bachelor’s degree, they don’t have to be in the life sciences.
One of the best ways to gain experience and stand out from the crowd is to have on-site experience. If you need advice on how, Dan Sfera, the CEO of DSCS CRO Clinical Research Services, recommends getting started by interning or volunteering at clinics and research sites to build connections and experience.
Sometimes, the easiest way to get involved is to offer services like patient recruitment and social media management in exchange for opportunities to build your CV. By appealing to a site’s needs, this will help you get your foot in the door and build the connections and resume you need.
Another great way of adding experience to your resume is by training throughcertification courses. When employers see that you have taken the time and effort to understand how to be the best in their field, they are more far likely to hire you. At CCRPS.org, we offer seven courses and certification trainings to give you an advantage. Most of our students are hired within the first month of taking the course. We are accredited by the Accreditation Council For Clinical Research Education (ACCRE) and Joint Commission by the AMA, ANCC, and various other organizations to provide 17.5 CME credits through our CRA Certification and CRC Certification.
6. You are switching careers
Switching career fields can be nerve wracking. However, it is also an opportunity for you to be a unique candidate. Whether you come from a closely-related background, like medicine or nursing, or something completely different, there are ways you can advocate for yourself in front of employers.
If you already have a background in medicine (nonclinical doctor, unmatched MD), your knowledge of healthcare and your passion for patient health will make for a smooth translation into clinical research. In addition, your RN or MD degrees will help you gain a competitive edge and allow you to climb higher positions, such as the PI, who is the primary researcher of an operation.
On the other hand, if you come from a less relevant field but feel passionate, you can still leverage yourself to be exactly what the clinical research field needs. For example, if you are a teacher, your communication and interpersonal skills will be your keys to success. If you are a lawyer, your ability to draft and read papers will far surpass the average candidate.
If you studied mathematics, you are a skilled problem solver. If you are a translator, your language skills are valuable and will help you get into roles that require it. In short, whatever skills helped you succeed in your previous positions, you can bring it with you to clinical research.
7. You want to make a difference in disease outcomes and patient care
There are two types of people in the world: ones who accept the world as it is, and ones who strive to change it. In the last 50 years, science and medicine have gone through a series of drastic changes. However, anyone who works behind the scenes will tell you that medical breakthroughs are not miracles. Clinical research is the culmination of human effort and intelligence.
The fruits and labor of the ever-expanding industry are proof that if enough people care about the world, then they can change it. While there are many good reasons to work in clinical research, if you want the privilege to enrich the lives of others, there is a place for you in this field.
If you want to take a sneak peak at employers and opportunities near you, jobs sites like Indeed are a great resource.
Here are links for aspiring CRAs, for CRCs, and for CTAs. (Note: CTAs are often referred to Clinical Research Assistants, not to be confused for Clinical Research Associates)