Clinical research associates work from in-house and also work remotely.
Remote monitoring is tough because you have to be accurate from the beginning because all the data required from the site for the study has to be correct and monitored precisely.
In house, personnel has to be online during whole working hours to respond immediately, but remote CRAs are not restricted to respond to emails and to send documents immediately because they are traveling for most of the time. They can also assign their materials to clinical trial assistants to name them and upload them for the team. The main focus of remote CRAs is monitoring a site that is exhausting, and being online is not possible all the time. So he can work on his reports.
Being a remote CRA has a lot of privileges as compared to in-house because they can work according to their mood, not required to be online for all the time, can rest on Friday because of traveling back to their house but in-house CRA has to be busy doing stuff all the time in office. They require a lot of systems and software to gather and manage all the monitoring data and send them to TMF. If any TMF file is missing then following up on that file can be a headache by checking them in emails and to contact the site to provide you with the document and wait for their response. Answering to so many queries by sponsors about sites or any document can be difficult.
CRA is responsible for so many things, and study related information that’s why they are in high demand but being a CRA is also very difficult due to massive workload. CRA turnover is also very high because while performing so many duties, he will jump to another company when offered with more benefits.