Getting a physician interested in research is only the beginning. Dan Sfera explains why new clinical research sites struggle to win their first studies and build the infrastructure to deliver reliable data. Drawing on his experience in Yuma, he discusses starting with observational and specimen-collection studies, developing and retaining coordinators, and building study-specific workflows before trying to automate them. He also covers the challenges of finding specialty vendors in underserved communities and why he sees these gaps as opportunities for resourceful site owners.

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