The MHRA requirements for supplementary accreditation for phase I units include a requirement either that 1) clinical research physicians participate on an ongoing basis in periodic participation in a hospital resuscitation team rota, or 2) that the unit uses physicians on contract with appropriate up to date experience, or that 3) the unit is based within a hospital with a critical care facility.

I am interested to find out what is considered acceptable practice for meeting the first option, for units which do not use contract physicians, and are not based within a hospital. How frequently is the ?periodic? participation and what does it involve ? carrying the crash bleep? Doing A&E shifts? Or something else?

All feedback gratefully received.