In Reply: With Leah Belsky, Dr Richardson identified ancillary care as a distinct issue warranting special attention. They also articulated a clear framework for determining investigators' responsibilities to meet participants' ancillary care needs.1,2 They argued that these obligations are determined by permissions granted as part of the initial consent and restricted in scope to needs related to the study question and procedures performed as part of the study. These contributions have significantly advanced research ethics.
Dickert NW, Wendler D. The Investigator-Participant Relationship—Reply. JAMA. 2009;302(22):2435-2436. doi:10.1001/jama.2009.1799