Further down the chain of supervision, research institutions are designated to “manage” their own conflicts of interests as well as those of their investigators. Yet many institutions and investigators have a financial stake in the clinical trials they conduct.
监督链条以下部分中，研究机构应当“管理”他们自身的利益冲突，调查人员也是一样。但是，许多机构和调查人员在其所开展的临床试验中存有经济上的利益。大多数调查人员很少有伦理和遵守法规的培训或者根本没有。对此并没有强制性的教育。