Incentives must be provided. This includes incentives for the patient. Most don't live near a clinical trial center and know nothing about them. If physicians are paid to recommend them, patients should be paid for participating in them. Regulation is required and parameters set.

Patients should no longer accept being treated like second class citizens who should blindly follow a doctor. Housing is needed and it would be very helpful to open care centers at research universities. Even if there aren't that many clinical trials, the med students and researchers could observe and get to know PD before they start their research.

Would a teacher go through a degree without ever working with a kid?
paula