Patient Experiences of Penicillin Allergy Testing
The University of Texas Southwestern Medical Center
Parkland Health & Hospital System
Dallas, Texas
Patient Experiences of Penicillin Allergy Testing
Principal Investigator: Cesar Termulo, MD
Why are we asking for your participation?
You are being asked to take part in this research study because you or your child have completed
penicillin allergy testing at Parkland. Your participation in this study is voluntary.
Why is this research being done?
This study is being done to find out how patients experience penicillin allergy testing and to identify
opportunities to improve the testing experience and increase access to testing.
How many people will take part in this study?
Up to 400 patients will take part in this study at Parkland Health & Hospital System.
What is involved in the study?
If you agree to participate, you will be asked to complete a survey related to you or your child’s history of
penicillin allergy and testing. Surveys will take less than 15 minutes and may be completed in person
during one of your scheduled clinic visits or by telephone. We will also collect medical information from
your medical record. Your participation in the study will be this one survey.
What are the benefits of taking part in this study?
You may not benefit directly from participating in this study. Information that we collect and learn from
this study will help us to improve penicillin allergy testing with regards to access to testing and a more
satisfying experience for patients.
What are the risks of taking part in this study?
Any time information is collected, there is a potential risk for loss of confidentiality. Any information that
would allow identification of you or your child will be regarded as strictly confidential. In addition, all
information collected will be used only for the purposes of the study, and will not be disclosed or
released for any other purpose without your prior consent.
Your answers will be combined with those of other participants in reporting the findings of the study.
Do you have to be in this study?
You do not have to participate if you don't want to. You may also leave the study at any time. If you
decide to stop taking part in this research study, it will not affect your relationship with the UT Southwestern and Parkland staff or doctors. Whether you participate or not will have no effect on your
legal rights or the quality of your health care. If you are a medical student, fellow, faculty, or staff at the
Medical Center, your status will not be affected in any way.
Costs and Compensation: There will be no extra costs to you for participating in this research study, as the surveys can be
completed when you come for a regularly scheduled medical visit or by telephone. There will be no
compensation for your study participation.
Confidentiality: UT Southwestern and Parkland Health & Hospital System are working together on this study. Survey
and medical record data will be collected by the study team and stored in a secure, password protected
database, accessible only to members of the study team. Information we learn about you in this study
will be handled in a confidential manner. If we publish the results of the study in a scientific journal or
book, we will not identify you.
Any data collected as part of this study may be used for future research studies without your consent.
Any information that identifies you will be removed before it is used for future research studies.
The authorization to use your health information in this study has no expiration date. You may cancel
this authorization at any time. If you decide to cancel this authorization, you will no longer be able to
take part in this research study. The study team may still use and share the information that they have
already collected before you canceled the authorization. To cancel this authorization, you can make a
request in writing to:
Timothy Chow, MD
UT Southwestern Medical Center
5323 Harry Hines Blvd., Dallas, Texas 75390-8548
Phone (214) 456-2084
Contact Information for questions or comments:
If you have any questions, please contact the research team listed above.
For questions about your rights as a research participant, contact the University of Texas Southwestern
Medical Center Human Research Protection Program (HRPP) who oversee research on human
subjects. HRPP and Institutional Review Board (IRB) representatives will answer any questions about
your rights as a research subject, and take any concerns, comments or complaints you may wish to
offer. You can contact the HRPP by calling the office at 214-648-3060.
Before you agree to participate, make sure you have read (or been read) the information provided
above; your questions have been answered to your satisfaction; and you have freely decided to
participate in this research.