Any student pursuing ISMMS training/certifications/degrees, either primarily enrolled or while enrolled in another program (or on leave of absence from that program), must obtain approval of their study design for culminating projects, including any planned IRB-related submissions or questions regarding whether the project involves human subjects research, from the program advisor. If the student is enrolled in a second ISMMS program, the student is responsible for notifying both the primary and secondary programs of the filing of an academic LOA to ensure the status of the student is known to both program and any program handoffs/transitions are coordinated.