In the nearly 10 years since we wrote the first edition of Lessons
from a Horse Named Jim, we have seen a number of changes in
our personal lives as well. Margaret (Maggie) had the opportunity
to move with her family to Singapore and has lived there for the
past 8 years. After returning to the clinical trials arena, Maggie has
consulted with hospitals in the Singapore health care clusters to
create a clinical research coordinator (CRC) network to facilitate CRC
education and training that will support expanded trial work in that
country. Kate has remained at the Duke Clinical Research Institute
(DCRI), although her daily activities are removed from clinical site
activities. However, when Kate is asked to offer insight into a
site-related issue, that interaction still remains the most fulfilling
aspect of her job. Through Maggie’s work in Singapore, she found
herself often referring to the first edition of Jim and realized that
the book could be strengthened by the addition of more in-depth
information, while still fulfilling its purpose of serving as an intro-
ductory manual for clinical research. In addition, Maggie felt that
expanding information beyond North America would be worthwhile.
Thus, work began on a second edition.
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