OCREA™ v5.0 — Complete Program

Oncology Clinical Research
Excellence Academy

The only structured training program built specifically for Medical Monitors, Clinical Scientists, and Clinical Science Liaisons in pharma and biotech oncology development — designed by a physician with 16+ years of industry experience.

37
Modules
9
Tracks
~40h
Duration
3
Certifications
12–20
Weeks
Medical Monitor Clinical Scientist Clinical Science Liaison
Role-Differentiated Learning

Built for your exact role

OCREA is not a generic GCP refresher. Every module is scoped to the decisions and responsibilities that define your role in clinical development — from individual SAE assessment to regulatory strategy and executive communication.

Medical Monitor

Medical Monitor

Deep technical mastery of safety operations, benefit-risk assessment, and Phase 1 dose escalation — the core competencies of the MM role in oncology trials.

Tracks 1–6, 8–9 · ~30 modules

  • 6-step individual SAE review framework
  • DLT assessment, BOIN, MTD / RP2D decisions
  • Safety aggregate review and signal detection
  • IDMC/DSMB interaction and unblinded data management
  • Benefit-risk narrative for regulatory submissions
Clinical Scientist

Clinical Scientist

End-to-end clinical trial methodology: from endpoint selection and efficacy reading to cross-functional integration and data interpretation in complex oncology programs.

Tracks 1–6, 8–9 · ~30 modules

  • OS, PFS, ORR, DOR endpoint design and interpretation
  • RECIST 1.1 and iRECIST efficacy reading
  • Biomarker strategy and CDx integration
  • Accelerated Approval and global regulatory pathways
  • Cross-functional influence and stakeholder management
Clinical Science Liaison

Clinical Science Liaison

Site management excellence, field protocol implementation, and the cross-functional leadership skills that define high-performance CSLs (Clinical Science Liaisons) in competitive oncology environments.

Tracks 1–2, 6–7 · ~15 modules

  • Oncology science foundation for field professionals
  • Protocol deviation assessment and sponsor reporting
  • Site performance management and investigator relationships
  • Field visit strategy and data quality oversight
  • Regulatory fundamentals relevant to site operations
9 Tracks · 37 Modules

Complete curriculum

From cancer biology fundamentals to expert-level decision-making under uncertainty — a logical progression designed to build genuine clinical development competence, not box-checking compliance training.

Track 1
Oncology Science Foundation
All Roles
4 modules — Cancer biology, drug classes, tumor immunology, biomarkers & CDx
Track 2
Clinical Trial Methodology
All Roles
4 modules — Endpoints, RECIST, safety reading, trial design Phase 1→3
Track 3
Phase 1 Oncology
MM · CS
3 modules — DLT framework, combination attribution, FIH consent & pediatric trials
Track 4
Safety Operations
MM · CS
4 modules — SAE review, aggregate safety, SUSAR reporting, IDMC operations
Track 5
Data Review & Benefit-Risk
MM · CS
4 modules — Interim data review, benefit-risk frameworks, PK/PD integration
Track 6
Regulatory Strategy
All Roles
4 modules — FDA/EMA pathways, Accelerated Approval, HTA, MRCT strategy
Track 7
Field Excellence
CSL
4 modules — Site management, protocol deviations, visit strategy, data quality
Track 8
Leadership & Strategy
MM · CS
7 modules — Influence, cross-functional leadership, executive communication, career growth
Track 9
Expert Practice
MM · CS
3 modules — Decision Consequence Trees, ambiguous data scenarios, expert judgment
Instructional Design

How the program works

Every module combines conceptual instruction with realistic practice scenarios. The program is aligned with ICH E6, FDA/EMA regulatory standards, and the Kirkpatrick evaluation model at Levels 1 and 2.

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Role-Filtered Content

Filter the entire program by your role — Medical Monitor, Clinical Scientist, or CSL. Only the modules and content relevant to your responsibilities are surfaced, so there's no noise.

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16 Proprietary Frameworks

Structured decision frameworks for the most complex judgment calls in oncology development — from 6-step SAE assessment to benefit-risk narrative construction for health authority submissions.

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Knowledge Checks Per Module

Applied scenario-based questions at each module. L1 and L2 questions use realistic clinical development situations, not abstract trivia. Feedback is immediate and educational.

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Progress Tracking & Dashboards

Track completion across all 37 modules with a real-time progress dashboard. The program saves your position automatically — resume from exactly where you left off.

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Regulatory Alignment

Content is aligned with ICH E6(R3), FDA Oncology guidance, EMA oncology guidelines, ICH E2A/E2B safety reporting standards, and the EU HTA Regulation (Joint Clinical Assessment).

Adaptive Pacing

The standard 12-week schedule can extend to 20 weeks without compromising learning integrity. Adaptations are fully supported for small teams, self-directed learners, and resource-limited settings.

Three Levels of Achievement

OCREA Certifications

Certifications are earned by demonstrating applied competence — not just completion. Each level has a defined mastery threshold designed to reflect the real standards of clinical development practice.

Level 1 Certification
OCREA Foundation

Demonstrates mastery of oncology science fundamentals and clinical trial methodology. Awarded on completion of Tracks 1–2 with passing scores across all knowledge checks.

Mastery threshold: 75% on concept-recall assessments
✦✦
Level 2 Certification
OCREA Applied Practice

Demonstrates applied clinical judgment across role-specific tracks. L2 scenarios require integration of multiple concepts under realistic conditions — deliberately more complex than L1.

Mastery threshold: 65% on applied-scenario assessments
Level 3 Certification
OCREA Expert Practice

The highest designation. Based on structured facilitation of Decision Consequence Tree scenarios and portfolio review — no single correct answer, certified by structured assessment of clinical reasoning.

Portfolio review · Facilitated assessment
Program Design

Designed by a physician-scientist

AN
Alejandra E. Nieto, M.D., MBA
Founder, OCREA™ · Sr. Medical Director, Oncology Clinical Development

OCREA was created out of a direct observation: most oncology clinical development training is either too generic, too basic, or designed for site staff — not for the sponsor-side professionals who drive drug development decisions every day.

The program is built on 16+ years of senior oncology clinical development experience at a top-5 global pharmaceutical company, spanning Phase 1 through registration trials, multi-regional submissions, and IDMC operations across solid tumors and hematologic malignancies.

Dr. Nieto has served as Global Clinical Lead and Senior Clinical Director in oncology, with direct experience in benefit-risk assessment, regulatory interactions with FDA and EMA, safety aggregate review, and cross-functional team leadership across multiple oncology programs.

Every framework, scenario, and module has been validated against real operational challenges — the kind that don't appear in ICH guidelines but define the quality of clinical development practice in the field.

OCREA is operated under AH Investments LLC and is protected under U.S. copyright law (17 U.S.C. § 504). All 16 proprietary frameworks are trade secret protected.

Credentials
M.D. · MBA · 16+ years pharma oncology · Global Clinical Lead · Senior Clinical Director · Phase 1–Registration experience
Regulatory Alignment
ICH E6(R3) GCP · FDA Oncology Guidance · EMA Guidelines · ICH E2A/E2B · EU HTA Regulation · CIOMS Framework
Competency Framework
Aligned with Kirkpatrick Levels 1 & 2. L3 certification based on structured facilitation and portfolio review — not numeric threshold alone.
Team & Organizational Use
Available for individual professionals and organizational licensing. Adapts to LMS integration, small team facilitation, or self-directed learning without infrastructure.

Ready to elevate your team?

OCREA is available for individual enrollment and organizational licensing. Reach out to discuss program access, team pricing, or LMS integration.

Alejandra E. Nieto, M.D., MBA — Founder

© 2026 OCREA™ · AH Investments LLC · All Rights Reserved · 17 U.S.C. § 504