As we in this industry are aware, turnover from both the sponsor and/or monitoring CRO is extremely high compared to other fields of service.  In order to have a monitor turnover rate lower than the industry standard, companies should recognize the importance of minimizing turnover whenever possible and proactively adapt strategies to do so.  However, in the event when turnover does occur, companies should also strive to make the transition to a new monitor as smooth as possible for both the sponsor and site(s).