I'm a physician that works in the pharma industry. I work exclusively in clinical research. Here are the basics:
Pharma companies contract out a large part of the work involved in each clinical trial. Here are the various pieces:
1) SMO - Site management organization. Usually a group of physicians who have lots of experience in running trials as investigators. Each investigator is known as a PI (Principal Investigator) who is usually an MD/DO/PharmD who has experience in running trials in a specific therapeutic area like Diabetes, Depression, etc.
2) CRO - Contract Research Organization. A loose term which generally means a company that specializes in contracting for various pieces of the outsourced work in a clinical trial. Some of the larger CROs in existence are: Quintiles, Covance, PharmaNet, PPDi, etc.
3) CRA - Clinical Research Associate. Also known as "monitors". These people work on behalf of the sponsor (pharma company) to go to each investigator's site to make sure he/she is doing the trial correctly and according to guidelines. Most CRAs are certified by a professional organization known as the ACRP (
http://www.acrpnet.org). These positions involve a lot of travel (>100K miles per year). Some pharma companies have in-house CRAs which are known as clinical trial managers. These positions will all require prior experience.
4) CRC - Clinical Research Coordinator. Usually bachelors level or nursing level people who have experience in running the trials at the investigator's site. These positions usually require experience or certification by the ACRP. Some SMOs have what are known as Research Assistants (not CRAs) whose main function is to assist the CRCs. This may be a good starting point for you.
Now getting a job in clinical research without experience is going to be tough. My first suggestion would be to work for 6 months in an Academic setting then try to work your way into a CRO. Then if you get ACRP certification plus 2 years experience, then you might try getting a job in a pharma company. Here are some sites to check for job listings:
http://www.centerwatch.com/careers/careers.html
http://www.diahome.org/docs/jobs/Jobs_index.cfm
http://www.landmarksearch.com/
http://www.biospacejobs.com/bspj/servlet/BSPJHome
http://www.medzilla.com/
Also Monster is a good source -- just type one of the above job titles into the search box.