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    This article describes how investments in skill-building training programs are usually wasted, and how to implement the best available options for enhancing learner retention and increasing your organization’s ROI.

    The Problem

    Do any of these challenges sound familiar to you?



    • We spent quite a bit of money to train our staff, and now 6
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    months later nobody is using it!

  • Everybody liked the program, and they were positive when they walked out the door, but nothing seems to have really changed….


  • Our senior leaders are complaining that we didn't get the results we were after, in spite of the significant investment we made!




  • These scenarios happen all too ofte
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    n today. There are 3 key reasons why your training investment may be wasted:



    1. All skill learning involves physically growing new neural connections in the brain.


    2. It takes lots of practice and an extended period of repetition of skills to stimulate this growth and establish these neural connections.


    3. Improving behavior with new
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    skills means working against habits that have been ingrained for decades.



    It sounds like a daunting task to overcome these hurdles, doesn't it? But today there are new strategies, resources and technologies that can overcome these obstacles and really make learning stick.

    The Solution

    If you perceive training not as an event, but as
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    a process designed to reinforce behavior over the long run, you will see long-term behavior change and increase your ROI from learning initiatives. An excellent way to do this is with a “blended approach” to learning.

    About Blended Learning

    “Blended Learning” is a term used to define the use of multiple learning resources to help learners change
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    ehavior. This includes instructor-led classes, virtual classes, self-paced instruction, assessment tools, coaching, on-the-job resources, books, reference manuals, and discussion forums. Knowing how to create well-designed learning solutions, using a blended approach, can insure you achieve the objectives you've targeted.

    Blended learning has become one
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    of the hottest topics in the learning profession. In a recent study, survey respondents rated blended learning as the most effective form of training.1

    In fact, the use of blended learning is projected to double in the next couple of years. In 2004, it comprised 16.1% of training and is projected to grow to 29.4% of all training by 2006. It was ci
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    ed as the most effective type of training by 78.5% of respondents in the 2004 survey, followed by instructor-led and on-the-job training. It was also cited as the most efficient form of training.

    The amount of online learning used over the next 2-3 years is also expected to double. Our experience has shown there are 2 approaches to e-learning that will s
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    ignificantly enhance learner retention and provide a high ROI, as follows:



    • Online Instructor-led Training. This is also known as a Virtual Classroom.






    • Online, Self-Paced Training.




    Moving from instructor-led classroom instruction to self-paced online instruction and virtual classroom delivery was frequently m
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    ntioned as the key to:2



    • increasing the ration of employees to learning staff members by up to 40%


    • reducing travel costs by as much as 80 percent


    • reduced time away from the job


    • increased usage of learning assets


    • integrating learning with job tasks




    This indicates that not only is a blen
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ded learning approach a more productive learning experience, it is also more cost-effective for the organization. One key element of reduced cost is the reduction of travel costs and time out of the office.

    The Importance of Reinforcement and an Ongoing Learning Process

    In addition to the use of multiple learning delivery options, the use of rein
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    forcement and ongoing “touch points” is critical for enhancing learner retention. Without an ample period of skill reinforcement, an organization’s investment in training will not result in changed behavior patterns.

    The key is to think of training not as an event, but as a long-term process. We have found that the use of virtual classes, conducted in 60
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    90 minute sessions, provides an excellent way to economically and efficiently create reinforcement opportunities and enhance learner retention. It also encourages an additional element of accountability when each participant must report the actions taken on their Development Plan, as created in the classroom.

    Assessment, Measurement and the use of a D
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    evelopment Plan

    Not only do assessment tools provide excellent resources to measure progress, they enhance the learner’s ability to apply new skills and retain knowledge. An excellent way to measure improvement is to use a behavior-based pre-test before training, followed by an identical post-test 9 to 12 months later. Knowledge tests assess the wron
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    thing: what a person knows, rather than what a person is doing. Multi-source feedback (also known as 360 degree feedback) is the only way to get an objective assessment of leader, team and other people skills, all of which are otherwise hard to measure.3

    Not only does 360-degree feedback offer an excellent measurement resource, it p
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    rovides the participant feedback regarding his or her current strengths and development needs in areas targeted during the training program. This helps the participant apply the learning concepts discussed in the classroom, and to create an individualized Development Plan to improve behavior.

    Accountability

    Holding participants accountable increa
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    es the chance that they will follow through on the actions identified to enhance their performance. When they know they will be held responsible to show evidence of improvement, their motivation to work on performance issues dramatically grows. When the participant shares his or her Development Plan with the immediate manager, it helps the manager to not
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    only coach the individual where needed, but hold him or her accountable for following though on the plan.

    Strong, consistent coaching from supervisors and managers is the key to bridging the chasm that exists between learning and behavior. Train leaders to apply the right amount of accountability and support to their direct reports to ensure that transfe
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    takes place. Include a 360-degree feedback process to enhance the likelihood that supervisors are applying what they've learned.4

    Summary

    The bad news is that it’s extremely hard to improve performance when less effective behaviors have been ingrained for years. The good news is that it CAN be done when:



    • The problem is identifi
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    ed (typically through a 360 degree feedback diagnostic)

  • A targeted training program is provided


  • Learning is reinforced over time


  • The individual is held accountable for improvement




  • The primary viewpoint needed is to view training not as an event, but as a process of ongoing learning and follow-up


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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