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  • Digg It - How to Prevent Distortion, Rumors, and Hearsay

    Why is listening so difficult, and what can we do about it? Why do"rumors and hearsay continue, and how do we stop them? The first step is to uncover the root of these problems, which in turn will provide some solutions.

    Problem One: People Don’t Listen

    Although studies differ on the matter, many conclude that people speak about 150 to 200 words per minute and think at least 600 words per mi
    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
    nute -- and probably a lot faster than that. Whatever the research, it is universally accepted that we all think faster than we speak. Therein lies the challenge. Our brains operate significantly faster than the rate at which someone can speak.

    When we’re listening to someone, we have the time to add a significant amount to what that person is actually saying to us. We think. We add those extra word
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    . We interpret. We twist. We alter the message! After all, a brain has got to do something with all that extra time!

    While your boss or your spouse or your best friend is talking, your brain is chugging along, embroidering all manner of frills and lace around the edges of the real message. While your brain is doing all this tinkering with the incoming words, it is also repeatedly hitting the save bu
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    ton, dumping the whole thing -- the real words and the embroidery -- into your memory. The problem is that your brain doesn’t bother to separate that information.

    So there is just this one file labeled: “Conversation Last Monday with Sally about the New Project, and everything gets dumped into the file willy-nilly. On Frid
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    y afternoon, when you sit down to sort out that conversation about that critical new project, you mentally open the file and start removing pieces of information -- without the slightest clue whether the information you’re extracting is what Sally actually said or some bit of word juggling your bored, overactive mind produced. This is a primary way that misunderstandings come about. Sally said X and
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    you think she said Y -- and you remember it quite clearly!

    To make matters worse, I recently read one study that said the average attention span of a human being is eight seconds. So, when something you hear triggers a thought, your excess mental capacity wanders off to follow that trail to another thought, then another thought, then another thought… and suddenly you’re daydreaming instead of paying
    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
    attention to what is really being said.

    So we alter the messages we hear and our tiny attention spans won’t even let us completely hear anything without disconnecting and wandering. It is a miracle that any messages get through at all. So it’s true -- people don’t listen. If individuals and organizations would simply operate with that understanding, we would all be a lot better off.

    Problem Two:
    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
    Hearsay Is Always Distorted

    Unfortunately, we tend to forget all about childhood games as we get older. But we would all do well to remember the game of telephone and what a kick we got out of the distorted message at the end of the telephone line. The truth is that we encounter an adult version of this phenomenon in the workplace, but we seem to have forgotten the point of the game -- that mess
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    ges passed from one person to the next get distorted. In fact, in our workplaces, we often think hearsay information is... the truth!

    Let’s be conservative, and for the sake of this point, assume that people speak at 200 words per minute and people think at 600 words per minute. (The discrepancy is probably a lot worse.) Even in this scenario, we can say that
    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
    when we tell one person what another person said -- hearsay only one person removed -- the message is garbled, possibly up to and maybe even exceeding, a factor of four. The reason is this: in the 200/600 dichotomy, we have time to add four hundred words to what someone is saying to us – two times the original amount. If we pass what we “heard” along to someone else, they in turn may add their own ad
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    itional 400 words to what just said, thus creating a factor of four. And that doesn’t even account for exacerbating factors -- such as a listener’s animosity or preoccupation. Such factors could further distort the communicated information.

    Let’s face it: when someone tells you what someone else said, it is always distorted -- and that is just one person removed! But real life dictates that things u
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ually don’t stop there. In real life that one person tells someone else who in turn tells someone else. That is why the role of “ambassador” in the workplace is problematic.

    Allow me to examine a typical scenario in which this dynamic plays out. A project manager often acts as an ambassador between the client and the project staff. S
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    the project manager meets with the customer to find out the customer’s desires, goals, and expectations. Later the project manager holds a meeting to inform the project staff what the customer wants. What happens? You guessed it, the information is distorted. In fact, the real-world scenario may be worse. A project manager doesn’t usually get a chance to meet directly with the client. Instead the pr
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    oject manager meets with the client’s assistant. Thus, the client tells the assistant to tell the project manager who tells the people who work on the project what the client wants. It is a miracle that anything is accomplished accurately at all! The truth is -- a lot of the time it doesn’t. And the cost is enormous in terms of productivity, profitability, stress, and decreased morale.

    Solutions<
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    b>

    Lack of listening and hearsay information is real problems and should not be ignored. Rather than wishing the problems didn’t exist, follow these twelve rules, and you will see a huge difference.

    1.Check out rumors by going directly to the source.

    2.Don’t pass rumors on.

    3.To ensure clarity, paraphrase back to people what you hear them say and have people paraphrase your statements back to you
    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


    4.Take notes and document what someone says in a conversation. Have them verify the documentation is correct. Remember, in a dispute, whoever has the most documentation usually wins!

    5.Repeat and summarize your message.

    6.Keep messages as short and simple as possible. Let the details follow your main message, just as newspaper articles are written.

    7.Establish frequent milestone meetings (to mak
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    sure everyone is on the same page). If the project is moving along successfully, you can decrease the frequency of the meetings.

    8.Develop a powerful network within your organization so you can crosscheck the information you receive.

    9.If you manage people, pass on information in a lot of different ways (verbal reports, written reports, memos, e-mails, town-hall meetings, websites, etc.) to ensure
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    that people at all levels receive the true message.

    10.If you manage people, check in with people at all levels to ensure the information they are receiving is accurate and to hear feedback.

    11.If possible, do not act as an ambassador. Instead, coach, support, and encourage people to talk directly with each other -- especially when they have a problem with each other. If need be, facilitate a meet
    .

    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
    ng between the two parties.

    12.Eliminate distractions. When someone is talking to you, do not file, type or perform any other activities. If you are on a conference call, exit out of your e-mail program or, better yet, turn your monitor off. Remember, it is hard enough to concentrate on what someone is saying without distractions. If you work with someone who gets easily distracted, try to have any
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    meetings with that person in an area with few distractions.

    If we accept and remember that people don’t listen and that hearsay information is always distorted, we can develop procedures, processes, and systems that in the end will make everyone’s life easier and more productive. These twelve rules will set you on your way. Don’t just think about implementing them, do it. You can make the difference


    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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