Alloutcoach Tim

In late 2024 I spoke with an academically trained cardiologist expert in cardiometabolic risk prevention and obesity medicine, educator, Dr. Eldad Einav, from Beverly Hills, CA about the ongoing controversy about the shortage and patient access to the exciting new weight loss treatments such as GLP1 agonists. He shared many practical, clinical insights and research that are important to revisit today for patients, physicians, and payers who are seeking to provide the best solutions and learn from some recent shortcomings.0:00 Highlight #1 - Distinguishing the quality of weight loss solutions1:26 Highlight #2 - Providing reliable 503B Facility source for patients w/ no access to GLP13:18 - Speaker Introduction6:14 - Why Dr. Einav decided to specialize in obesity / weight loss9:38 - Why should cardiologists focus on weight management - preventive care?11:58 - Not many cardiologists manage weight12:34 - Patient preferences to treat weight vs hypertension or cholesterol14:34 - Problem of maintaining long-term weight loss 15:00 Look AHEAD study - well-controlled lifestyle study of weight loss with 16:19 Drugs meeting newer targets of 15% or higher weight loss16:57 - Select Trial: weight loss reduces risk of heart attack, stroke by 20%19:07 - New drugs approaching efficacy of bariatric surgery 21:29 - 2024 Shortage and patient access to new GLP1 drugs23:11 - Specialty pharmacy compounding GLP controversy26:06 - What doctors should know about choosing compounded drug alternatives27:54 - What patients should know about choosing their weight loss drugs31:22 - Reality of types of compounded medications used by US hospitals32:11 - Removing the double-standard of compounded medications to improve patient access33:46 - Helpful resources to learn how to access the right weight-loss medication37:47 - Final Advice to Patients and HCPs to make better decisions, consolidate fragmented care

The first Alloutcoach episode of 2025 is a powerful and honest conversation from an unforgettable Expert Panel at the 2024 Medical Affairs Innovation Olympics about a much needed modern view of leadership in Medical Affairs, pharma, healthcare and beyond. The thought-provoking discussion will certainly challenge you and offer practical solutions. It features some of the most dynamic, accomplished leaders who provide intriguing, candid, and diverse perspectives across pharma and biotech, Medical Affairs, ESG, finance, technology, and life sciences backgrounds. Speakers: Melissa Norcross, AVP, Corporate Strategy and ESG, Hyland SoftwareChristopher Piedmonte, Managing Director, NeoTerra Capital, Tech Executive, Angel Investor Natasha Hansjee, Integrated Medical Enabling Catalyst, RocheTopics1. Leadership & Talent: What are the current gaps in innovative Medical Affairs leadership approaches from a talent management perspective – how do we maximize the power of medical decisions from a skillset and mindset perspective (AI savviness, critical thinking, innovative, digital HCP engagement)? 2. Measuring and Improving Impact on Patients: How can Medical Affairs continue to reinvent itself with emerging challenges, technology, or competitive sources of information that drive clinical decisions to instead utilize them appropriately yet demonstrate its independent value and impact in the future? 3. Decision-Driven Analytics – what case studies or best practices can we learn from in decision-driven analytics and excellence in internal decision-making and strategy across the different life cycles of products, devices, etc.4. How do we stimulate problem solving and adaptive performance, not only tactical performance to drive innovation in Medical Affairs? 0:11 Episode Highlights 8:20 Introduction of Panel 9:50 Moderator's Introduction - What Gaps are there in Medical Leadership? What does it mean to lead well? Provide not only skillsets but toolsets. Celebrate and stimulate failure.Emphasize customer experience15:46 Gaps in Clarity of vision, Access to Resources18:35 Setting the right foundation of trust and mindset as LeadersLeader's job is to help team members to avoid trouble, resolve problems and not assign blame.21:59 Empowerment comes through accountability, which is missingPerformance Feedback is critical23:57 Unlocking Innovation and Critical ThinkingPsychological safety is effective only when combined with AccountabilityTeaching others how to think in order to maximize performance25:20Leaders Drive Business PerformanceTrust and accountability fall along a spectrum, and are not opposites27:26 How do the greatest leaders drive more effective innovation? 31:44 Innovation through accidental discovery accelerated by Generative AIIn many ways AI stands for artificial intern vs artificial intelligenceHow critical collaboration is as well as competition33:45 At the edge of performance, athletes learn from other competitors who have superior skills.34:45 Case Studies of Utilizing Analytics to Drive Better Decisions36:45 Get diverse perspectives, from relevant and large groupsBeware of making assumptions based on data39:31 Take data you have available, match the quality of the data to make best decision. It is never perfect. Do more with less resources - innovation.43:14 Last Call to Action to Lead differently tomorrow in Medical AffairsClarity - Objectives, Timelines, Resources, Performance metricsVoice of Customer + Voice of Employee46:53 Find Someone to Compensate for your Blind Spots

This last Alloutcoach podcast episode of 2024 is the most personal and revealing to date. I openly reflect on my own performance and journey through successes and failures in my career in pharma and biotech. The discussion directly addresses the most critical external and internal factors that are driving the new reality of competition in healthcare and life sciences, pointing out key differences in our perceptions of external/internal competition in the world of sports versus pharma. Finally, the episode is centered on the most memorable examples of athletes or teams and their performances or disappointments at the 2024 Paris Olympics to provide 5 critical business lessons for individuals or organizations in the healthcare industry and beyond for a stronger, transformative 2025 year ahead. 0:00 Episode Intro Music 0:07 Highlight #1 – Three Times I was fired / laid off 2:45 Highlight #2 – Noah Lyles' loss of gold medal at his best event – 200-meter sprint 3:35 Highilght #3 – Recipe for Consistency of High Performance 6:13 Episode Introduction – Summary of the 2024 Medical Affairs Innovation Olympics Opening Remarks   7:52 Detailed Episode Outline 8:49 Current State of Competition in Medical Affairs and Healthcare Industry External and Internal Pressures of Competition and their Consequences. Major Layoffs due to changing workflows and inaccurate forecasting. Need of Medical Affairs to discover new power in medical decisions to stay competitive. 2024 Medical Affairs Innovation Spectrum – collaborating with tech to describe, predict, and prescribe best personalized treatments. 12:20 Our Perceptions of Competition vs Reality in Sports vs Pharma / Biotech Life Compass with only two directions – Progress and Success 14:03 Why I have always gone to work as if it were a sport I liked to master 15:07 Case Study – Leading Medical to grow a Pharma Startup by $40 million through a head-to-head study analysis 18:07 Personal Reflection and Analysis – Why I was fired / reorganized / laid off three times 23:14 Paris 2024 Olympics Lesson #1 – Respect Your Competition Noah Lyles' claims of superiority in an event he dominated and disappointing bronze medal. Recent personal observation and outcome of a child celebrating another's failure and waiting for him to fail. Gary Hall Jr, 5-time Olympic Gold Medalist – won his first Olympic gold only after he began to respect his arch rival. 27:58 Paris 2024 Olympics Lesson #2 – It is the Final Lean that Counts Noah Lyles' closest margin of gold medal victory in the 100-meter sprint. Dominant Italian national teams in volleyball and water polo at the opening group stage missed the podium and could not medal. 29:51 Paris 2024 Olympics Lesson #3 - Recipe of Consistency is Proportions not Ingredients Alone Carl Lewis' remarkable consistency of winning 4 consecutive Olympic gold medals in the long jump. Greek Long Jumper Miltiadis Tentoglou and Women's South Korean Archery Team's Consistency of defending their gold medals at the Paris Olympics. Personal application of mastering cooking pasta professionally to mixing highest quality talent on a team with the right proportion and size of equipment and environment. 33:20 Paris 2024 Olympics Lesson #4 – Never Bypass the Basics to Stay in Competition US Men's 4 x 100 Sprint Relay Team's Inefficient Baton Pass Marquis Dendy, US veteran, best current long jumper's Damian Warner, Canadian decathlete Olympic gold medalist's failure to post a jump at the opening height in the pole vault to miss the podium. 35:13 Paris 2024 Olympics Lesson #5 – Adapt to New Rules and Formats The judge or new competition format led to an unpredictable result with a favorite team not able to adapt in Paris. Celebrate Competition in Medical Affairs to stay competitive and relevant  

Clinical research is undergoing a revolution in light of new demands for speed and opportunities from a technological standpoint. These trends have given rise to a debate about the quality and clinical meaning of traditional methods of investigations versus modern types of clinical studies to collect real world evidence. This debate at the 3rd annual Medical Affairs Innovation Olympics #MAIO2024 in a unique and exciting format with a live poll at the conclusion, features an animated discussion from three speakers: Rashad Massoud, MD, MPH, CEO of Rashad Massoud Associates, LLC., globally recognized healthcare quality expert, physician, formerly visiting faculty at the T.H. Chan School of Public Health; Suzanne Pavon (moderator), Doctor of Pharmacy, Board Member at Iethico, former Vice President of Pharmacovigilance and Quality at Argenx; and Sana Syed, Senior Medical Director - Clinical Lead at Sanofi and public health expert formerly at T.H. Chang School of Public Health. Debate Objectives: ● To discuss the utility of RCTs in research and learning ● To discuss the challenges in translating RCT findings into the real-world environment ● To review the utility of the RCT approach to facilitate real world implementation ● To review the impact of the RCT approach for impact and limitations ● To discuss alternative research methods for research and learning ● To conclude with the research approaches that fit best for clinical trials and the real world; indicating a need for an adaptive, dual approach. 0:00 Alloutcoach Intro Music 0:09 Episode Highlight 3:09 Innovation Olympics Introduction 4:44 Debate Rules & Introduction 6:30 RCTs are the Gold Standard for Research and Learning - For the Motion - Sana Syed 8:12 The Scientific Method - Standard RCT Design 9:46 Rare Disease Case Study 11:38 Translating Biology vs Translating Real World Factors 14:34 Diversity of patients critical for data to represent populations 18:50 RCTs are NOT the Gold Standard for Research: Against the Motion - Rashad Massoud 20:27 Properties of an RCT 21:19 Other Research Questions to Eliminate Other Factors that may influence the results 24:13 Access Questions and Outcomes of Interest - Discovery and Delivery 24:48 Agency for Healthcare Research and Quality (AHRQ) - ~17 yrs to translate data into real world 26:33 Efficacy vs. Effectiveness Research 31:02 Concluding Remarks - case study in which RCT designs are not beneficial 35:30 Question: Health Avatar and AI to create real and virtual control arm Using virtual control arm using real world databases using Bayesian statistical methods 39:23 Case study to emphasize Harnessing Tacit knowledge 42:02 Comment: Weaknesses in generating data we can translate into populations 43:44 Question: Are we creating RCTs from virtual patients or classical RCT design? 47:34 Final Comments - For the Motion, Sana Syed Clinical Studies and Scientific Method - adjustments in diverse patient recruitment tactics 49:31 Final Comments - Against the Motion, Rashad Massoud 53:14 Live Voting Results

In this special episode you will have an opportunity to learn about the key factors to not only living longer but better and higher quality lives from a global expert and pioneer researcher in longevity medicine, Dr. David Barzilai. David provided an update of the landscape in this field as a keynote speaker at the 3rd annual Medical Affairs Innovation Olympics held in October. David is CEO and founder of Healthspan Coaching, LLC., and agingdoc.com, providing longevity medicine and lifestyle consulting. Dr. Barzilai is a Diplomate at the American Board of Lifestyle. He is board-certified in dermatology, with a PhD focused on evidence-based medicine, and also holds an MBA. In his keynote presentation, Dr. Barzilai critically addresses the gaps in treating only one disease at a time and provides alternative methods that target root, underlying causes of disease that can prevent multiple chronic diseases and lengthen the human Healthspan. David challenges the healthcare community and Medical Affairs function in pharma and biotech with a call to action to prioritize efforts to improve healthspan and transform medicine. 0:00 Timeline 0:09 Episode Highlight + Call to Action 1:30 Host Introduction of the Episode 4:17 Keynote Speaker's Presentation Overview 5:04 Dramatic Increase in Global Aging Population 6:10 Gray Tsunami Economic Impact - Rising Health Expenditures 7:07 Healthspan must accompany lifespan increase - Holy Grail of Longevity 7:41 Targeting the Bioscience of Aging: The Geroscience Hypothesis 8:21 12 Hallmarks of Aging 9:29 Problem with Current Approach of Targeting 1 Disease at a Time 10:26 Aging can be manipulated across different species Rapamycin increased lifespan even after being injected in middle aged humans 12:22 Growing Frontier in Longevity Biotech Number of biotech companies have grown from 20 to 50 since 2020 13:57 Lifestyle Medicine as Longevity Foundation 15:12 Global Strategy for Healthy Longevity Global Roadmap to Healthy Longevity National Academy of Medicine - Goal to Increase Lifespan by 6 years by 2030 15:47 Hevolution Foundation - $1 billion investment to accelerate in aging research 16:31 Bridging the gap between biotech and public health initiatives Immediate reforms in healthcare are needed such as compression of morbidity 17:13 Tackle Urgent Challenges of Aging where health is not just preserved but extended Call to Action Integrate Biotech and Public Health Strategies Invest in Aging BIology Train Physician Workforce Promise of Geroscience 19:09 Q & A 20:10 Questions: Roles of 1) Neuralink + 2) Telehealth on Longevity 21:07 Role of Telehealth - know your target audience/sub-specialization is a key factor 22:24 Neuralink comments - exponential increase of dementia

Bob Beamon is a multi-talented champion that has followed the path of his own inspiration to generate excitement and purpose throughout life. In order to succeed and leave a legacy on others, he had to make the decisive steps to make the right jumps in sports to break longest-standing world and Olympic records as well as in life to follow his many dreams and succeed. At the 3rd annual Medical Affairs Innovation Olympics, I sat down with Bob Beamon to learn how his sports career and multiple inspirations (basketball) influenced the decisions he has made in his personal life and success in continuing to reinvent himself as a champion in music. We explored explore what makes the long jump one of the most classic and difficult events in track and field and possibly sports, the individual components and mechanics of the jump, how his talent, circumstances, and training led to his success. In addition, he discusses his personal theories on competition, approaches to edging out competitors in sports, and transition into how he defines competition in life and what impact his environment, character, and personal inspiration have played on the kinds of jumps he has had to make in his personal life to follow multiple different and challenging paths yet succeed. In this absolutely inspirational and candid discussion, Bob speaks about his own health, how healthcare professionals throughout his career and life have helped him make personal decisions, the role his coaches and training have had on his health after retiring from sports, and what types of innovation inspire him currently or those he hopes to see in healthcare in particular. 0:00 Episode Intro 2:17 Keynote Speaker Welcome 4:20 First Jump in Bob's Life that shaped his career afterwards. Bob's tough childhood and background 8:42 Basketball and Track Field in Police Athletic League Activities Bob wanted to find a sport in which he could simply win. 10:07 First long jump at age of 10 was 19 feet 10:43 Bob's personal approach and philosophy on competition His motivation was to be "somebody special" and "proving to people" he was going to be a "shining star" in his community. 12:23 Daily discipline of practice His goal was not only Athletic but Personal and Social Achievement 13:04 First time he competed in the Junior Olympics 14:29 Bob had no coach or supporter at the Junior Olympics He jumped 24 feet 1 inch and newspapers mentioned him as a "future Olympian" 15:18 Dean of Students became Bob's coach and "saving graces" Larry Ellis 16:47 What part of his success was due to his God-given talent vs training? Bob had the foundation - basics of jumping. He was always open to Learning and to making himself feel good about what he was doing. His drive was rooted deep inside. 19:19 How Bob put the world-record performance together in Mexico City He trained with the fastest sprinters in the world which 21:07 What makes the long jump one of the most difficult disciplines? His strong inner spirit helped him. He knew deep inside he would one day be successful. He had lost so often that he felt even 23:23 How becoming a champion influenced Bob's career and life? Many athletes are lost and do not know how to transition after ending their sports career. We need to coach athletes and prepare them for life after sports. 26:53 Bob's problem with blood pressure and kidneys 29:10 Message on healthcare innovation to the medical community Bob educated people on hypertension through opportunities opened by pharma companies. He developed kidney problems and diabetes. He dealt with health problems like a sports athlete, like an intelligent athlete. I am going to continue to be a winner. 33:33 How Bob has reinvented himself recently as a musician, drummer 38:25 Bob's experience as a percussionist and favorite instruments 42:20 How do you teach someone to find the fire inside them" Open up - How you really feel about yourself helps you open yourself to win, achieve, and find opportunities.

Bob Beamon is a multi-talented Olympic champion that has followed the "beat" of his own inspiration to make the right jumps in sports and throughout his life. In order to succeed and leave a legacy on others, he had to make the decisive steps in sports to break the longest-standing world and Olympic records as well as in life to follow and achieve his many dreams. On this episode of the @Alloutcoach podcast where sportsmanship meets the scientific method, I sat down with Bob Beamon to learn how his sports career and multiple inspirations (basketball) influenced the decisions he has made in his personal life and success in continuing to reinvent himself as a champion in music. In this conversation leading to his keynote presentation at the 3rd annual Medical Affairs Innovation Olympics event (see follow up episode - stay tuned), Bob presents a very personal, detailed account of how his particular talent, challenging circumstances, approaches to training as well as facing adversity led to his success. In addition, he demonstrates the role his life inspiration and sports competitor's character played on reinventing himself throughout his career across his life transitions including the latest one in retirement as a musician. 0:00 Episode Highlight 1:04 Episode Intro 3:08 What inspired Bob to become a sports athlete Growing up in South Jamaica, New York, rough childhood. Bob's involvement in the Police Athletic League thanks to which he started to compete in track and field. 6:04 Bob did not stop competing because he lost consistently 8:02 Transition from sprint to long jump 8:46 First long jump competition - 19 feet at 10 years of age 10:32 Bob's family background and early loss of his mother 12:38 Junior Olympics in New York - Turning Point at age 14 15:09 What makes the long jump special and difficult Bob's background in the triple jump. He had jumped 25 feet 6 inches in high school. The event requires consistency in training, coaching, and inner drive. 20:48 Bob's coach Larry Ellis did not force Bob to change his peculiar form of jumping Bob's technique - jump over a hurdle during training to maintain a height. He perfected an "unorthodox" form of jumping. 24:43 Reliving Bob's 1968 World Record Jump in Mexico City 26:38 Advantage of working out with best sprinters in the world Bob's adjustments to the long jump the day before the final only qualifying on the last attempt. 30:12 Bob's Attitude & Mindset on the morning of his World Record 32:16 Specific Goal of Winning Olympic Gold vs. World Record 34:26 The emotions of breaking a world record 38:46 Nothing compares to the Intensity of the Olympics 41:02 How Bob reinvented himself as a musician at age 77 43:48 Welcoming the new challenge of becoming a drummer Bob played with a Grammy-award winning band, opened the Track and Field competition at the Paris 2024 Olympics with a musical performance

This is a special Episode Edition on the @Alloutcoach Podcast. Tune into this memorable highlight from the 2023 Medical Affairs Innovation Olympics event Opening Ceremony full of real-world practical case studies, striking new statistics, and critical commentary - an expert panel discussion about the details necessary to make both short-term and long-term marks on improving healthcare quality from both the perspective of a globally recognized healthcare quality expert physician and public health speaker, Dr. Rashad Massoud (Visiting Faculty T.H. Chan School of Public Health), and of an innovative pharma industry executive recognized for his leadership and dedication to patient advocacy groups, holding senior leadership roles in Commercial, Marketing, Market Access and most recently in Medical Affairs, Rob Adamoski (Vice President, Corcept Therapeutics). 0:00 Intro Music 0:22 Episode Highlight Cushing Syndrome Case Study - Perception Gap on Treatment Quality between Patients vs their Healthcare Providers. 1:58 Speaker Introductions 4:11 Panel Discussion Outline 4:38 Global Healthcare Quality Improvement Case Study USAID Applying Chronic Care Model to Improve Coverage, Retention, and Clinical Outcomes: Uganda 16:46 Role Medical Affairs in Pharma can Play on Health Quality 17:56 Connection to Disease - Stimulating Purpose in Medical Affairs 19:29 Value of Recent and Relevant Clinical Experience in Medical Affairs 20:21 Aiming for Diversity of Experience across entire Care Continuum 22:07 Finding the Right Balance on Your Medical Affairs Team 22:58 Case Study: Personalized Medical Liaison led Executive Staff training 25:01 Critical Gaps in Training in Medical Affairs Team - benchmarking data Larger Organizations offer more training opportunities vs mid-sized and smaller pharma or biotech companies in Medical Affairs. Only 42% of Medical Affairs organizations provide any training and only 23% of small pharma companies (Medical Affairs Professional Society) 27:01 Why Most of Us in Medical Affairs believe Metrics are not Meaningful 28:57 Power of a Graded Data Science based KPI Feedback Loop 30:12 2023 Medical Affairs Metrics Global Benchmarking Gap in Analysis70% of Medical Affairs companies do not systematically analyze how their activities lead to outcomes 30:41 The Motive to Measure Performance in Medical Affairs with KPIs 31:24 Medical Productivity Index (MPI) Model to Increase Performance 32:25 Integrating Health Systems Approaches to Metrics in PharmaAll-Mobile Hypertension Clinics that improved quality and bridges health equity gaps - India Case Study 42:38 Medical Affairs Improving Healthcare Decisions - Patient Advocacy 47:00 How Healthcare Cost relates to Quality - latest trends 49:44 How can we make Healthcare Jobs Desirable again? 52:40 Improving Quality w/ 1) Accountability & 2) Transparent Data Culture

This latest episode is centered around discussing how mentorship directly impacts our bottom line in business and personal career based on real-world examples and decades of research. I speak about this topic with a returning guest on the show, co-author of a new book and practical step by step guide just published called "Financial Times Guide to Mentoring", Dr. Ruth Gotian, Chief Learning Officer at Weill Cornell Medicine in New York. Dr. Gotian is a globally recognized mentorship expert by Nature, Wall Street Journal and Columbia University who named her a top 20 mentor worldwide, a mentorship thought leader ranked by Thinkers50 as the #1 emerging management thinker in the world in 2021, award-winning book author of "The Success Factor" previously featured on Alloutcoach, and prolific contributor to Harvard Business Review, Forbes, and Psychology Today having interviewed Nobel Prize winners, astronauts, Olympic champions, leading physicians and scientists of our time, among others. 0:00 Episode Highlight 0:44 Episode and Guest Introduction 3:08 Advantages and disadvantages of formal versus informal mentorship programs 61% of mentorship is informal. Formal mentorship programs can however be a launching pad for those uncomfortable to seek out mentors or mentees 5:23 Why is it crucial to find mentors outside of your direct line of management? It is important to diversify mentors in case they leave or you decide to leave. 7:14 Shared experiences in mentorship and how to identify informal mentors Steve Kerr, NBA champion and coach's example of his lesson from a football coach and mentor: Mentorship is more than technical coaching or shared experiences. It is about shared values and the kind of culture you create in a relationship. 9:13 How mentors make impact business bottom line and job satisfaction Those who have a mentor earn more, are happier at work, and stay longer. 89% of employees with mentors feel their contributions are valued by others. 11:28 Most common barriers and misconceptions in mentorship 15:36 How do you continue to learn informally despite higher titles or roles? 18:29 What proportion of mentorship should be informal vs. formal or experiential? 22:40 Should minorities, women, etc seek mentors with the same background? 24:41 What surprised Dr. Gotian during the writing process of her latest book? 25:45 How Dr. Gotian and her co-author Andy Lopata complement each other? 27:52 How do you tell when mentorship is successful? 29:38 Biggest achievement with "Financial Times Guide to Mentoring" 31:11 How Dr. Gotian is stretching herself and lifting others in her next projects

On the latest episode of Alloutcoach, I spoke to Neel Doshi whose research on human motivation and performance at work has truly inspired me over the years. Watch this video podcast to understand why I consider him one of the brightest minds in organizational change research who has created forward-thinking solutions that can transform your business. Neel Doshi is Co-founder and CEO of Vega Factor and Factor.AI, NY Times and Wall Street Journal best-selling author of "Primed to Perform", multiple award-winning founder of various tech startups, MIT graduate in engineering and Wharton Business School MBA. 0:00 Intro 0:08 Episode Highlight 1:52 Neel Doshi Introduction 3:30 Why Neel decided to study human performance at work His journey from first job as software engineer at major bank and personal frustration from lack fulfillment and mediocre attempt at starting a company to researching the root causes and drivers of human motivation at work for the next 15 years 7:56 Various types of industries Neel Doshi has researched 8:58 Distinguishing and Ranking Tactical vs. Adaptive Types of Performance at work Tactical Performance refers to alignment to roles, objectives, and goals while adaptive performance refers to innovation, problem-solving, and improvisation. 13:23 Measuring Motivation to produce both Tactical and Adaptive Performance at Factor.AI Research indicates 6 motivational factors along a spectrum of stimulating or inhibiting performance: 1) play 2) purpose 3) potential (3 positive factors that stimulate adaptive performance), followed by 4) emotional pressure, 5) economic pressure, and 6) inertia (3 negative / inhibiting factors) in descending order 21:42 Tesla Model 3 Mass Market Case Study Real-world example confirming that relying completely on Tactical Performance alone through technology is insufficient and detrimental, and Adaptive Performance via human capacity to think critically is central to driving growth in business. Elon Musk's 2009 Tweet: "Excessive automation at Tesla was a mistake. To be precise, my mistake. Humans are underrated". 24:50 How do you measure performance through profitability vs social impact? Majority of the motivation of performance is local to the employee not global to the company. This is why social impact is not a driver of motivation or performance. 29:20 How to both perform and collaborate today when the pace of competition is rising so rapidly. Companies do not have to turn increasing external competition and global pressures into coersion and blame. They can make competition fun. Competition can make work more purposeful because an employee can feel like he/she matters more in the presence of an adversary. Companies turn competition into pressure rather than play and purpose. Play and purpose, our highest performance motivators are not bound by a limit and do not represent a zero-sum game unlike emotional or economic pressure, for example. So if companies are using emotional or economic pressure or indirect motives to drive performance they are fracturing collaboration by design. Collaboration suffers, and so does problem-solving and adaptive performance. When I do not have companies I work with that have internal competition, I create competitions. 35:13 What are some examples of new ways of working to drive higher motivation at work? Hierarchies and distinct roles are important to communicate diverse vantage points and perspectives. Metrics make work more fun because they provide a scoreboard to a game and can drive stronger performance as long as they are not weaponized by leaders. Similarly, performance reviews should be used not to blame and shame people but should involve teams to evaluate team performance together rather than use individual reviews to measure teams. 45:10 How Neel is currently stretching himself and lifting others Engineering stronger performance has become a science and there are specific solutions we have now built that are available for you.

In this Part 2 of the Alloutcoach podcast episode focused on phage therapy to fight infections and antimicrobial resistance, I spoke to the Chief Physician at the globally leading center of excellence of an alternative, effective treatment approach to antibiotics, Dr. Dea Nizharadze at the Eliava Phage Therapy Center (EPTC) based in Tbilisi, Georgia. She explains the basic principles of phage treatments, its unique qualities, advantages and real-world clinical examples of methods and types of patients and infections this personalized therapy specifically targets. 0:00 Episode Introduction 1:42 Why the Republic of Georgia is a global leader in phage therapy 2:39 How phage therapy works in bacterial infections?Eliava Phage Therapy Center (EPTC) was founded in 1923 by Professor George Eliava who had collaborated with Felix D'Herelle, who had discovered phages, and while most other countries turned to antibiotics only, it is the only institution in the world that has continued to research bacteriophages without a pause of even one day since its inception and therefore collected the greatest research and real-world clinical experience with phages. 5:34 How do phages work to eradicate or stop further growth of bacteria? Phages are biological "weapons" against bacteria, namely viruses that target specific microbes only, without destroying the "good" bacteria or microbiota. They are naturally occurring substances and have no safety concerns. In some patients with antimicrobial resistance phage therapy enables improvement in sensitivity. 10:42 Synergistic effect of phage combination therapy with antibiotics 11:58 Phage Therapy Doisng and Success Factors 15:14 Length of phage treatmentIn chronic infections phage therapy may divided into 3 stages and last 15-20 days, and varies by nature and severity of disease. Patient treatment includes days off therapy, or holidays, however, bacterial analysis is continued and patient condition is monitored throughout the entire course of treatment. Success of therapy is indicated when bacterial titers and virulence decrease or bacteria are eradicated. Patient's objective and subjective signs and symptoms often vary throughout response to therapy. 16:42 Phage Product Variability and Market Availability How do we ensure educating patients to access the correct, most appropriate therapy for their infections 17:35 Multi-disciplinary personalized team care and telemedicine 19:53 Steps for patients outside of Georgia to access phage therapy via telemedicine? 24:04 Affordability and access to phage treatments 25:23 How to contact Eliava Phage Therapy Center

In this special episode I spoke with an international guest from my native country, Republic of Georgia, and global ambassador of a critical alternative solution against tough chronic infections and antimicrobial resistance on behalf of a global center of excellence in bacteriophage therapy, discovered over 100 years ago. My guest, Davit Sturua, Doctor of Business Administration, Public Health and Medical Tourism expert, is the director of the Eliava Phage Therapy Center, a global leader in real-world, clinical, research, and commercial experience with naturally occurring bacteriophage treatments. He discusses the Georgian center's 100-year old history and evolution, its extensive experience treating patients across 84 countries, explains the current global public health problem, and provides an update along with rationale on the recent growth in clinical studies investigating phage therapy across the globe in this part 1 of 2 episodes on this topic. Watch this episode with English subtitles to learn about how you, your friends, family, healthcare payers and experts, healthcare providers, patients and their loved ones can consider alternative options via telemedicine or in person to treat chronic, tough bacterial infections or prevent antimicrobial resistance. Stay tuned for the next episode (part 2) on this topic with my guest Dr. Dea Nizharadze, Chief Physician at the Eliava Phage Therapy Center, who delves deeper into the typical course of treatment, patient journey, and various scientific attributes of phage treatments. 0:00 Introduction 0:08 Introduction in English 2:19 Special Guest Mr. Davit Sturua, Director of Eliava Phage Therapy Center Introduction in English 4:34 Episode Introduction in Georgian (English subtitles) 4:53 Overview of Part 1: Overview of 100-year history of Eliava Phage Therapy Center, its advances, growth, current goals and Part 2: Scientific Rationale for phage treatment, appropriate patients, typical course of treatment, and access to care for patients worldwide 5:54 Davit's personal inspiration and history at the Eliava Center 10:27 How is EPTC raising awareness about phage therapy outside of Georgia? The center has treated patients from 84 different countries in 2023 alone. The majority of patients internationally who obtain care from EPTC suffer from various antibiotic-resistant or chronic infections. 12:20 5 million patients die from antimicrobial resistantce every year - underestimation, with tens of millions of deaths projected by 2050 13:04 Future Scientific and Commercial goals of Eliava Center to expand globally, standardize phage production to meet GMP standards, conduct randomized clinical studies and secure access for patients worldwide 15:23 Challenges in scaling phage production and quality standardization. Georgia is currently a global leader in commercial production of bacterial phage treatments. While only a few years ago there were only a handful of clinical studies conducted globally, currently there are over 50 clinical studies in 2023-2024 alone over the past year being conducted in the United States alone. Similarly, other European countries, particularly Great Britain are also actively pursuing and advancing clinical research in bacteriophage therapies. Government and research funding in phage treatment is therefore continuing to grow rapidly. 18:33 Final Greetings - Conclusion of Part 1. Invitation to partner across Europe and the U.S. with the Eliava Phage Therapy Center

Patients with obesity are at the forefront of latest developments in medicine once again, with new options but many new questions still to be solved, including a public health emergency and shortage despite the latest advances. In this latest interview Angela Fitch MD, FACP, FOMA, Dipl. ABOM critically reviews the advances, public health emergency, and problems with patient access to obesity treatments with an important call to action to the entire healthcare community. She offers a scientific overview of latest obesity treatments, incredibly practical solutions as well as valuable tips for treatments of obesity you do not want to miss! Angela Fitch, MD, FACP, FOMA is a leader in the field of obesity medicine, immediate past president of the Obesity Medicine Association, Assistant Professor of Medicine at Harvard University, and former co-director of the Massachusetts General Hospital Weight Center. She is a dedicated clinician, as well as an activist for obesity medicine, board member of the Obesity Action Coalition, and a founding member of the Massachusetts Coalition for Action on Obesity. 0:00 Episode Highlights - Public Health Emergency: only 5-10% of 140 million patients w/ access to obesity care 1:36 Episode + Guest Introduction 3:31 Inspiration behind Dr. Angela Fitch's activism + specialization in Obesity 3:56 Background in engineering, primary care with GLP1 agonists 5:16 Obesity is a heterogeneous chronic disease 7:26 How far we have advanced in obesity treatments from phentermine and topiramate to semaglutide (Wegovy)or tirzepatide (Zepbound) and their relative probability in losing 20% bodyweight 8:49 Surgery vs newer GLP1 and other obesity treatments and new investigational drug retatrutide 10:03 Triple mechanism of experimental new obesity drug retatrutide 10:16 Comparison of Tirzpatide - double agonist (GLP1 / GIP): Semaglutide - single mechanism (GLP1) agonist, and retatrutide - triple agonist (GLP1, GIP, and glucagon) 11:18 Success Factors in Obesity Treatments 13:01 Why lifestyle and diet are not effective in many patients 13:41 Personal case study of diet and weight loss with associated GERD 14:24 Dr. Fitch's lifestyle tips: 5P's: planned portions, plants + protein, power, pillow, pause 15:48 Our society does not promote healthy nutrition 18:38 Lifestyle effective in only 5% of patients with obesity 19:02 Weight loss and maintenance - two different biologic phenomena 21:00 How to gain a Metabolic Advantage 23:28 Weight loss maintenance post surgery vs medications 25:32 How patients can access drugs despite obesity medicine shortage 26:06 Public Health Emergency - Obesity Medicine is not a Standard health insurance benefit in the U.S. 28:33 140 million Americans qualify for treatment, but only 5-10% receive it 29:26 Why we are awaiting new drug approvals - why patients are turning to non-FDA approved options 31:00 Reality - alternative ways patients are accessing obesity treatments 31:36 Dr. Fitch's solutions - declare public health emergency, consider vial formulations, coordinate comprehensive care 34:42 Call to Action and Challenge to Healthcare Community 39:23 Dr. Fitch's Current and Future Focus 39:57 Expansion of Dr. Fitch's knownwell patient centered medical home & collaborative practice across new locations in the U.S., 75% telemedicine

If you have an interest in digital health or digital therapeutics and want to know the latest analyses, trends, and tangible lessons, my latest guest on Alloutcoach, Giorgia Pezzotta is the person I strongly recommend that you follow. Giorgia is a health and innovation engineer, emerging leader, and entrepreneur recognized among 100 under 35 young talents by Financial Times to innovate the "future of Italian entrepreneurship worldwide". She is personally committed to driving change, creating strategic innovation, and promoting social impact. Her purpose is to ensure that innovation and technology improve people's health and healthcare management, and deliver a better future for our society.She works as Key Account Project Manager at a French unicorn digital health company Doctolib, and an instrumental part of the Italian launch team of hospitals. Doctolib is the first digital health service in Europe and one of the fastest-growing healthcare tech companies. Giorgia previously served as a healthcare consultant at KPMG Advisory S.p.A. 0:00 Highlight from Episode - Advantages of continuous monitoring of root causes of chronic disease with remote patient monitoring, digital wearables and telemedicine to reach more patients in rural areas 1:45 Episode + Guest Introduction 3:44 Giorgia's Journey to her Passion for Health Innovation 7:58 Unique Learning Motive behind Digital Health Content Strategy 8:48 What are the latest health innovations with biggest impact on patients? 13:57 Where are the biggest investments focused on health innovation? 16:14 What are some quality metrics and standards among different Digital Health products? 19:08 Are there any plans to accelerate regulation and approval of digital therapeutics globally? 22:11 How should patients choose which digital health app to use? 25:36 Lessons for Entrepreneurs in Digital Health 28:47 Final Message: Importance of finding someone who believes in you

In this new "InWeekend" series premiere of the podcast, the host, Tim Mikhelashvili, CEO of Amedea Pharma shares real world lessons from his career in the Medical Affairs function in the pharmaceutical industry to propose a modern approach to raising new standards in healthcare quality and ways of working in an environment constrained by resources and increasingly exposed to data. He reviews 1 validated organizational change framework, 1 global case study, 5 latest research studies and benchmarking reports in the field or across different industries, cites clips from an organizational change expert Ron Carucci and a double Olympian swimmer Chris Cook to debate why work should be like a sport for a diverse, multi-functional profession not directly tied to revenue, to consistently improve its Medical Impact on patient outcomes and business profit. 0:09 Intro 0:47 "InWeekend" Series Premiere Description 1:14 Episode Intro 2:18 Change Perspective from Performance Review to Personal Record 3:15 Article Overview - Approach to New Ways of Working 3:40 Lessons from Career 4:25 What "Going to Work as if Competing in a Sport" means for Medical Affairs / Healthcare 4:56 Merging principles of Sportsmanship with Science at Amedea Pharma 5:04 Selecting the Right Data from Limitless Options to Show Medical Impact 6:31 Breaking Down Performance into Activities and Outcomes to make Metrics Meaningful 7:30 Metrics and Human Ambition addressing the Competitors in All of Us 8:27 Three outcomes of avoiding human ambition as leaders 11:19 Implicit vs Explicit Competition in a real-world case study 13:36 Origin of We vs They Internal Rivalries 15:22 Case Studies of Medical Affairs directly generating revenue 17:01 Price of Decreased Cross-Functional Collaboration - Clip from Podcast with Ron Carucci 20:06 Healthcare as Cost vs Investment 22:21 Why Sports adds Certainty and Objectivity to Healthcare 23:17 Lack of personal recognition in Medical Affairs 24:15 Sports - Celebration of Personal Accountability 25:13 Why work is more like war today than sports 26:20 Addressing skeptics - why introduce more pressure through sports at work? 27:02 How true sports view of work sparks life in least competitive employees 27:45 Medical Affairs Innovation Olympics case study 30:06 ToMo - Total Motivational Factor Score Model overview 33:21 - Common Organizational Processes that improve employee motivation / engagement 35:18 Performance Evaluations Irrelevant to Job Role - recent research 35:38 Latest Medical Affairs Metrics Benchmarking Results and Gaps in meaning and analysis 40:36 Our Approach to Performance reflects how we view our responsibility 40:48 Recent study on lost productivity and money on subjective performance management 41:03 Recent HBR research on comparing employees against themselves versus against each other 42:50 Three questions to consider to improve performance metrics 44:39 Argument - what if we change/raise standards of performance management? 45:02 Chris Cook - Double Olympian swimmer's advice in a short podcast clip: Compete more often against yourself and against more people 49:55 The Competition Paradox: Lesson 50:19 Three Myths vs Facts on Performance Metrics 52:32 Final Advice to Stretch Yourself in Life 53:12 Personal Invitation to Sign Up for the 2024 Medical Affairs Innovation Olympic Trials

On this special Live broadcast of the @Alloutcoach Podcast I welcomed back Dr. Pierantonio Russo, Chief Medical Officer at EVERSANA, cardiac and heart transplant surgeon trained at Mayo Clinic, academic medical school lecturer, expert in health economics and population medicine, bioinformatics, Machine Learning, and digital medicine to the show to share the highlights from his recent state of the art presentation of the "Hospital of the Future" in Rome, Italy. He is a renowned physician executive and speaker who has a healthcare experience from all its angles as a chief clinician in cardiac surgery, health insurance decision-maker, health system leader and administrator, and therefore shares his specific cases of med tech innovations already underway as well as the critical success factors including personalizing healthcare delivery using remote patient monitoring or applying social determinants of health data. 0:00 Episode Introduction 1:48 Dr. Pierantonio Russo - Journey of a Healthcare Career from all of its Angles 6:14 Health Innovations Already Underway w/ Strongest Impact 13:44 Why Certain Health Systems are More Successful in Adopting Innovation 15:28 When will Health Tech Innovations Go Mainstream to the Community 17:36 Specific Outcomes of AI / ML on Patient Outcomes 22:45 Role of Convenience in Health Innovation - Quadruple Aim 26:57 Impact of Med Tech on the Art of Medicine or Decision-Making 29:39 What are the economic real-world benefits of Med Tech? 32:18 AI/ML can improve Social Determinants of Care and Value-Based Care 35:17 Final Message: Critical Steps to Consider Which Technology to Implement in Medicine

With rising socio-economic pressures on health systems and healthcare professionals to continue to deliver the best clinical outcomes, staff shortages and countless sources of Medical Information to support their approaches to patient care, the topic of practical methods of applying Medical Education in innovative ways has never been more critical. In this episode I speak to a renowned leader and expert in the industry of Medical Education, Rob Braun, President, Global Learning Collaborative - Omnia Education, Prova Education, Medtelligence, and AGILE with decades of experience in senior executive roles managing or advertising accredited Continuing Medical Education (CME) in oncology, women's health / gynecology, cardiology, neurology, dermatology, gastroenterology across pharma, biotech, and life sciences with recognized brands such as WebMD, and Mesdcape, among others. He shares his modern view of Medical Education focused podcasts and their ultimate practical value on improving patient outcomes by illustrating latest trends as well as insights from recent data. 0:00 Introduction 0:08 Speaker Introduction: Rob Braun 1:26 Rob's Intro: Global Learning Initiative 2:19 How does a podcast differentiate itself across different channels in impact on healthcare outcomes? 4:28 How does your approach help people apply the information rather than just listen? 8:13 How can we improve the impact of KPIs on patient outcomes in Medical Education and what roles can podcasts address these gaps? 10:32 What are some trends among the types of HCPs most likely to attend Med Ed podcasts? 12:56 Dr Ian Lang quote from 1991 13:23 How do you measure impact on clinical outcomes? 15:08 Is there a particular time range after the activity during which it is best to test knowledge? 16:30 What are some incentives you use for more HCPs to respond to Med Ed program outcomes surveys? 17:09 How has the quality of Med Ed programs changed in the recent years and what impact do the HCPs preferences have on these trends? 20:27 What makes continuing medical education that is accredited critically different from all other growing sources? 22:28 Where can HCPs, others tune in to participate in innovative Med Ed programs? 24:49 Final Message from Rob Braun: Creativity in Medical Education

What a better way to start the new 2024 year than to learn about the current, realistic prospect of living longer and better lives due to the latest advances in medicine and pharmaceutical research from a preventive and longevity medicine advocate, researcher, and expert, James Peyer, PhD. This episode features a personal, candid story of his journey from academia into the industry, inspiration behind pursuing preventive healthcare and longevity treatments, and latest new treatments in human trials that increase healthspan and lifespan from a keynote speech at the 2nd annual global Medical Affairs Innovation Olympics Opening Ceremony in 2023. Subscribe to Alloutcoach and share this episode with your friends! 0:00 Episode Introduction 5:10 James Peyer's Keynote Speech Outline 7:14 James Peyer's late grandfather and inspiration to pursue prevention medicine 7:55 Frustration with Health System's Interaction with Elderly 9:53 Early animal experiments in genes doubling lifespan 11:14 80+ treatments that extend healthy lifespan in animal models today 13:09 Real-world reason why human trials in slowing aging did not advance 14:10 Breakthrough Idea to Advance Prevention Medicine in Humans 16:35 Cambrian Bio's unique Longevity Platform Ecosystem 19:42 Two Longevity Medicine Biotech Case Studies 20:50 Amplifier Therapeutics - a Cambrian Bio Pipeline Company 23:48 New Promise in 10-year race to develop an AMPK (central energy regulator) activator 25:40 ATX-304: new AMPK candidate in human trials 27:50 Second Vignette: Velakor - agrin-induced pleiotropic cardiac repair 31:11 Velakor's Agrin in human clincal trials in 2024 to regenerate heart muscle 33:25 Q1: Regulatory approval considerations for other longevity medicine companies 34:08 Conduct Primary and Secondary Prevention Trials - FDA supportive of preventive treatments 35:21 FDA interested in preventive medicine, transition from sick care to preventive care in US 37:11 Q2: Difference between healthspan and lifespan, and impact on drug development 38:22 Patient Survey Data on Critical Value of Quality not only Length of Life 41:25 Q3: Technological innovations most promising in increasing longevity and healthspan 43:49 James' Final Message on Innovation and Entrepreneurship

I am excited to kick off a new series of episodes on the Alloutcoach Podcast called "Innovation Olympics" which will capture some of the most memorable messages and lessons from the Opening Ceremony of the global annual ideation competition in which innovators in healthcare become "Olympians" for about 16 days and exchange their inspiration with sports Olympians, champions and coaches, patient advocates, and senior leaders across different industries. I host this industry-first Olympic-style innovation event on behalf of my company Amedea Pharma which is called Medical Affairs Innovation Olympics #MAIO2022 and #MAIO2023. In this episode I share the opening presentation on September 18 from the latest 2023 event the slogan of which was "Reclaim Our Health, Revive Our Planet". In my remarks, I revisit the ultimate purpose and duty of healthcare professionals to enable the next generations to live longer and healthier lives as well as describe why the life science industry has to learn from the lessons from the Renaissance on leadership, equity, and social impact, ESG, DEI, among others. I share some of the latest research on polarization in healthcare, healthcare professional shortages, patient trust in physicians and the industry or the media, shifting landscape of clinical decision-making with a focus on the three themes of this year's event - advancing access, continuity, and quality of healthcare. 0:00 Episode Introduction and Olympic Theme Music 2:29 Medical Affairs Innovation Olympics #MAIO2023 Opening Ceremony - Dedication to the Next Generation 3:15 Longevity of the Children of our next Generations 4:47 Critical Dichotomy of Unprecedented Innovation in Healthcare vs Global Economic & Political Conflict 5:05 MELLODDY: Machine Learning Ledger Orchestration for Drug Discovery to shorted time for drug development 5:50 "We no longer live in the era of war" argument for peace 6:10 Why we are all in need of a new renaissance in healthcare: economic fears, polarization and its drivers, decreasing patient trust in physician authority, media or industry, healthcare professional shortage crisis 7:13 Growing challenge among patients in taking care of their health despite unlimited sources of medical information 7:43 Patient health extends beyond physical well-being to quality and sustainability of life 8:52 Breaking down the Renaissance to integrate it into Medicine 10:40 Summary of the Lessons from the Renaissance - 1)innovating by revisiting lessons from antique history, 2) integrating expertise across finance, banking, art, and science; 3) closing the leadership gap between generations; 4) make innovation accessing to the public - health equity 11:08 The Renaissance drivers of today: ESG, Corporate Social Responsibility, DEI 11:48 Access, Continuity, and Quality of Healthcare - Top 3 priorities and themes for the 2023 Innovation Olympics 13:10 The New Innovation Spectrum: from Inspiration to Incentive to Investment 14:24 Critical Need to link Medical contributions directly to Economic Prosperity and Healthcare Community of our planet I hope you find this glimpse into our Olympic village inspiring - look for more episodes from the Innovation Olympics series from some unforgettable Olympic champions and healthcare leaders in the future episodes!

Watch the latest @Alloutcoach podcast Live with Gary Hall, Jr., 5-time Olympic gold medalist, Keynote Speaker, Type 1 Diabetes Patient Advocate, Sanford Health Consultant, Board Member, and Humanitarian. This is a truly unforgettable, personal and intriguing discussion that breaks down Gary's resilience, philosophy of competition, and transformation from a patient, champion into an advocate, humanitarian and healthcare leader. Timeline - Highlights 0:00 Introduction 3:05 When did you first learn how to thrive and be a competitor? 5:18 How did your personal approach impact your performance over time as you became a better swimmer? 7:32 How were you able to beat those odds of critics to win at 3 Olympics and as a Type 1 Diabetes patient. 13:46 Who were some of those people that inspired you along the way to defy those odds? 19:41 Did your increased visibility into the latest innovations in medicine allow you to continue swimming despite your doctors' advice to quit? 21:53 How does a sports and a scientific mindset lead to a most productive organization? 24:06 What surprised you most and challenged you when you became a Patient Advocate in Diabetes? 27:08 Were you as disciplined as a patient as you were an athlete? 29:12 Did your experience as an Olympic champion help the scientists accelerate innovation and research in T1 Diabetes? 31:55 What trends in healthcare access have you observe most recently, any improvements or challenges? 39:06 What are some latest innovations in diabetes research that listeners and patients should know about? 42:49 Importance of screening for Type 1 Diabetes 43:55 How are you creating new champions and passing the baton to the next generation?

In the latest episode of the Alloutcoach Podcast I spoke with Dr. Pierantonio Russo, (Corporate Chief Medical Officer @Eversana), a cardiac and heart transplant surgeon, former Chief of Cardiac Surgery and Pediatric Cardiac Surgery at a various top academic hospitals across the U.S. with expertise in machine learning, data analytics, health economics and population medicine with leadership roles at large national health plans such as Independence Blue Cross and Harvard Pilgrim Health. In this conversation he shares his enthusiasm for the potential of computation and technology to advance medicine and addresses critical topics of health equity, electronic medical records, and quality of care. Dr. Russo discusses numerous specific case studies from state of the art examples and publications from other innovators in medicine as well as from his career to explain how he has applied his experience as a clinical, administrative, and academic leader in medicine to impact large populations of patients using advanced data analytics, Machine Learning, AI and medical informatics. 3:42 What are some of the most memorable moments in your career as a cardiac transplant surgeon? 5:21 How did his experience as a cardiac surgeon spark his interest in studying the impact of computation and machine learning on advancing medicine? 6:59 How do you think health payers can partner with providers to help make better clinical decisions? 13:52 How are health providers who work at health plans responding to unprecedented growth in the volume of data to better identify and analyze patients? 16:31 Examples of predictive ML models in healthcare directly affecting and improving quality of care 22:06 Are there differences in access to genetic testing in the US vs other countries? 22:57 How can advanced ML models help identify genetic mutations earlier at the RNA level? 26:20 What is the focus of your current work at EVERSANA? 29:03 What type of data is required to ensure access to trials or treatments, adherence and maintenance of care? 33:03 How can patients hold on to their own patient records so they can expect to receive the same high quality of care as they move from one provider or health system to the next? 35:25 Dr Russo: Take caution when you interpret medical information across various social and other media outlets. 36:53 How do you hope to improve the explainability of ML/AI applications in medicine through your education and enthusiasm for their potential?

The latest episode on the Alloutcoach podcast features a critical discussion with a globally recognized leader in improving healthcare and strengthening systems to deliver better outcomes, efficiency, and sustainability, Dr. Rashad Massoud, about improving global healthcare quality by focusing on the personal elements of delivery of equity of care. Dr. Massoud, MD, MPH, FACP is visiting faculty at Harvard T.H. Chan School of Public Health. He is an inaugural Member of the Quality & Safety Academy of the International Society for Quality (ISQua), Advisory Board Member of the World Health Organization (WHO)'s Global Report on Quality and Safety. Dr. Massoud has previously served as Senior Vice President and Chief Program Officer at Americares overseeing the organization's health programs worldwide for people affected by poverty or disaster, including its work with the uninsured in the United States, its Emergency Response team, and its global distribution of $1.25 Billion in medicine and supplies to more than 90 countries annually. He was Chief Medical and Quality Officer and Senior Vice President of the Quality and Performance Institute at University Research Co., where he was Director of the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project and the USAID Healthcare Improvement (HCI) Project in 38 countries. He has traveled to 93 countries and worked with health systems in 104. In our discussion, he provides his commentary on the latest U.S. healthcare spending trends in relation to the rest of the world, defines healthcare quality as well as his personal lessons on improving care based on his vast experience, shares an international case study demonstrating improved quality and equity of care, contrasts preventive with rescue care and emphasizes the vital factor of delivery of care to complement drug, device or diagnostic development and innovation. 2:52 What drove you to dedicate your career to improving healthcare quality on a global scale? 5:36 What is your expert definition of quality of healthcare? 8:51 What is your personal theory of quality improvement in healthcare? 11:57 What are the lessons you have learned from your experiences and case studuies in some of the health systems in which you have worked? 15:00 Can you take a step back and take us through the process of quality improvement and share specific highlights from a health system with which you worked? 21:06 Healthcare spending has tripled in the last 20 years while the life expectancy is at its lowest in the US over the same period. When is healthcare a cost versus an investment, and what do the latest healthcare spending trends really mean to us in terms of innovation? 27:28 How can pharma and biotech play a more proactive role in transforming healthcare from a cost into an investment based on your lessons? 31:20 What is the next project or milestone in which you are stretching yourself and lifting others?

On the latest episode of @Alloutcoach I spoke with Tanya Colonna, CEO of @OroMuscles, a former varsity track and field athlete who competed in the pole vault, gymnast, medical device commercialization expert and award-winning instructor with a biomedical engineering degree from Rose Hulman Institute of Technology. In this conversation, Tanya highlights her resilient international journey as a startup founder of an AI company that discovered and clinically validated a critical relationship between how hard muscles work during training or their capacity; how they respond, or their intensity; and even the rate of perceived exertion through her research with world class athletes. She ultimately teaches us how to apply data in real time to find the optimal training stimulus in sports, rehab and recovery, and in medicine in order to predict and improve performance based directly on data from the muscles of patients and athletes. 1:56 The road to Tanya's discovery of @OroMuscles 5:09 Given their current options, what can those in rehab right now consider improving or focusing on more? 6:35 Coaching approaches most effective on Tanya's performance as an athlete in gymnastics and track? 8:12 Why targeting training and rehabilitation with technology merits more attention from healthcare and investors? 9:46 Unique principles used at Oro Muscles and their outcomes 13:32 Specific case studies illustrating an unmet need in sports rehab and what we can do with data to predict and improve performance 16:52 What is the source of any variability in the muscle response to intesnsity and training? 22:31 Are there any other sports or audiences that may benefit from this technology? 24:13 What level of human management does it take in order to make those results meaningful and translate into championship performance? 26:19 How does OroMuscles' technology improve productivity as well in a business? 29:33 What steps were taken to validate that data for other aspiring leaders or entrepreneurs to learn 32:13 Tanya and her organization's next milestone - how she is stretching herself and lifting others 33:27 How to reach @OroMuscles and Tanya

In this podcast episode Stefano Puntoni, PhD, Wharton Professor in Marketing, Behavioral Scientist, and a renowned, award-winning expert in Data Analytics, Economics, Brand Management, and Consumer Research, reveals his lessons and views on making stronger decisions as humans alone as well as together with AI and technology or data with purpose in an unpredictable world. He deconstructs the decision making process and explains why outcomes alone are irrelevant, providing real world examples from the perspectives of an individual business executive, organization, and a consumer. Most of his ongoing research investigates how new technology is changing consumption and society - a very timely subject today, and he speaks about the role of decision driven science in radically innovative companies as well as an exciting new research initiative at The Wharton School which will stimulate more insights on the relationship between new technology and consumer behaviors. 2:34 Inspiration to study both human behavior through marketing and data analytics 2:43 Early passion for architecture and enjoyment of applying both creativity and analytics using both sides of his brain at work 5:22 How the most innovative companies identify the unspoken needs 5:58 Difference between being market driven or market driving in radical innovation 9:03 Creating the bridge between the person who best understands the problem and one who understands the numbers 12:51 Unilever or Google are companies that are very advanced in combining domain experts with data scientists. Google is using consultative selling to improve their customer experience. 13:42 Ian Brown, Stanford Professor - "You can't judge decisions on outcomes alone" 14:15 How to make the best decisions most quickly and at the right time 17:01 How can we train our intuition to make better decisions? Einstein: "The intuitive mind is a sacred gift and the rational mind is a servant. We have created a society that honors the servant but has forgotten the gift". 21:20 Gird Gigerenzer: Intuition is instinctively knowing what to discard and what is not essential. 22:06 How do you utilize AI or technology to make the right decisions on determining your audience? 22:36 Why very few real advertisers who know how to really do it well and reproduce their results 26:44 Pharma case study of interpreting analytics from Medical Education programs delivered via social media 27:21 Problem-based learning in pharma is very effective - "WhatsApp" case studies in emergency care medicine 28:22 Story of an Ad Campaign with the right SEO algorithm for Health Insurance Marketplace that deceived and misled many patients in the U.S. 29:49 Tips for consumers can to make better decisions 31:36 How objective quality of marketed products relates to consumer reviews and prices 32:43 Stefano Puntoni is Co-Director with Bob Mayer of a new "Impact of Technology" research initiative at The Wharton School to promote and stimulate the impact of behavioral science work on technology across different industries

There has never been a more appropriate time than today to reinvigorate and add life to our workplace. To discuss why inspiring a certain company culture as well as innovation can increase engagement and performance, I interviewed Rebecca Friese, co-founder of FLYN, leading management consultant, keynote speaker and author of "The Good Culture: The Leader's Guide to Creating a Workplace that Doesn't Suck". By identifying outdated practices from the ground floor to the boardroom, Rebecca helps a wide range of organizations from Fortune 500 behemoths to hopeful start-ups, build the capacity to implement market-leading cultural changes. At the moment, Rebecca is on a mission to help organizations not just be better, but exceptionally innovative, engaging, and forward-thinking places to work. In our informal and candid conversation, we discuss how company culture becomes visible or invisible in a typical organization, why it influences performance, how we can keep ourselves accountable with KPIs or performance metrics for performance as well as behaviors or culture, growing culture over time despite successes and failures, why engagement and innovation is so relevant to all of us today, and real world case studies of leadership approaches to implement the environment or culture with intentionality that delivers innovation. 2:51 - Highlights from Rebecca's career 6:08 - Definition of Company Culture 8:22 - Rebecca's Signature Approach to assisting organizations with Company Culture 13:30 - Designing performance metrics/KPIs that inspire accountability for behavior and stimulate the best culture 13:48 - Without aligning culture to our everyday strategy and operationalizing it through metrics or accountability there is a gap which questions the value of the culture we want to design as leaders. 16:59 - Recent case study from a Tech company with a leader of a high-performing team that was asked to leave the organization 19:42 - New trending internal metrics of managers: manager engagement indicator (MEIs) surveys 22:04 - Metrics can improve a sense of belonging of an employee when you know what part of your effort contributes to the overall success of your organization 22:35 - Rebecca's personal real world story of being mislead to be performing well without any direct feedback 25:52 - Maintaining a certain culture through company successes and setbacks 30:59 - How Rebecca's approach to helping organizations with culture has changed over the last few years 31:21 - Focus on design thinking at FLYN Consulting 32:07 - Biggest challenge is to address the unspoken needs of individuals in the workplace 33:58 - How Rebecca is linking company culture to innovation with Fortune 500 companies 34:58 - People are motivated by their ability to learn and grow 35:08 - Customers often do not know or cannot yet imagine what they really need 36:52 - Explaining what "behavior" means to a 2-year old by adding incentives, transparency, feedback, consistency, and recognition 38:26 - Innovative organizations have to unlock the basic needs of all humans for autonomy, mastery, and purpose based on Daniel Pink's book "Drive" 40:18 - How everyone can be innovative in an organization 43:11 - How Rebecca is stretching herself and lifting others currently: her mission is to help people love their workplace

In this special episode I interviewed the winners of the first ever month-long Medical Affairs Innovation Olympics competition in pharma and biotech in the fall of 2022, CEO and Co-Founder of Discreedly, Vinay Tharayil, MD, BCMAS and Co-Founder and Chief Commercial Officer, Gibu George, MD. My guests discussed why education and interactions between pharmaceutical companies and healthcare providers need to evolve and how they are extending the reach and awareness of quality, fair-balanced medical education to not only academic physicians but those in the community using their platform, Discreedly. 1:55 - Vinay Tharayil - Background. GSK Vaccines. Medical Affairs Excellence and Operations at Astellas. Passion for Medical Affairs and the MSL role. MSLs bring lots of value to the healthcare system but often go under the radar. 4:59 - How they came up with the app @Discreedly 5:27 - Vinay and Gibu's vision and philosophy of Medical Affairs 5:46 - What makes Medical Affairs critical today in influencing health care? 6:43 - Main driver for Medical Affairs is education, scientific exchange and communication 8:53 - We want to bring medical education to the community of physicians, not just academic hospitals. Discreedly aims to increase the reach of Medical Affairs to a wider audience, including the community level physicians whom we typically do not target or educate. 11:57 - What is the relevance of a pharma company communicating more information to ensure access to care and health equity today? 13:33 - We can follow patients in EPIC via electronic health records, to be able to provide pricing information immediately. 14:14 - Putting the Provider in the Captain's Chair to be able to govern the direction of the frequency of the communications they prefer with Pharma, to allow access to quality medical information in a centralized platform. 15:12 - Physicians can search product information including formulary coverage, tier level on the health plan all at their fingertips. 15:30 - We are also exploring making social determinants of health related data available to them as well. 16:06 - Why did you call the platform "Discreedly"? 18:15 - How would pharma companies use the Discreedly App? 18:24 - Back-end channel for Pharma in this platform. Med Affairs companies will be uploading content, products, disease state related information, formulary, media that may be generated. MSLs may also be available on demand, virtually, ready to engage and educated HCPs. Providers can schedule meetings with Field MA or Medical Information. The program enables real time live chatting with HCPs, live updates / notifications. 21:39 - How do the users ensure alignment with their compliance and regulatory policies to guide what information may be shared on this platform? 22:19 - What part of the Discreedly program makes it more appropriate for the community level physicians? 23:29 - We secured a partnership with Doximity and use their SSO. They do not have to create a new account if they are already registered with Doximity. 25:30 - Extensive research of preferred formats of medical education shows high variability - the way many community oncologists learn about new treatments is a private WhatsApp group 27:02 - How does your program improve quality of healthcare at the clinical point of care? 27:17 - Integration of Electronic Medical Records (EMR)/EHR data 29:47 - Can the patient's health data be submitted by their provider or hospital? 33:26 - Message to those interested in Medical Affairs or this platform 36:13 - How are you stretching yourselves and lifting others in your next project? 36:36 - Key Lessons from Vinay and Gibu: "Be bold. The only way you will find the answer is by asking the question and taking that first step. By being bold you find out that you are capable of a lot more than you think. Be ready to adapt."

This is an episode recorded a few months ago after my guest, Johan Lauritsen, CEO & Founder of PROBE, had won the Evidence Generation category in the first-ever Medical Affairs Innovation Olympics hosted by Amedea Pharma. Johan is a medical student with prior gene editing experience, entrepreneur, keynote speaker, as well as a chronic Spinal Muscular Dystrophy type 2 patient. He is dedicating himself to facilitating and accelerating appropriate and timely patient access to clinical trials by developing a new program that researches and lists all the clinical trials across the globe for which a patient who is subscribed to his program is eligible based on health records submitted, and even directly connects the patients to the research investigator of the given study. Johan's passion and professionalism are both incredible gifts we can admire as he is in the progress of publishing the company's first prototype which is aimed at accelerating innovation in healthcare and democratizing patient participation, screening, and management of their own health. Lauritsen speaks about his personal journey as a chronic patient, and his modern perspectives on adding knowledge, transparency and technology to make clinical trials more accessible to all patients and relevant to them. Enjoy this candid conversation which showcases a new solution to improve health equity, health literacy, and patient engagement in research. You will hear Johan's tremendous accomplishments and calls to action for patients, their relatives and healthy volunteers to sign up for clinical trials and participate. 1:38 Can you share your unique background with the audience? 1:53 Johan was born with Spinal Muscular Dystrophy Type 2 (5qsma2) 5:59 For those not in healthcare, can you describe CRISPR gene editing? 8:03 Can you describe some of the processes people to know about and how clinical trials have changed. 13:25 Q: Is there routine prenatal screening or testing for SMA? In late 2022, all hospitals in Denmark implemented pre-natal screening for SMA. Johan fell when he was 3 and could no longer get back up. 14:33 SMA patients have won the Olympics before as well as the first ever Medical Affairs Innovation Olympics in the case of Johan 17:23 How has the data exchange in clinical trials accelerated and improved lately to ensure patients know about their results as soon as possible? 18:24 Clinical trials represent the most expensive, time consuming, and critical part of drug development. Patient recruitment continues to be a challenge because inclusion criteria are often determined from the investigators' perspectives rather than those of patients. Patients' inclusion criteria have now become more loose, allowing us to include more patients. 21:20 "Pharma companies do not have a realistic grasp of the real world patient population in a disease state for which they are developing treatments. Thus their study inclusion criteria are often inaccurate or irrelevant." 21:33 Only 15% of the minority populations are represented in clinical trials according to latest research. 22:10 Q: What is your company PROBE doing to improve access to clinical study for patients worldwide? 24:33 PROBE - While establishing a community of people that wants to participate in clinical trials, we are developing a tool that makes them accessible to them. We are also addressing health literacy as many patients want to be in a trial but they do not know where to find it or how to interpret the inclusion criteria or their own condition. 26:36 What kind of tool or app has PROBE created for clinical trial patients? 27:30 The App shows patients a list of clinical trials for which they are eligible. It connects the patients with the researchers, and therefore is a win-win for both researchers and patients. 29:47 Can the patient's health data be submitted by their provider or hospital? 31:34 Who are the members of the PROBE team? 34:13 Expecting to release its app at the end of January 2023.

A lifelong fan of the Olympics, I recently interviewed Sharon Hannan, an Olympic Gold Medal winning coach in 100 m hurdles and Australian athletics veteran who had coached Sally Pearson to victory at the 2012 games in London. Listen to this truly personal conversation to learn Sharon's scientific approach to building curiosity, drive, confidence through small steps, innovative methods, and successes to winning in sports, business and life. 2:14 How did you get interested in Track and Field? 3:30 How did you become a coach that would train a champion to a gold medal in the Olympics? 6:04 Do you think you were always perceptive of other people and there was a coach in you that manifested later in life? 7:45 What is the role of curiosity and not being an athlete in your success? 8:52 One of the most impactful books I have ever read was Between a Rock and a Hard Place by Aron Ralston who had to cut off his arm to survive. She read the book over and over again to learn about how he faced adversity by the processes he implemented. 9:44 How did you help her overcome adversity? 10:35 Sally Pearson had a navicular stress fracture and Sharon found an innovative way to coach her through it 11:38 She thought "this girl lived on speed which was part of her DNA" so Sharon started to train her with racewalking so that she would feel speed without the impact of sprinting or hurdling not to exacerbate her injury or slow does its healing 12:41 What impact did race-walking have on Sally Pearson's results? 13:33 What were the turning points in your career that allowed you to develop confidence as a coach? 16:20 Sprinting in the pool was another method Sharon had used before with another athlete before Sally Pearson. The athlete keeps their body upright with the head above water and sprints using the arms. Usually, athletes cover 100 meters in 50 strides in about 12-13 seconds, while in the pool they cover 50 strides in 6-7 seconds. 18:20 What was the inspiration behind the technique of racing in the pool? 20:59 Who are the members of the integral team that helped you and your athletes become successful? 21:46 One of the first sports scientists Sharon met was a biomechanist. 22:48 If Sharon had an injured athlete she made it her rule/job and accompanied them to the physical therapist to learn how the injury might have happened. 26:31 What role did teamwork play in the athletes Sharon coached who primarily competed in individual events? 27:00 If you want to be the best you have to train with the best, which may include competitors or your competitors' coaches. The one area in which track and field lags behind is the tendency to avoid competitors or competitors' coaches in training. 28:14 What is the secret ingredient to reaching the pinnacle of competition - the Olympics, and performing at the highest level? 29:29 Secret ingredient - self-drive, small steps, success. My role is to plant the seeds to make incremental progress. 34:07 Your relationship with Sally ultimately ended as you parted ways. What are some lessons you have to maintain relationships with athletes, manage conflict in order to result in the best outcomes? 37:42 How did you recover after parting ways with Sally to continue to coach and leave a legacy among other athletes and coaches? 40:50 Did you find yourself a coach that challenged her athletes more than others would dare? 41:42 Famous in Australia for one rule: if an athlete fall-starts during training their training session is over. Sharon has lost several athletes who did not have the patience for this rule. However, on the contrary, Sharon has had extensive conversations with athletes about their long-term future and their personal lives or plans with their girlfriends/boyfriends. 46:32 Did your daughter continue on her path to becoming a track and field athlete? 54:22 Final message from Sharon

This special episode takes you on a dream journey in a recent conversation I had with a two-time British Olympian swimmer, global keynote speaker and executive coach, Chris Cook! He inspires us to experiment, dare to share with our competitors who are our greatest assets at times, reflect internally, and keep things simple in order to make the dreams of reaching the Olympics a reality in sports and in business. 1:49 – How did you become an athlete and a swimmer first before you became an Olympian? 1:58 - Adrian Morehouse, British Swimmer had won at the 1988 Olympics - that's when he decided he'd be an Olympic Swimmer and joined a swimming club within 2 weeks at age 9 3:52 – Who were the coaches that inspired you? 5:08 – Story of daring to share ideas with competitors and learning to become more confident and vulnerable. 6:27 – What was your first breakthrough in your career? 6:48 - #1 - His coach told him to break the world record when we has only 13 years old, which he did by swimming 1 lap at a time with a rest in between the 4 total laps. That made his goal achievable in his mind! 8:40 - #2 - Chris was struggling to break through the British ranks, finishing in the top 5. In one of the tournaments he made the European team made it to the semi-final in Ireland. 10:00 - Your competition can be your greatest asset! He started to compete with the top 5 in the world, not only in the UK! 10:14 - Did you appreciate that lesson about competition at the time when you were 21? 10:39 - Chris was deliberately be guarded against competitors. But he learned over time that competitors expose your weaknesses which is a huge benefit. We are looking for those 1% improvement over your personal best. 11:21 - At age 21, Chris considered his final frontier when he began to break down the walls. He went to a training camp in Australia along with his competitors. 12:53 - Follow up on the 4 lengths of the pool WR in the training session at age 13 - his coach with no swimming background experimented by training him on aerobics, yoga, etc. 13:42 - His lung condition was better than most other swimmers which he attributes to his experiments during training years before. 14:14 - Experiments do not fail, they just give you results! Its about what you do with the results! 15:04 - He failed during a practice and was frustrated. And this is when his coach shared his wisdom which he still remembers. He transported him from an emotive into a rational state. Chris' practice lacked only fitness and the last length of the race. 15:44 – They came up with this formula: "Ask it, answer it, action it!" 17:37 - How did you manage to continue to train regardless of your finishes? 20:09 - Conversation with Sports Psychologist Simon Hartley, who told him "you only have to swim two lengths of the pool - don't make it too complicated". 22:01 - As you become a star I imagine you realized who your real supporters were. How did you manage to have the most supportive team by your side? 25:03 - Throughout your journey did you find yourself motivating others through their journey or observing others as well? 29:51 - Swimming is a technical sport. What is your approach to getting ahead using technology while honoring sportsmanship? 33:50 - What are the areas of opportunity in which we can test the human capacity in swimming? 34:48 - Stars have some self-centeredness about them but in a positive way. Your body is your race car that you have to stay attuned to at all times. Sports and Business may be somewhat different in that athletes learn to recover better and faster than business people. 36:14 - When athletes train are they more likely to visualize the purpose of their hard work and practice than businesspeople who are too focused on the results? 37:36 - What do you enjoy about coaching business leaders vs athletes? 40:04 - Is most of your work in a particular geographic area or industry? 43:20 – What is your lesson or advice to listeners about leaving a legacy in life?

This is part 2 of a memorable conversation I recently had with Peter High, President at Metis Strategy, a premier advisory firm in business strategy, data transformation, international growth, mergers & acquisitions. Peter is the host of the first, longest-running technology podcast called "Technovation", keynote speaker, regular Forbes columnist, and author of the book "Getting to Nimble". The audio podcast is available across all platforms. In this part of the discussion, Peter candidly shares his lessons redefining productivity, performance metrics, and the legacy of information technology and modern enterprise executives in general. Enjoy the show - here are the highlights below! PEOPLE AND PRODUCTIVITY Q: Recent studies have published how many different employers began to use data to monitor their employees (“the worker productivity score”) which backfired because they were more likely to break rules. Q9: How do you interpret such results and what recommendations do you have in applying the new technology now available and analyzing data appropriately to guide decisions that impact our employees? LEGACY AND RESPONSIBILITY Q: What is your personal opinion and recommendation to CIOs and Tech leaders about the need to integrate and incentivize Corporate Social Responsibility, Type B Corporations and Responsible AI training and policies into their businesses? DATA MATURITY Q: What are the different stages of becoming a digitally mature company? Q: What makes the DevOps specialty in technology companies an important case study to learn from for other industries such as pharma and companies? METRICS Q: How do we design the types of contests and metrics that matter in a competitive environment whether or not we generate revenue directly? Are there particular trends you have seen in various organizations or industries in some of the most effective performance metrics? LEGACY Andy Warhol once said: “The idea is not to live forever but to leave ideas that will.” Q: As you look ahead into the future of some of your favorite innovative companies, what are some specific examples or the elements of a potential legacy and timeless values that businesses in the Tech industry will leave for future generations to come? Peter High: "It's the ideas they leave behind that leave a legacy and philosophy. It's the family tree we leave behind. How many reports of ours go on to lead other organizations?" --- Support this podcast: https://anchor.fm/alloutcoach/support

This is a memorable conversation I recently had with Peter High, President at Metis Strategy, a premier advisory firm in business strategy, data transformation, international growth, mergers & acquisitions. Peter is the host of the first, longest-running technology podcast called "Technovation", keynote speaker, regular Forbes columnist, and author of the book "Getting to Nimble". In this part 1 of our discussion, he shares his lessons on the real world role and reality of competition, innovation, and culture in business today. 2:59 - Q1: Can you describe your personal transformation over the years? 5:32 - Pharma Med Data Culture Integration – Limited by Legal Restrictions COMPETITION 6:13 - Q2: How does a company's Chief Data or Information Officer / leader enable it to stay competitive despite the legal restrictions in some industries? 6:26 - Cybersecurity. RISK MITIGATION strategy has to be balanced with a RISK TAKING/TOLERANCE strategy. 9:20 – Q3: How does the ecosystem of a business impact its competitive power? 10:05 - Business has become global, so competition is no longer company to company but ecosystem to ecosystem. Examples: joint ventures, service providers, partnerships with venture backed companies, venture capitalists. INNOVATION 11:55 - Q4: How can modern enterprises continue to innovate during crisis, inflation, uncertainty, or during expansion and growth? 12:35- Some of the best companies are born during down-turns. #1. Challenging times require the best thinking to succeed and prevail regardless. 13:23 - 2. Constraint is your friend. Story of a billion-dollar company executives who visited an augmented reality startup with a very small leadership team. Constraint forces prioritization. "The work fits that staff/scale" once a company grows in scale, rather than the "scale/staff fitting the work". It's during success and growth that leaders exaggerate their sense of security for the foreseeable future. 16:16 - Q5: How realistic is the exemplary image of teamwork, innovation, and agility in Tech today as it is becoming so invasive and prominent across the organizations? What are some of its qualities to emulate vs. biggest gaps and challenges today and how can Tech continue to lead the way as a role model for other industries? 17:03 - So much of the venture capital is backing tech companies which demands hyper-scaling. 18:09 - Amount of venture capital money invested into software and tech companies however does not automatically imply that they become modern, their processes are optimized, and talent is used most appropriately. They also lack legacy to some extent. 20:26- Q6: Tech is a role model for many industries. What are some of the gaps among technology organizations, leaders, and startups? 21:02 - A greater range of diversity to reflect our society is needed in Tech. Venture capitalist community is a catalyst for innovation, but the pressure of an exit on the back end. you need to go public or get acquired at some point. 23:37 – Q7: What are some resources or tools IT leaders can use as frames of reference in order to manage people, their emotions, and their lives rather than their data, work or technology alone in this environment in which employees are changing the world of work and are struggling to continue to be engaged? CULTURE 26:45 - Managing People particularly challenging across IT working virtually. We must be more intentional about the reasons we collaborate, career plan, celebrate, and create, get together for meetings in person or for projects. 27:58 – Q8: Are there any specific companies that you are advising that have excelled at managing people and culture well throughout a transformation? 30:20 - 70% difference in job engagement between executives and front-line workers. Great revelation is that the reason ~2/3 of employees do not want to go back to the office is they may not feel like they "belong" and are not "engaged", not that they are more productive. --- Support this podcast: https://anchor.fm/alloutcoach/support

In 2018 I underwent a critical transformation in search of more mentorship, learning and development. So I received an MIT certification in Leading Organizations and Change based on a course taught by Melissa Norcross, PhD, which paved the way for the growth of my network, business, and this podcast I would later start. As a former Chief Strategy Officer and veteran operations and strategy consultant for firms including McKinsey & Co., Melissa's work spans industries and the globe. She has worked with organizations ranging from Fortune 100 companies to non-profits as well as private-equity funded turn-arounds. Melissa facilitates peer networks of senior executives in the digital and technology space through Collaborative Gain's Councils. She holds a BS in Engineering from MIT, an MBA from Harvard Business School, and a Ph.D. in Values-Driven Leadership from Benedictine. I am excited to share this "podcast in a course" type of discussion she and I prepared for you so follow and share the episode if you find it valuable! 5:15 Q1: What makes those most memorable and innovative teams stand out to you today as you look back at your career? Humility. Warren Buffet: "Know you circle of competence well." 10:43 Q2: What kinds of team dynamics and approach to agreement or disagreement define those most innovative teams? 13:41 Q3: How do we create the intersections between departments to make sure we have psychological safety? 16:21 Q4: How do you inspire a highly accomplished new hire to stay engaged and contribute with quality who candidly voices their opinions and asks for the "ball" to own a project with no resources or formal career or personal development program? 17:57 First element of Psychological Safety is Fairness. This does not mean everyone has the same position, gets same playing time, scores the same # of goals. 20:33 It's tempting to focus on your star but you are robbing the star of the ability to have others around them who improve their capabilities. They also begin to depend on one single point of failure. 21:33 Tim: I created a continuum to visualize the gap between aspiration and ability, between ability and responsibility. When the gap is too large, problems in engagement and effort begin. Adam Grant also talks about the need for employees to sense their own "optimal distinctiveness" at the same time the organization requires them to contribute to the team. 23:18 Q5: Did you find yourself developing resources to advance people even when they were scarce? 27:21 Q6: How does on-boarding and training predict long-term engagement? 28:02 The most important thing in onboarding is not to train people on how we do things, what we do but the culture and values. 30:50 Q7: What were some of the techniques you used to improve operations in such different environments? 1. How are we making decisions? Are they smart? Are they based on data? 2. Be laser focused on what matters most. Agile - do one thing at a time. 3. Clear Success Metrics with Early Warning Signals for when they are going off track. 4. Transparency and Radical Honesty. 37:23 Q8: Which of these 4 steps do you attribute to your success in identifying high potential products or pipelines in pharma? 40:40 Q9: How did those KPIs impact team collaboration or interdepartmental rivalry? Hockey - you get a point for the assist plus the goal 49:24 Q10: How do you help visualize those metrics? 55:14 Q11: When you lead with the values first what have been the direct outcomes of your approaches? Very few goals, very high standards! Case: Financial company that was lacking data. Sprints separated by timeline. Outcomes mattered because they were owned by everyone. Transparency. Consistency. Focus. and Data. 58:31 Q12: What tends to happen in extreme failure vs success to teams? It's hardest to learn in both these extremes. Extreme success hides all kinds of sins. Learning zone is critical. 1:01:25 Q13: What is one final lesson for the listeners from this conversation? --- Support this podcast: https://anchor.fm/alloutcoach/support

A few months ago I spoke live across social media with four colleagues, experts and Medical Affairs senior leaders with diverse, global perspectives across pharma and medical devices to discuss some of the best moments and surprises from the Medical Affairs Professional Society's (MAPS) May 2022 Meeting in Paris which we attended. The conversation was a recap of this meeting yet with lots of very forward looking concepts many of you, my friends and colleagues, may enjoy reviewing, particularly as we prepare for the 2023 European meeting to be held in Lisbon by MAPS. So listen to this conversation with Marc Sirockman, Global Chief Executive Officer of MedEvoke; Meg Heim, President and Founder of Heim Global Consulting; Marcus West CEO and Co-Founder of 60seconds.com, and Viorica Braniste, Medical Excellence and Patient Engagement Director at Kyowa Kirin, which emphasizes some of the most pressing issues our Medical division is facing in the industry as we anticipate more developments in our Age of Information. Meg Heim highlights innovative qualitative research in R & D demonstrating Medical Affairs' value earlier in a product lifecycle from Kyowa Kirin as an example of how far along the drug development pipeline the division is able to impact with meaning. Marc reminds the group about the powerful turning point Medical Affairs is undergoing presently, summarized by the meeting's theme "The Medical Affairs' Time to Lead is Now". He mentions that while digital information has exploded over the last two years, Medical has outgrown other functions and it is critical to communicate its value internally to receive the appropriate funding and resources. Marcus speaks about the need for enhancing the coaching culture and real time feedback in Medical - a recurring theme at the meeting. Viorica addresses the unmet need of coaching and training to connect medical insights with powerful business impact to critical diverse stakeholders. Throughout our discussion, we concede how fragmented Medical continues to be in its organization, and why we must change our communication to be more consistent with our environment. We recall an inspirational quote from the meeting shared by Ben Bryant, a veteran pharma executive coach, who said "Leaders are not paid to make the inevitable happen. They are paid to make happen what would otherwise not happen". Our group refers to several sessions about shortening the lag time from generating to capturing to communicating insights, and we compare raw medical insights to oil, which if "unrefined" by definitions or context, become difficult to translate into value. Thus, Marc encourages pharma to begin to "ask for help" more because data insights are becoming overwhelming to manage alone without various agencies and life science solution providers. We also discuss intriguing, controversial, but also encouraging moments from the meeting such as the growing critical need of "ROI" of Medical and performance metrics as well as new conversations about Medical's potential in guiding an entire organization in improving the accuracy of their Sales forecasts. Avishek Pal, Scientific Communications Director at Novartis Oncology in Basel, Switzerland, relays his impressions of the importance of the "cross functional co-creation journey" between Medical Education, Field Medical as well as their insights, and multi-channel and formats of Medical Education to improve how pharma reaches healthcare professionals across the globe. So we look forward to more conversations on leadership, metrics, mentorship, as well as prescriber and patient engagement and education perspectives (comment on our discussion from Gorana Dasic, a pharma executive from Pfizer), at the upcoming 2023 meeting in Lisbon as well. Finally, we discuss the value of joining the incredible non-profit MAPS society, its Mentorship program, and vote on our favorite cities for future meetings after Lisbon: Florence, Berlin, Milan, Rome, Tbilisi, Dubrovnik. --- Support this podcast: https://anchor.fm/alloutcoach/support

A few months ago I attended a reception at a conference sponsored by a Nephrology Journal Club (#NephJC) which I had referenced in my Amedea Pharma Blog and prior expert panel discussions because of its tremendous growth and popularity. And after meeting its co-founder, Dr. Joel Topf, a pioneer in using social media for medical education, I decided to interview him for my podcast. Dr. Joel Topf represents a model of transforming a virtual platform into a true in-person learning and development community. He has been running his blog Precious Bodily Fluids for 12 years. He co-created the longest running twitter journal club, #NephJC which connects nephrologists all around the world to discuss scientific papers twice a month. Dr. Topf has a large Twitter following and is a regular guest on the internal medicine podcast, the Curbsiders and was awarded the Robert Narins Award for innovation in medical education by the American Society of Nephrology and has given talks on the use of social media in medical education in 8 countries around the world. He makes visual abstracts for six different medical journals and organizations.1:55 - Q1: How did this popular #NephJC journal club start? 5:46 - Journal Club based on "Flipping the Classroom" concept 6:59 - Journal Club audience is mainly physicians aged 40+ 8:20 - Structure of the NephJC Journal Club is supported by multi-channel learning with re-informcement (1. Blog Summary, 2. Visual Abstract, 3. Tweetorial, 4. Podcast, 5. Weekly Newsletter) 10:11 - Q2: How do the busy physicians find time to attend a new format of education online and find it valuable? 11:07 - Modern Form of Medical Education - Conversational Tone 13:03 - Q3: How has the use of social media changed during the pandemic over among physicians? 14:09 - Pandemic Case Study: NephJC created critical new resources for nephrologists to address concerns or rumor about ACE-inhibitors and their effect on COVID 16:00 - Started to build evidence review teams on the fly to analyze treatment guidelines, ACE evidence, etc. They built isolated webpages - COVID in dialysis, COVID in transplant, in hypertension, etc. We created an incredible resource for the community at a time when they had lots of questions. 17:02 - Pandemic resources increased NephJC website visits 10x 17:45 - Q4: Can you contrast Twitter vs other social media platforms and share success factors of building a community there? 22:40 - Q5: Was there a turning point when the #NephJC exploded? 23:16 - #NephJC started a global internship program. Interns from 35 different countries participate and are trained on writing blog articles, Tweet chats / tweetorials, virtual abstracts, podcasts. They then started many projects of their own. One of the spinoffs of the Curbsiders is the pediatricians' version called "Cribsiders". Website called "Nephpocus" - point of care ultrasound. 26:25 - Q6: Can you describe your system of multi channel communication and how it all works together? 28:41 - Q7: What is a Tweetorial and how does it work? 30:25 - Q8: What are some of the most effective formats to educate in your opinion? Do you use video on Twitter? 31:42 - Q9: How do you test the quality of the education via social media? Ian Lang quote "Teaching without testing is like cooking without tasting, reading without writing" 33:15 - Q10: How do you incorporate all of the different parts of your system together most efficiently? 35:14 - Q11: Are you pursuing any new channels or topics at #NEPHJC? 37:45 - Q12: How do you extend your education to patients? 38:25 - Comment: Lots of poor quality medical information online - patients beware! 39:23 - Need to Close the Knowledge Gap in Medicine that Increases over time despite Experience years gained 41:31 - Q13: Q: How do you think pharma companies can educate patients and physicians via social media?

What happens when you add the role and duty of "inspiring people" to your title of a leader whether or not it is in your job description? It becomes a secret ingredient to your team's success, your legacy, high team engagement, recognition and awards. Larry Freedman, an award winning pharma executive is the type of inspirational leader I had the fortune of working with at a global pharma company, AstraZeneca, who personifies success. He has authored a new article called "The Sequence of Success" based on his determination to make inspiring others his duty. In our introspective reflection of his career and philosophy, he explains how he led "two levels deep" to turn around a slow launch of a global cardiovascular product and earn the company's most prestigious CEO Award to go on to become one of the most decorated award winning leaders in his organization and discusses many other pressing management topics of today. 3:19 - Q1: Key Factors to Career Success? 3:37 - 1. Perform 2. Network outside of your function to let others know you 3. Think strategically about your skills and even 2 jobs ahead. 4. Be grateful 5:53 - Q2: What are your leadership lessons and sequence in which we should follow them? 7:29 - Difference between Holding Someone Accountable and Inspiring their Accountability. 7:47 - Vulnerability, Humility, and Authenticity creates Trust and Followership. 8:13 - Candid Feedback without a relationship = criticism 8:26 - One person with passion is better than 40 that are merely interested 8:36 - The Last Leadership Lesson is Leave People better than you found them. 9:10 - Q3: How were you able to shorten the perceived distance between you and your team members as a second-level leader? 9:30 - Visibility and relationships that were two levels deep. 11:59 - Q4: How did you reward technical performance vs behaviors and culture to inspire accountability? 15:32 - Q5: Is sales a transfer of emotion? 17:13 - Q6: What are some of the specific approaches you have to increase engagement among new employees entering the work force today? 17:32 - Authenticity, Consistency, and described the Frequency to be in front of people. We focused on culture and took the results of the bi-annual culture survey very seriously. We dissected results to find the strengths and weaknesses. Diversity and Inclusion grants a competitive advantage. A Speak Up Culture. 18:48 - A speak up culture is not only not being afraid to state your opinion but being encouraged to. 19:17 - Two reasons why people don't speak up, 1) they are afraid of reprisal / retaliation from senior management or difference of opinion; 2) they are afraid even if they speak up nothing will change anyways. I consistently explained why I supported a particular suggestion or complaint or did not and earned trust over time. 21:44 - Q7: Do you feel it was the relationships you prioritized early that helped you overcome adversity? 21:58 - I felt a tremendous responsibility to my team whether my team was 5 or 50 or 500. The belief system is the same. When you lead you have the opportunity to make a difference in people's lives. 22:42 - People feel when there is care and concern beyond what they can do and who they are as people. That taps into their discretionary effort! 23:39 - Q8: Success is a sequence and also a cycle. How do you continue to have the Leadership foundation when Recognition at all costs is so tempting? 24:19 - How do you continue along that path of the Leadership Foundation when Recognition alone is so tempting now? 26:58 - Q9: What is the most common or favorite compliment you usually receive? 28:33 - Q10: What is the next project in which you are stretching yourself and lifting others? 30:37 - Q11: What is the next project in which you are stretching yourself and lifting others?

As a long-time fan and supporter of the author of the best-selling book "Predicting the Turn", Dave Knox, I enjoyed the opportunity to sit down with Dave to discuss the journey of businesses that incorporate a culture of innovation in a systematic manner and the results that follow. Dave Knox is a brand builder, venture investor, international keynote speaker, digital innovator, business coach, and award winning author. He was the leading digital voice and advocate at Procter and Gamble, Chief Marketing Officer at Rockfish, a leading digital marketing agency, after which he had built a non-profit start-up business / accelerator "The Brandery" which transformed 85 startups. Here are some of the highlights from our conversation: 02:50 - How did you develop the instinct of observation of innovation early in your career? 3:04 - Why Dave pursued "Brand Building" 4:47 - Views on Entreprenurship 7:10 - The concept behind "The Brandery" authentic to the city of brands, Cincinnati 7:46 - Why Brands are often misunderstood 9:14 - Examples of startups "The Brandery" helped transform 10:32 - The end result of "The Brandery" was receiving an endowment that today is funding the next generation of entrepreneurs. It allows businesses in Cincinnati to receive grants to grow their organizations and keep them going. 11:32 - Q: At what point do you stop making observations and start implementing and making decisions as a startup? 11:47 - Dave Knox's "Continuous Beta" concept 12:51 - Dave's Innovation Matrix from his book - Core Innovation, Adjacent Innovation, and Transformational Innovation. 13:03 - Devote 70% to Core Innovation, 20% to Adjacent Innovation, 10% to Transformational Innovation 13:43 - Q: What is the formula to innovation that leads to companies taking out their competitors completely in the brutal business environment today? 14:07 - Uber's extension of its Total Addressable Market (TAM) size 15:46 - Innovation Case Studies from Dave's book 16:05 - Spotify's transition from music streaming alone to "share of ear" audio company and Under Armour's journey in consumer data 20:19 - Q: What is the subtle difference between adjacent and transformational innovation according to your definition? Procter & Gamble and Tesla examples 25:02 - Q: Are there certain Innovation strategies that are more successful than others according to your research? Contrast in innovation approaches between Venture Capitalists and Corporations 26:17 - Why you should consider a combination of approaches to innovation: 1) direct or strategic investments; 2) being an LP into other venture funds; 3) partnerships / individuals helping you engage with the ecosystem 27:26 Q: Metrics - How do you inspire and evaluate the quality of innovation that benefits society? 27:49 - Ben Franklin anecdote on editing a marketing billboard 31:42 - Coca-Cola acquiring insight into new selling operations from Dirty Lemon case study 34:49 - Q: What does "predicting the turn" mean to you in light of the pandemic and the last two years? How has its definition become relevant or changed? 35:44 - Alcohol Industry's transformation and new laws after the pandemic 38:01 - Evolution of Autonomous Cars Technology, future use cases and predictions 46:13 - Views of the role of technology on social responsibility

I recently had a truly unique opportunity to discuss a complex yet rapidly evolving topic of how to use and update our social media and digital communication policies with social and healthcare responsibility while improving our impact on the quality and timeliness of medical decisions! Darshan Kulkarni, PharmD, MS, Esq is a dynamic expert educator in this field who owns his private law firm, is a life sciences counselor, speaker, author, board member, and host of the DarshanTalks podcast who shared his perspectives on the latest developments in this field. Below are the highlights from our discussion. 6:20 Pharma and device social media / digital communication policies are highly variable across small and mature companies. Some smaller teams are building them from scratch, yet others are not updating them either deliberately, not prioritizing them, or are not addressing off-label discussions and their impact. 7:52 There have been several court cases that have admonished the FDA for being overly aggressive with its enforcement. The FDA released a 60-page memo in which it acknowledged that it does not know what to do with off-label discussions in social media or via multiple digital channels.8:30 In 1998 there were 195 or so warning letters from the FDA's DDMAC division and last year there were only 6. The FDA is trying to get its bearings on what is happening. Many companies have not updated their HCP engagement policies. The Pharma organization updated its policy in mid-January. There are discussions around "space limited" engagements. On social media, you have to decide whether or not your will have social media pages that are product based, company based, or claims-based. 11:44 What are any differences in risk and liability of a Medical vs Sales organization in pharma today? The DOJ had several court cases in the early 2000s that said either you have a Medical Affairs department that is absolutely separate or you both abide by commercial speech standards, not Amendment 1. For decades, the FDA regulated based on approvals, so if the requirement based on the standard of "truthful not misleading" is thrown out it may upend the entire regulatory schema that existed. So the court responded that the 1st amendment has been changing since the 1980's but the FDA has not updated it. 16:03 The FDA is convening a Task Force to address 1st Amendment application concern in pharma. 17:22 Most pharma companies are still operating under a clear distinction between Medical and Sales from early 2000s but this will likely change in the next 2-5 years. 17:40 Q: What are some types of social media activities that are safe vs others that are more scrutinized? 21:48 CDRH in Medical Devices has significantly less resources than CDR's OPDP in pharma, and this is why the regulations in medical devices are much more loosely defined. 25:05 Has the line of "misleading" changed over the last few years? How can we balance the misleading medical information used by patients themselves? 27:05 Confident and Reliable Scientific Evidence (CRS) FDAMA114 - lowest level of truthful not misleading information. The second is Substantial Scientific Evidence (SSE) which is rarely if ever used. The third level of information used for claims is Substantial Evidence, classically referred to as two randomized controlled studies (RCTs) needed for drug approval. The New Patient Focused Drug Development FDA guidance is now advocating for pharma to communicate with patients. EMA has lay summaries to communicate clinical trial results in a language accessible to the general public. Many ICMJE journals now require for trial sponsors to provide a lay summary for patients prior to consideration of publication. 41:20 How are the current latest regulations impacting how transparent we can or have to be in reporting clinical trials? There are 7 levels of clinical trial transparency (discussed in detail).

A big part of the reason my latest podcast guest, Rohit Sood, has become a successful and recognized leader, mentor and growth advisor in the pharma industry, is because he has been able to build successful teams. This is how his colleagues describe his unique success story as a recognized pharmaceutical industry scholar, Rutgers Business School lecturer, expert in organizational change, investor, and senior executive in life sciences who currently serves as Executive Vice President of Global Commercialization at EVERSANA. Rohit prefers to make deep and deliberate connections in business and he shares some truly unique, practical case studies and solutions on performance metrics, hiring, team dynamics, mentorship, growth mindset, and execution in this episode. 3:10 - Q: What were some of the strongest teams you worked with or led in your career that you still remember today? 6:47 - Q: What are the principles to building a strong team? 9:32 - Q: How do you design a structure around a team with a strong culture and vision? 13:45 - Q: Why do teams with best products and best performers fail? 19:27 – We discuss a story of a state tennis champion three years back to back who plays on a high school basketball team as a bench player the entire season, wins a state championship, and later admits openly to his teammates that winning as a bench player was his biggest accomplishment to date because he was a member of a team even though he had won individual tennis state championships. Rohit: we all have certain role players on our teams. You do not have to be at the center of every play or decision of your team. One of my favorite interview questions - tell me about a time when you were a role player - what was your contribution to the success of failure, and reason? 21:12 - Q: Performance metrics - Do you think performance metrics can be designed to promote collaboration as well as healthy competition? The Net Promoter Scores at Eversana are very high. Team Collaboration will be one of our metrics we will be tracking at Eversana that will be a part of the variable compensation of our employees! We will capture these metrics by gathering feedback from various brand teams across different functions. Did you feel included? Did you know what decisions were being made? We have also implemented frameworks around processes and operations. Our philosophy is that leaders have to be consistent. And consistency does not just happen. There have to be operations and processes in place that allow for consistency in execution. In summary, we are focused on 3 KPIs - 1) internal behaviors that ensure a collaborative culture; 2) behaviors that stimulate our clients and stakeholders' satisfaction of the quality of our products through their feedback; and 3) operations and processes to ensure consistency. 25:56 - Metrics also impact how you think about your goals for the year. We have three tiers of goals at Eversana. The first goals are tied to organizational performance. The second are corporate citizenship goals - make sure to do something in your role that impacts work outside of your day job! The third level of performance goals are related to individual interests. 33:06 - Aspirational idea of 1 single global metric - earnings per share. If not met, individual metrics come into play - hierarchy / tiered approach. 36:45 - Q: How do you recalibrate teams after successes or failures? 38:39 - Case study of a recent team member's problem with a deadline 41:28 – Q: Do you think the sense of belonging is what helps the best teams to succeed specifically? 45:24 - Q: How do you manage transitioning from team to team as often as we do today? 49:43 - Q: Should everyone start a team of their own regardless of their role or experience? 58:54 - Key Final Messages from Rohit!

Johnny Knatt is a long-time friend and mentor with whom every single conversation is stitched in my memory as a highlight so it was time to capture and share one more memorable lesson for all of you, Alloutcoach fans and listeners! He is currently the Chief People Whisperer at JJK Workplace, a senior executive with over 32 years of experience at Procter & Gamble (P&G) in sales, manufacturing, HR; at General Mills; as Deputy HR Director for the State of Georgia (GA) Law Enforcement Office of Public Safety Mentor; and HR Director of GA Community Supervision, GENOS certified in Emotional Intelligence, and a recognized expert in Organizational Development, Employee Relations, Diversity and Inclusion. Johnny takes us through the most critical moments in his journey across his workplace lifecycle during which he provides practical lessons that have allowed him to uncover the secrets of how things work and decisions that impact our career, performance, job engagement, and advancement are made. 3:17 Q1: What were some of the episodes or who were some of the people that determined your career path? 4:50 I was blessed throughout life to have someone always see something in me. 5:52 - Johnny had previously gone to a predominantly black school where he served as President, but during school de-segregation he had to go to a predominantly white local school where he was now a minority. He tells the story of this transition during which he no longer went to the new school but one gentleman, his first mentor, followed him throughout high school and picked him up in the mornings to force him to go to school. 9:02 - Story of his first work experience @Gen Mills as an ambitious young employee who was quickly taught a lesson of respect and human resource optimization by his management 11:54 - Why Johnny almost left Procter & Gamble (P&G) where he would spend over 32 years 16:44 - I've seen so many people leave organizations because they were not clear about what was expected of them, nor did they know how to communicate to their leaders what they wanted and needed in order to succeed. 19:16 - How do you recognize talent early to hire the right employee in the first place? 20:51 - 1. Get a broad base of good talent. 2. Behavioral interviewing - try to get the candidate to talk about themselves, their likes. Ask if they have not just the technical skills which they can learn cognitively but also the emotional intelligence skills and the resilience. 24:12 - When did you first observe that you knew how to observe and recognize people? 28:37 - Q: After you hire the right person, how do you inspire them to collaborate with each other? 34:26 - Q: How do you approach measuring performance / metrics? 45:17 - Diversity and Inclusion - In the House vs Out of the House Example. Diversity is one of the most powerful tools we have in the workplace. 46:11 - About 20% of the workplace feels like they are not included or shut down. It's not that they do not know information or do not have the skills. They have simply been invited to the dance, but nobody is asking them to dance. 48:14 - What are some stories of conflicts you have managed that have stayed in your memory? 53:26 - How important is the timing of resolving a particular conflict? 56:40 - What are the key success factors of making the right or best decision? 1:01:07 - Q: What are the best accomplishments across different environments as you moved from working in manufacturing, Sales, HR to working for the state government? 1:05:44 - My passion is helping others navigate through their workplace life cycle more easily. You go through a cycle in life that consists of three stages during which you are raw, you are cooked, or you are burned, and start all over again! 1:07:39 - What's the next project you are pursuing to reinvent yourself?

As a person that is fully dedicated to sportsmanship and the scientific method to everything I do, I found my conversation with an innovative thinker, educator, mentor, speaker, author and an expert in Learning and Development, Mentoring and Leadership Development, Dr. Ruth Gotian, absolutely inspiring. She has just published her book called “Success Factor” in which she interviewed Olympic gold medalists, Nobel Prize winners, astronauts, Fortune 500 company executives, and Senior Government Officials. Dr. Gotian is the Chief Learning Officer and Assistant Professor of Education, Anesthesiology, at Weill Cornell Medicine. Highlights and Timeline below - audio episode link: https://bit.ly/ruthgotianpodcast 3:04 – Dr. Gotian's Personal Career Path. 6:23 – RELATIONSHIP BETWEEN TALENT AND ULTIMATE SUCCESS. According to Ruth, talent is important but it is even more important to learn to use it. The FIRST of the 4 secrets to extreme success is 1. INTRINSIC MOTIVATION. So if you are talented and intrinsically motivated, Dr. Gotian says you can become unstoppable if you also learn to integrate the other 3 elements, or secrets into your life. 9:08 – When you tap into what you love most, you will automatically be inspired to have the work ethic, tenacity, and outwork others in terms of time and productivity to master your craft, hence the second secret element of success – 2. WORK ETHIC. 10:14 – The Third secret is 3. A STRONG FOUNDATION. The most extreme high achievers have a strong foundation which they are constantly reinforcing even after they win a Nobel Prize, for example. 12:14 – The last common characteristic among all the recognized high achievers is 4. CONTINUOUS INFORMAL LEARNING. To emphasize the value of mentorship, Dr. Gotian always says “if Olympic gold medalists, astronauts, Fortune 500 Excutives all have mentors, why do you think you do not need one?” 14:53 – Q: How do people find their passion or intrinsic motivation first and foremost? Consider a “passion audit” exercise available for free to anyone that is interested at Dr. Ruth Gotian's website: http://www.ruthgotian.com/passionaudit. 15:54 – Q: How do you create your own momentum or success that others also recognize? 18:24 – How do you teach leadership in this distracted world in which we spend so much time alone, tend to overspecialize, and are more distracted than ever? 21:48 – Does technology increase your exposure and opportunities to be leaders for more people than ever before? The Thinkers 50 award winners and radar list members gave presentations recorded on the Thinkers 50 website available for free to everyone. But there is a difference between an average person and a high achiever, because the average person you meet says “one day I will learn this skill or take this course”, but a high achiever says “I am starting to take this course starting day one – today”. 25:51 – Are there any specific trends in the demands from your clients or network for any specific types or formats of L & D? 30:32 – What makes the mentorship different in healthcare? All the research shows that those people who have a mentor out-earn and outperform those who do not, they have lower risk of burnout, and higher career satisfaction. Evidence shows that 76% understand they should have a mentor, but 37% actually have one. 35:57 – Q: Is standing up for a mentee and demonstrating having mentee's best interests a requirement for mentorship? Standing up for mentees is sponsorship. So after you sponsor them, you should mentor them to make sure they perform well, so sponsorhip and mentorship are both parts of a continuum. 37:08 – Was there one example or experience throughout the course of writing this book that surprised you? 38:31 – Are the readers of your book likely to find the formula of their own success? 41:30 – What role did networking play on the unprecedented success of these celebrated indivduals? 43:49 – How are you stretching yourself and lifting others currently?

Listen to this global overview of the digital wearable landscape in this educational discussion I truly enjoyed with Joao Bocas, a global Top 100 Digital Health Influencer, Keynote Speaker, and Consultant, CEO of Digital Salutem, a company that enables healthcare companies to brand and market their digital health and wearable solutions as well as to implement digital transformation on an organizational level rapidly using world class technology. Connect with Digital Salutem, and Joao Bocas on Twitter and LinkedIn and follow his YouTube Healthcare Channel called "Digital Health and Wearable Series"! 1.17 Did sports inspire you to pursue starting a business in wellness, fitness, and healthcare wearables? 4.06 How do those who are not experts in digital wearables separate the signals from the noise among the growing availability of such devices? 5.28 What are some of the new products among consumer health or medical device wearables that pique your interest? 8:11 - About half of the consumers stop using wearables after 6 months. No engagement means no data, and no data means no value. 8:56 - How do you validate the accuracy of the data of the wearables as well as the privacy? 12:36 - What are the types of companies or wearable brands you consult the most? 14:09 - Has it become easier to bring a wearable device to the market? 16:09 - What are the key factors that play a role in adoption and utilization of wearables? 19:34 - COVID highlighted the potential for wearables and what can be done with digital health. A few months ago, we could not go to the hospital or go to the doctor because of the pandemic. So how do you monitor your patient's conditions, and what is important to act on urgently to make clinical or treatment decisions, the answer to all of which is in healthcare wearables. 21:23 - What tips do you suggest for businesses wishing to enter the market to differentiate their wearables? 23:24 - Can you share a glimpse of your organization at Digital Salutem and what services you offer? 26:11 - What are some best practices and metrics of how wearables have improved patient outcomes? There are medical devices now that tell diabetic patients how much insulin they need at a given time. There are types of wearables that provide you with 8-9 different datasets, and the busy provider usually selects 2-3 datasets. So wearables generate an abundance of data which is a challenge for clinicians to identify particular trends quickly to make important decisions. And if providers are successful in quickly filtering the data as rapidly as possible to identify an arrhythmia among all the data available, wearables can bring a lot of value in my opinion 29:11 - Do you believe wearables can bridge our fragmented system of healthcare? 30:54 - Slovenia is a small country, but it is the most digital economy in the world. All of the electronic health records are in one place in Slovenia. Three years prior, the country prioritized and planned ahead, and decided that in three years they would gather all electronic health records in one location. Finland and Denmark are two other countries that plan ahead, execute well, and are more open-minded in exploring innovative approaches to healthcare. I must say that these are smaller countries where implementing such technology may be simpler however the process of execution is the same so let's not make excuses if we live in larger countries with 300 million people, for example. Slovenia, Finland, and Denmark are three countries that incentivize and support innovation. Yet, because we are so fragmented in our healthcare system in the U.K. we are far behind in consolidating our healthcare patient records.

I recently sat down to discuss the present and future of data culture in business and healthcare with Tiffani Bova, Global Chief Growth and Innovation Evangelist at Salesforce.com, global keynote speaker and host of a top 50 global Sales podcast called “What's Next”. She is a bright, intelligent, and dynamic leader who is currently focused on integrating the customer experience with the employee experience as she strongly believes it is this combination that may propel businesses or even healthcare institutions and practices forward. Listen to her thought-provoking insights and real world case studies in this live episode during which she reviews elevating the patient experience, real world implications of our digital health transformation, as well as a range of innovative business management concepts. HIGHLIGHTS. 1:36 - Where do you find your sources of energy today? 3:47 - How do you think the healthcare sector is capitalizing on data to make and improve its decisions? When you look back at the last 18 months, we saw a digital transformation over a period after the height of the pandemic in March 2020 that we had not seen in the previous decade across all industries. The expectations of consumers, who were now doing everything from home changed radically as they now entertained the thought of also setting up an appointment with their doctor. These expectations have been pulled from across various industries and healthcare made many strides, though many critical issues remain. We were discussing electronic health records in 1998, yet fast forward over 20 years, and we are still not communicating patient data efficiently due to privacy issues and HIPAA regulations. 6:13 – We have to ask, “Is the patient experience as evolved, mature, and innovative as the customer experience on the consumer side?” 9:46 – How do businesses now use data to attract not just the attention of their audience but the context for their decision making for it to develop deep understanding and consolidate the information shared by the business? There is a crisis of trust across different industries, lack of patient education about how their data is used, and delay in communicating product recalls. 14:03 – In this world of working remotely what are some technologies such as Slack or others that you find helpful to engage team members virtually? 19:59 – As you are trying to become more agile, productive, connected to your patients, you have the opportunity to provide more care, not less care. 21:23 – In your book “Growth IQ” you talk about Sales Optimization and the need to target different kinds of customers at different times. How do you engage different kinds of customers at different times to influence a successful launch of a product whether you are in the pharma or a different industry? 26:11 – Wearing more of a business hat, what are any other business specific suggestions you have on approaching the launch or a post-launch of a product? If you are attracting new customers, think about what makes you unique. Data shows that 80% of decision making of customers is based on their customer experience with the company or brand rather than product attributes. So your potential new customers will leave you before they ever find out how great your product may be if they cannot find information about the experience they are likely to expect from you. 30:09 – How do you separate the signals from the noise in a data culture that is social conscious, private, yet transparent? 34:22 – How are you stretching yourself and lifting others now or in your next project? I want to shine a light on where I have been spent my time in the last 6-7 months - making sure that the people who work with you are equally inspired, enabled, and capable of trying new things and failing. The fastest way to get new and more customers is to get your employees to love their job because if they are happy, they will provide a better experience for your customers.

This is a recording of the type of critical, candid, yet fun conversation that is also a hands-on expert lesson on how to think creatively with purpose in a distracted world with one of the brightest and creative individuals I have met. I sat down with Jonah Sachs, a true original thinker, marketing executive, speaker, philanthropist, and author of "Unsafe Thinking" and “Winning the Story Wars” who shared his personal perspectives on unlocking creativity with social responsibility and purpose to spread the ideas that matter! Highlights: 04:19 – What inspired you to write “Unsafe Thinking”? Jonah: This book describes my personal journey to answer how I along with my ad agency could re-learn to break the rules once again which is how we had originally become successful. 7:08 – What are some of the ideas that matter to you today? Jonah: I have now moved from marketing to philanthropy and am very concerned as a father about the state of our climate and the ecological crisis we are about to face. 9:19 – Do you have to have a clear vision in order to spread the ideas that matter? 10:04 – Jonah: Scene from “The Matrix” where Neo is tied up and Agents Smith 11:12 – There is a story in your book “Unsafe Thinking” about an expedition to discover the new source of the Nile river that captivated me. What are some of the lessons from it you wanted to convey to the readers? Jonah: In 2005, one adventurer, Cam McLeay and his team navigated the Nile all the way from the mouth to what they call its new source, farther than anyone had ever done. They were expert navigators and included an expert aviator and were able to make their boats fly by attaching wings to their boat to fly over the top of the waterfall. It took one small innovation at a time at every challenge to accomplish this feat. 13:32 – Jonah: Use Fear as Fuel - Mahatma Gandhi case study of learning to embrace and manage his fears. 16:50 – Tim Grover, Michael Jordan's personal coach of many years, and the author of “W1NNING” states that fear teaches you how to win, while doubt merely teaches you what to do in order not to lose. 18:35 – What kind of feedback have you received while touring for your book “Unsafe Thinking” for 2 years globally? Jonah: The most common response is “I would love to take risks but my boss or my company or my clients just will not let me “. We live in a world that constantly rewards conformism so an important lesson I have learned is to be an explorer, not an expert. 21:45 – Jonah: Study of 20,000 so-called recognized “experts” by Philip Tetlock at Berkeley 23:42 – Dr. Barry Marshall's unconventional approach that led to the cure of ulcers and his Nobel prize. 27:37 – Yuval Harrari, a globally renowned lecturer, writer, and history professor from Oxford, says that “our history began when we created Gods and our history will end when we become Gods”. 28:45 – Jonah: Harrari has another fantastic quote – “The Scientific Revolution was kicked off when we started being more interested in what we did not know than in what we know.” 29:33 – Question from the LinkedIn Live Audience: What are your thoughts on tactics for convincing the expert that maybe the newbies/outsiders' ideas are better? Jonah: Shared information bias is a situation in which teams of people gravitate towards what most agree upon. 32:36 – How can we utilize technology in a way to make the ideas that matter go global? Jonah: We consulted Tristan Harris on the famous Netflix movie called “Social Dilemma”, which talks about how we are being manipulated by social media. But distraction may also be a big part of our creativity. 36:35 – Your ideas and dedication to social responsibility is inspiring. As Andy Warhol said, “the idea is not to live forever but to leave ideas that will”. Jonah: Any piece of advice taken to the extremes will lead you to the safe thinking cycle. Listen to the experts, take it all in, and live a varied life of unexpected moments of discovery! --- Support this podcast: https://anchor.fm/alloutcoach/support

This is a special, short episode inspired by the Thanksgiving Holiday that serves as an important pause as we near the last month of 2021! Because the purpose of Alloutcoach is to inspire all of us to cross over borders to transcend the differences we have from others, and to extend the boundaries of our roles and responsibilities, I chose to discuss a Holiday that has truly crossed over its unique national history and borders because of its universal message we should carry with us across the globe after Thanksgiving and throughout the year. ...Certain holidays cross over their intended design or population of people to become mainstream and universal. But more than their popularity, it is 1) the ability of a particular Holiday to connect a maximal amount of people rather than separate them, 2) to uplift, to inspire a call to action as a result of a particular event in history, and 3) to carry an important meaning of hope or future transformation that makes some Holidays such as Thanksgiving worthy of being celebrated across the globe, in my opinion. Thus, because of the positive and universal spirit of acknowledgment, gratitude, and remembering the people next to you at all times unconditionally despite owing its roots to a snapshot in the history of the U.S.A., it is this Thanksgiving holiday I adopted immediately when I moved here and have cherished ever since in a country where I have now lived most of my life. And it is this holiday that many others now recognize, and I hope will even celebrate across the universe. Happy Thanksgiving, my dear Friends! I wish you to have many reasons and people to be grateful for in life for many many years ahead! Remembering the extent to which our happiness and well-being depends on the people we have by our side even inspired me to even share a song with you in part 2 of this episode which I had recorded privately for a few of my colleagues and friends only throughout the pandemic, called "E Se Domani" (written by Mina in Italian). Listen to the message of the song and thank you for believing in the purpose of Alloutcoach, for following my podcast and subscribing to the Alloutcoach YouTube Channel!  --- Support this podcast: https://anchor.fm/alloutcoach/support

I had the honor of interviewing a gifted economist, successful entrepreneur, socially responsible healthcare consumer and digital health expert who has been able to "bio-hack" her own struggle with autoimmune disease and personally helped many others with similar conditions - Mette Dyhrberg, CEO of an innovative platform called MyMee that manages a wide range of autoimmune diseases. Make sure to listen as she shares many details of her personal and entrepreneurial journey to integrate her background and analytical approach while critically improving the course of complex disease conditions with limited treatment options for many patients in the process. 1:42 - Mette suffered from autoimmune disease for 20 years and has developed a protocol that allows patients to identify triggers in order to reverse symptoms of their immune conditions. MyMee's digital platform has helped reverse symptoms of >67 different autoimmune diseases of the >100 known such conditions. While autoimmune diseases can attack various different areas and targets, the digital platform asks why it attacks the body and what causes its symptoms. 3:45 - Is MyMee a digital therapeutic and what were the requirements of its approval? 4:50 - How long did it take you to build this platform? I started out 10 years ago, journaling and keeping a spreadsheet to see the effects and causality between what I was doing and how I was feeling. After 5 months, I was no longer at cardiac risk, prior to which I was required to have weekly EKGs, take blood thinners and cholesterol medications since I was 24. And after 16 months, I was able to become symptom-free, and have been drug and symptom free ever since. While I was working at my last company, I became extremely fascinated with the idea of biohacking and over the first couple of years I helped 33 other patients achieve the same results I had obtained. 9:36 - What are some success stories of COVID long-hauler patients that are utilizing your MyMee digital health platform? 12:09 Can you describe the platform and your healthcare team that interacts with patients at MyMee in more detail? Our platform is comprised of 3 parts: - 1) self-tracking of patient symptoms and body signals - 2) converting the noise of the data collected into understanding using computers and analytics that identify the triggers of the symptoms and find solutions - 3) transforming data analytics into behaviors through interactions with a healthcare team of nurse practitioners, dieticians, nutritionists, and doctors that have previously reversed their own autoimmune conditions 15:50 - How can patients access your platform and how does it integrate into the physicians' clinical work flow? 19:15 – What are some learnings or future plans to work with other health payers? 20:46 – What is the primary lesson you have learned throughout your journey building this novel digital health platform? 23:56 – Could you share one final message with our listeners as well as how they can contact you? As someone who has been struggling with autoimmune disease for 20 years, I understand that the element of hope becomes challenging but ever so critical. In fact, what I call the “hope bank” can get empty when no approach seems to work. So I would like patients with such complex chronic conditions to understand that there is something they can do whether it is MyMee or something else. There are life habits such as sleep that have significant impact on their disease that they may not always take into account. So it is important for listeners to understand that the help and the hope in these conditions stem from small, incremental baseline habits and changes in behaviors. They can visit MyMee.com and contact the MyMee team which has this name because of the ideas that the platform mimes you and is a mirror of yourself as instead of implementing hundreds of rules and restrictions to manage disease, we help you find a blueprint to understand what exactly works for you. --- Support this podcast: https://anchor.fm/alloutcoach/support

This past summer I recorded one of my most candid and intriguing conversations with a personal mentor, friend, teammate, and former colleague who happens to be a global physician executive, leader in the pharmaceutical industry and certified high-performance coach, Leon Rozen, MD. We tested and reflected on various inspirational thought-provoking statements and observations to closely examine the different languages and meanings of leadership, competition, company culture, performance, and success. And Leon shared memorable, practical tips and real world stories you can use to guide yourself and the teams you hire in the meaning and momentum you create using communication and language to perform at the next level! 3:38 – The meaning of your communication is what the other person remembers 4:10 – E-mail case study – when we do not respond, we leave the other party with many different ways to interpret our lack of communication 6:10 – Statement 1 : Leadership would not be regarded as a foreign language in adulthoods if all children were required to take Leadership Courses as children in school. 6:46 – Dr. Leon's comments – The leadership language changes all the time. We hide meaning in the language we use through widely accepted “euphemisms”. Leon's father shaped his idea of leadership as a child because “he never left you wondering where he stood”. His brother preferred short conversations but was the most caring individual Leon has ever known. 9:30 – Statement 2: Leadership is never given to you by anyone – it is a lifestyle and your choice. Was there a point in your life when you chose leadership? Leon: As a physician working in the hospital every person had an opinion and I did not have the monopoly of the opinions. So I listened. But I knew the buck stops with me and I needed to make a decision. That was my approach to being a part of a team in medicine. After the hospital work, I worked at a blood bank and quickly became a Medical Director of a Blood Bank at the age of 26 in West Sydney, Australia. So as a leader I was just a person who made the final decision. 12:39 – Statement 3: “Look at life as a sport not war as no matter how tough it gets there are always winners in sports but never any winners in wars”. Is there any sports inspiration to your performance coaching? Leon: In my opinion, “a champion team will beat a team of champions every time”. I learned playing Australian Rules Football that if you pull back a bit because you are scared or afraid to be injured, you are actually more likely to be injured, so you have to go “all out”. 15:57 – Did your interest in sports inspire your competitiveness to excel in your career? 18:36 – Statement 4: “Inspire all your employees to be sports athletes or scientists regardless of their background”. Is such a business possible? 22:45 – What is your perspective of how performance is different from success? 27:12 – Do you consider hiring your team members a contest, a conversation, a competition, or a negotiation? Leon: two interview tips + why work is a conversation. 41:08 – Italy's winning underdog European soccer championship in 2021 case study - Have you had to give trust to a team member who was not a high performer? 45:10 – Statement 5: “Embrace fear because it teaches us what we need to do to win while doubt teaches us what we need to do in order not to lose” - Tim Grover, Michael Jordan and Kobe Bryant's coach in his book “W1NN1NG” Leon: There is overlap between doubt and fear similar to being motivated by reward vs. punishment. Some people are motivated by reward, others are motivated by avoidance of being punished and if losing provides you with pain you will do everything you can to avoid it. 48:20 – Leon: You may have to sacrifice in order to find what you need in either life or work but it is not one or the other, so instead approach this concept as shifting your priorities from time to time across life and work rather than thinking of them as opposites. --- Support this podcast: https://anchor.fm/alloutcoach/support

This chat offers a lesson on some of the latest pressing issues and trends in clinical research, bladder cancer, healthcare quality, electronic health records, and pharmaceutical industry relationships with academia from Dr. Guru Sonpavde, a cutting-edge, innovative medical oncologist and Bladder Cancer Director at the Dana Farber Cancer Institute, Associate Professor of Medicine at Harvard Medical School, member of Southwest Oncology Group (SWOG) and Bladder Cancer Task Force of the U.S. NCI Genitourinary Steering Committee. Highlights/Timeline: 4:45 – Perspectives on the physician patient relationship and how it has changed over the years 5:20 – Shared Decision-Making with patients 6:30 – Are patients more demanding than ever today and as a result present a challenge to physicians? 7:47 – Role of Innovative Clinical Research on the continuity of care? 10:08 – Memorable stories of novel treatments transforming patients' lives 10:42 – One of Dr. Sonpavde's patients was thought to be terminal having undergone 3 courses of chemotherapy for a cancer that has metastasized. This patient participated in a Phase I trial that combined a novel immunotherapy with an existing immunotherapy treatment and was given a very low likelihood of response yet the patient is still alive today in complete remission 2-years post treatment. 12:20 – Is our healthcare system designed to give physicians enough time to review patients' conditions to select the best course of therapy? It takes physicians a lot longer to enter data into EMR and requires more documentation than ever before 14:38 There is a huge unmet need in novel AI technology that is able to transcribe physician orders, comments accurately and patient level medical in order to close down the barrier between the patient and healthcare provider. 15:40 – Latest emerging treatments Dr. Sonpavde is most excited about in Bladder Cancer 16:23 – 1. Immunotherapy with Immune check-point inhibitors are a promising class of drugs that unleash immune T cells to fight the cancer in patients whose cancer progresses after the conventional platinum-based chemotherapy or even as first-line for metastatic cancer in patients who express PD-L1 protein or are ineligible for platinum-based chemotherapy. 2. Antibody-Drug Conjugates that are essentially a smart way of delivery of strong chemotherapy with more specific targeting of the tumor. 3. Erdafitinib, an FGFR3 inhibitor that works in patients who express this FGFR3 mutation that works in only 20 percent of patients. 4. Combining immunotherapy with Antibody Drug Conjugates is a very promising new approach 18:55 – Are there any particular new areas of research that are not addressed in bladder cancer? 19:31 – We still do not fully understand the biology of bladder cancer and have to improve our efforts in delivering the right treatment to the right patient - precision medicine. 1) We do not know who will benefit most from cisplatin chemotherapy 2) or who will benefit most from immunotherapy, and 3) we do not know the group of patients that will NOT benefit AT ALL from immunotherapy or chemotherapy because those are the populations that need the treatments the most. Thus we need biomarkers to predict tumor progression not just response to medication. 21:52 – What is Dr. Sonpavde's opinion about invasive versus non-invasive screening/testing in Bladder Cancer? 24:32 – Are Bladder Cancer patients expecting simpler methods of screening and longer survival? 28:47 – How can the Medical Affairs and R & D division of the pharmaceutical and medical device industries improve the quality of research to anchor it to patient outcomes in the future? 31:00 – What is one detail about clinical research would you teach patients to better manage their expectations? 33:15 – Are we improving in the transparency and speed of generating and communicating clinical trial results in healthcare? 37:16 – What is one specific medication on which you are working on at the moment? --- Support this podcast: https://anchor.fm/alloutcoach/support

This summer I sat down with one of the most outspoken and passionate guests I have ever hosted at Alloutcoach and recorded a truly "AllOut", candid and colorful conversation that will leave you with calls to action to use Data and Technology not to only Count but to Connect in Healthcare. Dr. Warren Wexelman, a cardiologist, Associate Chief Medical Officer at Maimonides Hospital, renowned global keynote speaker, and lecturer addresses the latest trends in 1) virtual healthcare & telehealth and 2) interactions of healthcare professionals with pharma, biotech, and medical device companies to provide hands-on, real world case studies and recommendations to improve healthcare quality. 2:36 – Up to $250 billion could be shifted towards virtual healthcare in the future 2:45 – Only 1% of primary care visits in Medicare were virtual as of January 2020, which rose to 50% of all Medicare Patients by April 2020 10:08 – "Necessity is the mother of all invention" – Sir Isaac Newton case 10:56 – Doctor Patient Relationship is the single most important piece of healthcare 11:41 – Doctors check the pulse not to count the beats but to connect and touch the patient 12:38 – Since 1968, when Medicare first started in the U.S., physicians could speak to patients and bill for their time but it's never used because it is not reimbursed 13:40 – Two of Dr. Wexelman's patients died at home due to non-COVID cardiac reasons because they were afraid to seek healthcare 16:06 – New incentives for healthcare providers to use telehealth but the impact on the quality of care is not clear 16:13 – Many patients still have low access to technology or virtual care in certain areas 18:19 – Dr. Wexelman's software company – AlphaMED Disease Management Systems, alphameddms.com 20:05 – Many physicians still not advanced in their use of technology 21:08 - Are the structures in place for physicians to be incentivized sufficiently to adopt telehealth? 22:07 – Obama administration brought upon “Meaningful Use” of electronic health records 23:02 – Physicians hate using their electronic healthcare records, which take them 3x the time needed to see a patient 23:57 – Electronic Healthcare Records were never designed to be shared everywhere 27:01 – Message to the government: make digital health devices available for home use, incentivize the healthcare providers 28:11 - Is Telepharmacy a possibility in our healthcare system? 29:29 – What should physicians be forced to only submit a prescription via a computer rather than the phone? 30:36 – Pharmaceutical Industry's Adoption of Digital Health Technology 31:25 – How physicians engage virtually with pharma or med devices 31:56 – Why Physicians use Social Media – data from Scranton University 32:22 – How physicians shifted to attending virtual scientific conferences 33:41 – Medical Science Liaison (MSL) Society survey – how important is it to stay connected with MSLs during the pandemic? 34:32 – How frequently do physicians prefer to communicate with an MSL? 35:50 – Dr. Wexelman: "The term [pharma] has become a dirty word with healthcare providers, and everyone in the healthcare system to blame!" 36:26 – Where would we be without pharma today? 40:06 – Physicians in large healthcare systems not allowed to see pharma reps - Dr. Wexelman's “secure samples” software program 41:13 – Keeping information from physicians who “serve” is a “disservice” 41:48 – Physicians need to know information BEFORE it is published 42:18 – Pacemaker sales rep case study 45:51 – Medical Affairs and Sales partners in the Continuum of Healthcare 46:52 – Why restrict “samples”? particularly for some life-saving medications 47:06 – Drug prices - there should never be a question “do I take my diabetes medication or do I eat today?” 48:35 – It is not about the number of years of experience in healthcare or any other field, but about how you utilize the experience, or technology 50:14 – Dr. Wexelman referencing the Hippocratic Oath and what it means to him! --- Support this podcast: https://anchor.fm/alloutcoach/support

I recently sat down with Talya Miron-Shatz, PhD, a researcher, speaker, consultant, organizational psychologist, behavioral economist, science communicator, and author of the book “Your Life Depends on It: What You Can Do to Make Better Choices about Your Health”. The book (link to order it: https://talyamironshatz.com/your-life-depends-on-it/) has received glowing reviews so far: Nobel laureate Daniel Kahneman - “People who expect to stay healthy forever need not read this wonderful book. The rest of us should. With a fine combination of humor, compassion and vast knowledge, Talya Miron-Shatz offers clear and useful guidance for the hardest decisions of life.”; Next Big Idea Club (Adam Grant, Malcolm Gladwell, Daniel Pink, Susan Cain) “The past year has shown that confusion exists prominently in our medical conversations. We need a new guide to navigating these complex decisions, and psychology professor Miron-Shatz is here to provide one.” Talya has spent two decades as a researcher – including at Princeton University where she worked with the Nobel Prize laureate Daniel Kahneman, as well as a lecturer at Wharton University. She is now a full professor at Ono Academic College and a Visiting Researcher at Cambridge University. Miron-Shatz also has extensive industry experience, as she consults numerous pharmaceutical companies, including Pfizer, Abbvie, Boehringer-Ingelheim, Bristol-Myers Squibb, Novartis, and others on projects around leading physician advisory boards, designing patient outreach, and sales rep training. Talya has worked with technology giants, such as NantMobile, where she led teams of engineers in introducing an entire layer of psychological drivers to facilitate adherence to medication and she has helped multiple startups – from Healarium to Glucome to hone their operating mechanisms in conveying health information to change patient behavior. Here are some of the highlights from our discussion with its timeline: 2:47 – Why Talya pursued researching Medical Decision Making 3:32 – Gap between knowledge and understanding in genetic counseling, organizational psychology 4:28 – Work with Nobel Prize Laureate Daniel Kahneman 5:43 – What do we mean by “Healthcare Consumers” 6:44 – Real world cancer treatment example of the impact of medical decision-making 7:24 – Why Healthcare Consumerism is a “hit or miss” 7:36 – Patients now demand medical treatments – 2017 research from Dr. Heather Lu showing physicians prescribe medications/treatments they do not believe in themselves 10:35 – Key factors in Patient Outcomes: Comprehension of and Adherence to Treatment 11:50 – Health Literacy & Ability to Ask healthcare providers 12:24 – 90 Million Americans indicate low health literacy – e.g. role and probability of prenatal testing, hereditary cancer 13:47 – 2007 Exercise with Genetic Counselors 16:07 – Medication Adherence, errors, and patient education rooms in doctor's offices 19:29 – Problem with Continuity of Care across health insurance plans (payers), providers, hospital systems, polypharmacy 21:02 – Role of the Patient-Doctor relationship 22:24 – A trusted healthcare profession – pharmacy 23:40 – The real world value of physician's empathy from Mount Sinai Hospital's palliative care oncologist 26:42 – Why medical credentials and personality equally critical 28:16 – The definition of making “Every Effort” in a Medical Decision – case: unplanned cesarean section deliveries 32:08 – Specific Tips to make better, more informed medical decisions 33:24 – Ask physicians what matters to you first – 1) risks, then 2) benefits, and finally 3) alternatives 36:14 – Final Conclusions for patients and healthcare professionals 39:48 – How to contact Dr. Miron-Shatz 41:00 – New book release details – available for pre-order now, officially to be release on September 28, 2021 --- Support this podcast: https://anchor.fm/alloutcoach/support

Listen to this absolutely candid and introspective conversation with a Senior Pharmaceutical Industry Leader, Sports Athlete, Coach, Mentor, Danielle Day, PhD. She shares amazing personal stories and specific tips for conflict management, giving and receiving feedback, hiring, and managing people as well as other common real-world scenarios related to staying relevant, competitive, productive, healthy, and well throughout this pandemic, in gymnastics, sports, life, and at work. Highlights 1:53 - Q1: Who were the people and what where the events that shaped your character? 3:04 - Standing up for a frustrated teammate to confront a Gymnastics Coach in College 5:23 - Q2: How have you maintained your self-identity and character to be successful across academia, sports, and corporate environment in the pharmaceutical industry? 6:40 - Fighting for what you believe 7:25 - Receiving negative feedback about character and adapting the personal "fire" at work 9:49 - Q3: What sacrifices do you have to make as you transition into a people management role? 10:00 - Reaction to a post about the 5 Sacrifices we all must make in life 18:38 - Applying the "Strengths-finder" 21:56 - Importance of "Sportsmanship" and scientific mindset in every competition across work/life 23:35 - Q4: How do you define winning in Medical Affairs in the pharma and medical device industry? 26:34 - Being creative and strategic to apply business acumen to advance science 26:52 - Medical Insights case study and example 28:06 - Advice to individuals and businesses on adapting during the pandemic crisis 29:55 - Work from home issues and management 31:25 - Authenticity and Mindfulness during crisis - examples 34:52 - Virtual productivity threshold during the pandemic 37:02 - Case studies of teamwork, compassion, and musical relief during the pandemic 38:02 - Q5: How do you hire based on character and behavior? 39:25 - Searching for diverse skillsets among MSLs (Medical Science Liaisons) more than experience 40:18 - If hiring managers continue to have the same mindset, they will have the same results 40:36 - Tips and new approaches for job candidates during the interview process 43:09 - Interview question reflections on landing the first MSL role and role of authenticity 43:52 - Mentoring tips for landing a job vs. staying and succeeding 45:59 - When do you behave out of character? What happens when you are constantly behaving out of character at work? 47:21 - Case study of a boss that challenged subordinates to justify decisions through deliberate questions 48:40 - Interpreting and giving feedback: case study 53:52 - Q6: Can you describe episodes of extending personal and professional boundaries you have observed? 56:08 - Upcoming Medical Affairs Workshop on Metrics / KPIs (key performance indicators) at Medical Affairs Professional Society (MAPS) Meeting in 2022 56:44 - Q7: If you could change 1 thing about Medical Affairs today, what would it be? 58:18 - Communicating Value of Medical Affairs and alignment of Medical and Corporate Strategy 59:53 - Shifting focus on self-care, virtual productivity, and wellness 1:01:56 - Redefining our "Pandemic Intelligence" to inspire and engage employees 1:02:51 - Business Networking opportunities during the pandemic 1:03:40 - Inspirational story of U.S. Gymnastic Champion and Olympian Chelsey Memmel --- Support this podcast: https://anchor.fm/alloutcoach/support

In this special episode of the Alloutcoach Podcast, I sat down with Donald Rattner, a renowned architect, speaker, lecturer, educator, and author of his new book "My Creative Space" who shares some unique research and detailed tips all of us can use in every field to spark, capture, and apply some of our most creative ideas. His insights truly break new ground in merging our left and right sides of the brain to integrate our analytic and creative types of thinking when and where it counts most! Discussion Highlights 1:00 - Inspiration for architecture and Background 3:25 - Definition of "Evidence-Based Design" (EBD) - research of how our space impacts our behaviors 6:11 - When are we most creative? 6:37 - Four different "chronotypes" of people and their peak times of creativity 7:22 - Most people's idea generation is highest at 9 am - 1 pm 8:26 - Blue color and natural light tied to solar cycle tied to improved idea generation 9:22 - Tip: Color-changing bulbs in your office to spark creativity 10:10 - Tip: Nigh-shift mode on smartphone 10:43 - Case study of no windows in office and solutions 12:40 - Analytical type thinking 16:22 - Biophilic Design and Hypothesis: Human Affinity for Natural Environment 19:19 - Traveling in Time and Space through Space you create 21:47 - Donald's commentary on using virtual backgrounds in remote meetings 24:18 - Our Brain's "Seesaw Effect" concept and its relation to creativity: Conscious vs. Unconscious Thinking, Finite Attention Span, etc. 28:00 - Significance of timely idea capture 28:21 - Tip: use waterproof note pads you can use in the shower for best idea capture 28:55 - Idea generation during sleep and capture 29:40 - Salvador Dali and Thomas Edison's tricks to quickly capture creative ideas 32:05 - Why Stress is the #1 Creativity Killer 33:14 - Creativity in absence of stress 34:00 - Culture and Organizational Policy 34:07 - How shape or position of furnishings at home or at business meetings impacts creativity 37:34 - Tips on stimulating creativity in business meetings 41:37 - Tip: whiteboard wall paint in the office space 43:42 - Research case study of the role of color on creativity from an art trade show in 2006 46:12 - Role of sound on creativity: 70 decibel magic number and white noise 48:45 - How should people use the book? 52:02 - Final takeaways - Space Matters --- Support this podcast: https://anchor.fm/alloutcoach/support