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    Managers and bosses have to give feedback to the teams that they lead. The other day one of our hygienists remarked that she hated performance reviews because she worries that I'll tell her something abo
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    ut herself that she won't like. She generally gets very edgy to the point of almost panic before a review. I told her she never again has to worry about a performance review. I never tell anyone anythi
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    g bad about themselves in a performance review. I generally go over all their strongest points first and then I may let them know where they are good, but could get better. I don't believe in rolling th
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    whole year into one big ball of wax and bringing up something that happened in January in a review in March. I see a review as a time to go over all the things we are grateful about in the employee and
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    to promote the areas in which they excel. This is a time when I also let them know about their salary adjustment. It should be a time to feel good. There are so few times that we actually sit a person
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    own and shine the spotlight on them. Once a year it should be all positive. This doesn't mean I ignore poor performance or behavior. I address it at the time it happens. I don't wait for the "review".
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

    When a boss or manager calls a staff member into their office for a discussion of their performance, the air of anticipation in the staff member's heart is like a parent holding their breath while waitin
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    g to see if the high pop will land in their child's glove or somewhere just behind them. It is a helpless, hopeful feeling that everything will turn out well. It is important for a boss to respect that
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    ower. There are times that a staff member must be made to face some hard truths. It is wise to preface those truths with compassion and focus on the employees strengths and to segue into how those trait
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    can be used to make needed changes. If you begin the session by reading a laundry list of complaints about the person you create a deaf, numb body sitting in front of you. If and when you get to any go
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    d comments about them it's too late. They may be sitting in front of you, and may look like they're listening, but they're really hearing the endlessly looping tape of your negative comments playing over
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    and over. Especially if those comments are made in a hurtful tone. They can't hear any good things you may finally say about them. They are trying to wrap their mind around the unexpected information
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    hey have received. They may promise to try to do better, but that tape will keep replaying and as the shock wears off the anger sets in. What should have been a conversation aimed at resolution and repa
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    r, became a disaster with the resulting ruins strewn all throughout the employee's ego, heart and mind. Only a very strong person can override those feelings. In the end, you may have focused on only on
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    e aspect of an otherwise dedicated employee. It is indulgent to do that and, as for all indulgences, you pay a price. This may be an employee you once owned. You may lose that commitment. This may be
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    n employee who went above and beyond. They may decide that it's just a job, I'll do my time and go home.

    You always have choices in everything. As a manager your choices are more important because they
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    have a direct effect on the employee and the people they go home to at the end of the day. You can't afford to be indulgent. That's just the way it is. You have to put your personal impulses aside and
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    work to find a way to get through to your employees without taking them down or breaking them down. In the end, you will have employees that will do anything for you. You will have served them well and
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    hey will repay you with loyalty and hard work. Find out what's right with them and shine the light on that. It may be enough to help them decide to work on what's no so great themselves. People love to
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    hear good things about themselves. If you make them dig for it, expect things to get messy. Save everyone a lot of time and aggravation and just tell them what's right with them. You'll be glad you did


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

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