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CEOs or Presidents, who attain positions of power, reach these positions for a variety of reasons. The reasons are not always a result of competency and hard work; these positions are not always earned. As a result employees find themselves under the rule of various kinds of leaders. Even those leaders that have earned their position can be impossible to work for and it’s difficult to be happy and satisfied doing it. Presidents and CEOs are typically seen as so

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

urces of motivation and direction. But what's often overlooked is the fact that they not only motivate their management team but they receive motivation and even direction based on the responses from the employees below them.

What type of leader do you work for?

The Lead Wolf style of leadership is successful because these leaders take the time to listen, imagine and investigate numerous alternatives. With the involvement of people they forge creative solutio

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

s to difficult problems. They challenge their people to stretch, go beyond their previous boundaries and think outside the box. Successful leaders feed off their people and allow their people to feed off of them. They give credit where credit is due. They give recognition as a means of gaining respect. They believe individuals can make a difference. Through these methods they learn to create new insights and possibilities. Successful leadership means creating

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

sense of urgency, getting mutual commitment to action. Action steps are always clearly defined and precise.

The Lone Wolf leader at the top dominates with power. They are autocratic and intimidating. They often believe that employees are a necessary inconvenience and aren’t capable of creativity and innovation. More often than not, they embrace “seat of the pants” based on intuitive judgment leadership style. This allows them maximum flexibility and “shoot

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

from the hip responsiveness.” However, today’s environment demands a stable more administrative structure that requires a change in the nature of past leadership practices. Simply put, it’s an evolution from a highly reactive, autocratic individualistic style to a more empowering, people employee oriented proactive style. It’s about going from a “Lone Wolf” leadership style to a “Lead Wolf” leadership style that has confidence in the employee’s ability to make

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

hings happen and empowers the employees to get the job done.

The Narcissist leader is often very successful. In fact there may be a certain amount of narcissism in all of us. However, the narcissism that exists must be balanced with respect in our relationship with our employees. Excessive narcissism from a psychological standpoint is considered a personality disorder.

I personally have worked for two Narcissist CEO’s during my career. Both of them were extre

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

ely vain, egotistical, conceited, selfish and paranoid. Each demonstrated one or more of those character flaws to an extreme. One actually threw a stapler at his secretary. Another had bugging devices installed in his executive team’s offices. Both were believed to have Bi-Polar personalities by many although a professional diagnosis was never revealed for either.

How Do I Survive in a Narcissist Environment?

Managing your BOSS requires skill. Intelligence al

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

ne isn’t enough. It requires leadership skill on your part. Excellent communication skills are a prerequisite and self confidence in your own ability is a must to support your actions. Delivering excellent results for every assignment will not only gain their confidence but can actually create a dependence on their part. They will come to rely on you to make them look good.

Continue to make suggestions, express ideas that support the CEOs personal initiatives

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

hat will bring them success and credit. This is especially helpful if they can gain the credit while you take the risk. Allow the CEO to take credit for your ideas and shoulder the blame for those that don’t work out. Is this risky? Sure it is but if you want to survive or even thrive under a narcissist it’s a risk worth taking. Of course, you could also just walk but that option isn’t always practical.

Understand the Narcissist Ego

Managing or just surviving

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

a Narcissist BOSS is difficult at best. Building a relationship with a Lone Wolf or Narcissist CEO is based upon an understanding of and a capacity to manage the narcissism of the CEO. This means you must establish a balance between expressing your opinions; ideas and candid remarks while utilizing your knowledge of the CEOs need to maintain his acknowledge position of power in the organization. A narcissist CEO and some Lone Wolf CEOs have an inflated sense o

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

self. They openly demonstrate there feelings of superiority, entitlement (especially in family run businesses) and an insatiable need for attention and admiration.

Mange Your Risk

Narcissist CEOs often trust very few people. As a result they may allow their spouse to become extremely influential with regard to their leadership style. Some may even employ their spouse in the workplace. Their creation of this spousal influence and dependence can be risky for y

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

u. One Narcissist CEO I worked for was single but used his girl friend who was employed as my administrative assistant to fill this role. The risk lies not only in trying to manage that relationship if they are also employed at the company but this dependence and influence can actually isolate the CEO from his executive team because this influence generally will support his grandiose ideas. Additionally they feed his paranoia. Be conscious at all times of the f

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

llowing character traits:

• All employees are expected to think the way he/she does
• Their strategies are often dynamic but grandiose
• They trust only their own insights
• They can be charming, glib, accommodating but often are manipulative, deceitful, ruthless and destructive

Are Narcissist Leaders Successful?

Just as Lone Wolf autocratic leaders were very successful in the seventies and eighties many narcissist leaders can be very effectiv

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

. In fact some very famous leaders are considered narcissists by some. People like Jack Welsch of General Electric, Bill Gates of Microsoft and Steve Jobs of Apple to name a few. These three CEOs are all very successful; however, they may be the exception to the rule. Look at Enron and World Com. They aren’t really just aberrations. Personally, I believe they represent what can happen when ineffective leadership driven by narcissism creates a cancer at the top

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

hat becomes malignant and begins to filter throughout the management regime. These leaders and many others were undeservedly worshiped when the perception of success and enormous profits disguised their real character traits and leadership model. Profit covers many sins including the sins of the CEO. It allows us to ignore physiological brainwashing, manipulation, con artistry, exploitation and abusive behavior. They are extremely insensitive to respect for em

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

loyees.

There are numerous narcissist CEOs at the helm of many corporations today. The challenge of ownership, first generation founders and executive teams reporting to these CEOs is to insure that these leaders don’t self destruct and lead the company into a death spiral. This becomes an extremely difficult task for all involved because a true narcissist doesn’t even understand their own issues let alone the willingness to work through them. Narcissists need

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

professional counseling to help them accept reality and recognize their limitations. Their extreme independence, paranoia and self preservation create a wall that takes a bunker busting bomb to break through.

The Lead Wolf Model of Leadership

Effective leaders must have an edge. They must be courageous enough to take risk and have an unrelenting readiness to act. Popularity is not a requirement, but the ability to generate respect from the employees is, witho

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

t a doubt, one of the most critical attributes. They must be relentless in their efforts, unconcerned about personal sacrifice of their time, and willing to go beyond normal expectations. Tough decisions are commonplace; uncharted territories will be the norm. Honesty and impeccable character are musts.

Leaders get results. They make things happen. They continually advance a clear agenda, get others to buy in and move the organization to accomplish specific ob

.

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

ectives. They are explicit, consistent, concise and sincere. They generally have an abundance of charisma although some leaders gain success with a quieter influence. Lead Wolf leaders take charge and are not afraid of responsibility or risk. Most people want to follow them. A good leader develops openness, honesty, clarity of purpose and a sincere caring for the people they lead. They gain commitment and trust by demonstrating respect for the individual. They

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

have a keen sense of understanding. They believe in their task, they understand the objectives, they communicate clearly and they honestly project the understanding that they need the efforts of everyone to succeed. That’s the Lead Wolf model of leadership. It’s all about believing in employees and their ability to create success. E-mail rick@ceostrategist.com for the Lead Wolf leadership thought provoker checklist and sign up for The Howl leadership newsletter

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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