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Teamwork is a process that can be experienced outdoors and well as in the workplace. A lesson learned in one environment can be applied equally well in another. Teamwork: We Have Met the Enemy and They Are Us, a book by Dr. Steven Stowell and M

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

att Starcevich, describes actual teams that have participated in a variety of outdoor teamwork training programs. These programs have been as long as five days and as short as one. Each account has been chosen as illustrative of one of the phases all t

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

Examples of combination products may in

ams go through in the progression from inception of a team to fully functioning interdependence. This sampling of teams has been selected for each particular event, one or another best illustrates why some teams work together better than others. Not al

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

teams engage in the events reported here, nor are these events an exhaustive report of all the teamwork training actives that could be used to improve teams.

A majority of the accounts in this book describe teams that have failed to succeed at their as

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

igned task. We focus on their failure to highlight those factors that contributed to the team’s demise. We do not to suggest that all these teams are failures. The best discussion and insights have resulted when the teams have had to explain why they

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

Combination pro

did not accomplish their objective in a teamwork training event.

The client teams we work with already see themselves as effective. What they are seeking from us is teamwork training to improve on their effectives – to be stretched, tested, and to grow

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

as a group. As we said before, not all teams fail, but these accounts are typical of how a majority of teams approach the outdoor challenges they face. As with an actual team, if you focus on success or failure, you will miss the important opportunity

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

n exploring how the teams functioned in performing the tasks, or their processes.

Each account in this book has been written as an independent narrative followed by a summary of the key points that would have contributed to better teamwork. The summari

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

s are in varied formats including a didactic approach, a panel of experts’ discussion, participants’ personal reflections, a fable, and the team’s own reflective discussion.

Our hope is that you can translate the outdoor teamwork training metaphors and

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

summaries to the workplace and to situations within your own team. The crucial leap involves taking the lessons these teams have learned experientially and applying the concepts to improving your teamwork.

Like any journey, many different routes can be

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

taken. You don’t have to read the book from cover to cover to capture the significant messages. Choose those topics or aspect of teamwork of most interest and zero in on them. We hope the format will lend itself to an enjoyable journey into the inner

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

Following aspects would a

orking of group dynamics and teamwork.

Chapter 2 and 3 discuss the problems that start-up teams face. Issues of individuality versus team, low trust, who’s in and who’s out, and an unwillingness to listen will be explored.

Chapter 4 and 5 study the is

dd to the challenges in developing combination products:

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

ues existing groups have in working as a team to solve problems and accomplish their tasks. Specific ways to overcome poor planning, lack of commitment, unequal participation, an inability to deal with difference in the group, and the under-utilization

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

of resources are presented.

In Chapter 6 and 7 we look at the problems two independent teams have when they must operate and cooperate as one. Managers who confront the challenge of melding two competing groups into one team will find these sections of

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

particular value.

The subject of teamwork would be incomplete without a discussion of “resistance to change.” Chapter 8 and 9 explore why teams become too comfortable and resist change even in the face of extinction. Our focus is on not only why this

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

appens, but what a team can do to overcome this growing entropy.

Successful teamwork is the subject of Chapter 10 and 11. Here readers can watch a group of individuals operate as a winning team. Through this unique looking glass, readers see first han

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

Professional from academic institutions, pharmaceutical industries, health care indust

the component of effective teamwork and how team members create and maintain the element necessary for team survival.

Chapter 12 is for the reader who is concerned with bringing team members to a common vision and way of operating. We discuss the impo

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

rtance of a team vision, consider what this vision entails, and suggest a process any manager can implement with his/her team to establish the commitment needed to adopt a vision of team excellence.

For those teams or managers who would like to start of

.

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

by assessing their team’s strengths and weakness, Appendix I is the answer. We present a model for thinking about team effectiveness and a questionnaire to assess how your team rates itself on each component of this model.

Appendix II is provided for

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

Companies that provide selfless information through particip

eaders interested in using outdoor adventure-based training to empower their teams. Specific guidelines, as well as caveats, are presented. In Appendix III we present unique issues when facilitating an outdoor adventure-based teamwork training exercises

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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Board games have been played for thousands of years in all human cultures. They are a source of fun, social interaction, as well as amateur and professional competition. However, the use of board games as a focused and specific tool for developing thinking and other skills is a recent and less known practice. This article presents innovative uses of board games in management training, and demonstrates the power of this technique with some example games.

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