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What does the phrase "team building" mean to you? Quad-biking? Abseiling? Propping up the bar with your work colleagues? Allow me to disagree.

Let's look at the word "build" and see where

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

that leads us. The Concise Oxford English Dictionary defines the word "build" as "Establish, make or accumulate gradually". This definition implies a sense of time passing and growth. Thi

; 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, in turn, implies a modicum of care and attention to maximise the growth - or at the very least monitor the development.

So what kind of process works best to turn a team building sessi

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

on into something that improves team effectiveness back where it matters?

It is not uncommon for trainers and facilitators to like the sound of their own voice. Yet we all know that it is

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

far more powerful if people can learn something for themselves rather than be told it. People turn off very quickly even after a very enjoyable team activity if the next thing they hear is

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

Combination pro

the facilitator telling them his or her view of their performance.

I'll go further - the tried and trusted technique of "What did you do well? What could you have done better?" isn't muc

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

h better. All too often you can hear people leaving team building sessions saying "every time we do one of these, we fail at the same old things" closely followed by "we'd have been better

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

off talking about the real issues at work". If you are lucky, they might add "I enjoyed it though". So here's the dilemma. If you leave it up to the participants themselves to come up

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

with the improvements, their blinkers stop them from seeing the obvious development opportunities that the activity unveils to those observing. Yet if the observers tell them what they se

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

e, the participants don't listen - or worse, become defensive.

I can hear you thinking "but a truly skilled facilitator will lead them to the learning without them realising it". Don't yo

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

believe it. Only the most naive of the group will fail to spot a facilitator guiding them somewhere they don't really want to go. And that taints the learning - or at least the chances of

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

Following aspects would a

it being applied.

So if the participants can't see the learning and won't listen if someone else tells them, is a team building session doomed to mediocrity before it starts? No - there

dd to the challenges in developing combination products:

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

is a third option.

A team building debriefing guide, tailored to the activity and (ideally) to the participant group, is a superb mechanism to guide the learning while not interfering in

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

the process. So what are the key characteristics that such a guide should have? My experience suggests the following seven elements are all key components:

1) It should be tailored to the

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

activity and focus on those aspects that have one or more direct parallels in the group's real working environment.

2) It should provide an opportunity for individuals to reflect before a

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

ny discussion within the team on the points it makes.

3) It should be constructed such that the input of every member of the team is necessary to complete the process.

4) It should not m

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

Professional from academic institutions, pharmaceutical industries, health care indust

ake value judgements in the way in which it describes particular aspects of the activity that might have gone well or less well for the team. Rather it should provoke discussion and encou

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

age transfer back to the workplace.

5) It should provide places for individuals to capture their own learning and for the team to capture the group learning.

6) It should be useable pure

.

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

ly by the participants themselves after brief instruction.

7) It should offer a framework for the team to invite observer input so that any "external" comments are requested by them rathe

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

Companies that provide selfless information through particip

r than forced upon them.

Achieve all of these and you will have a superb base to build team improvements upon. And that feels like what the Oxford Concise English Dictionary is getting at

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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Once you have outsourced accounting, you will realize how fruitful the whole process has been for your business. But you need to undertake the process to actually know what this can do for making your business a success. The first thing which you need to do for outsourcing accounting is to find out a good company from where you can get the work done properly.

1. As a manager do you feel isolated? 2. Do you experience problems, whether it be staffing, policy, communication etc on a regular basis with no one to discuss them with? 3. Do you have a thirst to meet with like minded individuals who are committed to finding solutions? 4. Is the glass half empty or half full? 5. Do you think every problem/issue has a unique and elegant solution?

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