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Establishing trust and value-add for your team

  • 1.  Establishing trust and value-add for your team

    Posted 20-Jul-2016 10:16

    What are some of your best practices related to establishing trust and demonstrating expertise and value-add for your Regulatory team? It doesn't matter how experienced the team is if the business doesn't believe in their value to the success of the organization. 

    ------------------------------
    Tina O'Brien RAC, MS
    Sr. Regulatory Affairs Specialist
    Fisher & Paykel Healthcare
    Auckland
    New Zealand
    ------------------------------


  • 2.  RE: Establishing trust and value-add for your team

    Posted 21-Jul-2016 08:57

    Hi Tina!

    First, I applaud your question because many times Regulatory personnel are seen as "no-people" or "road blocks" or unwavering by their businesses.  The following are traits I have insisted on building in my teams over the years:

    1. Accuracy - the more accurate your message the more your message is understood, heard and discussed.  That allows you to open doors rather than close them.

    2. Reliability - can your team stick to what the rules are without emotion?  If you can, you are seen as a reliable partner for the business and also show that you have the best interest of the business in mind.

    3. Responsiveness - I believe in being available to my team and to our partners when needed.  That doesn't mean that you change priorities every 10 minutes because that will sap your hard-earned respect, but you need to be able to find ways to respond substantively to requests for information even if it is an answer like "It depends on ______".

    4. Business acumen - understanding your business partners needs and what they consider important can go a long way in fostering a constructive dialogue.  To that end, I never allow the word "no" to enter into a discussion without either explicit explanation (and reference to a requirement that would or could be violated) or a counter-proposal that tries to understand my colleagues needs and important points as well as fitting within the regulatory requirements.

    5. Accountability - mistakes will happen regardless of how accurate, reliable or anything else you are.  Accept the mistake, coach the person in making better decisions and admit the mistake as early in the project as possible to ensure that your partners know you understand the importance of their project, respect them and their needs, and also are willing to deal responsibly with the authority that you have in the company.

    6. Visibility - meet with your teams and partners face-to-face whenever possible and check in occasionally regardless of whether or not there is anything specific to discuss.  Often these interactions have been the best information I have gotten on projects and they have allowed me to better advise on possible strategies to get the project where the partner wants it to go.  Email is great but speaking directly with someone is always my preferred form of communication whenever possible.

    7. Empowerment of the team- I can tell you that when my partners have heard my team members say "we'll have to check that with management or Vic" they almost always lose some of the respect they had gained.  If they were truly getting somewhere that usually creates a situation where you simply don't have any cards left to play and the partner starts coming directly to me rather than going to the person most acquainted with the project first and that means I still have to say "go check with ___" because they know the project fully.  This leads to loss of opportunity to take a role by your team and also erodes the team's position within the business.

    Finally, you might notice that I use the term "partners" or "business partners" a lot...that is the best advice I can give - do whatever you can do to ensure that your colleagues with business functions see you as a Partner and not as a blockade...that will get you where you need and want to be - respected, trusted, valued and most importantly - wanted.  Simple rule taught to me long ago - "black bottom line, green paycheck; red bottom line pink paycheck.  Choose your favorite color wisely".

    ------------------------------
    Victor Mencarelli
    Sr. Manager - Regulatory Affairs
    Hain Celestial Group
    United States



  • 3.  RE: Establishing trust and value-add for your team

    Posted 21-Jul-2016 18:36

    Good question. I am amazed by how many times I hear even senior level RA leaders complain that they are "not valued" at their organization - and it starts earlier and with the broader teams.A few of my "principles" I share with my RA teams are:

    - Don't be the "Department of No." Find ways to say yes - for instance, "if what I hear you say is X, then while you can't do Y, I think I can get you there with Z"

    - Understand the business and the business goals. The RA team works for the business, helping them achieve their goals WHILE complying with the rules and regulations.

    - Do what you say you will do, when you say you will do it. One of the biggest knocks on RA (or QA) is being a bottleneck. People respond well to hearing "I can't do it this week but I can get to it Monday" rather than feeling ignored. They also do better with knowing a 510(k) takes 2 weeks (or however your workflow is structured) to complete, but it will consistently take 2 weeks, not 1 and not 6.

    - Talk to people in person if possible, on the phone as next best. Regulatory is complex, and complex concepts do not tend to come across well in email

    - As a leader, try and sit your team close enough together that they can easily brainstorm. Most really good regulatory ideas come from a good idea being modified by other strong RA players.

    - Also as a leader, do not hire people who want to "be the cops" or "tell people what to do." You will never, ever get those people to be truly collaborative, creative regulatory folks and they will bring down the reputation of your team.

    Ultimately, your peers will respect regulatory folks who they can see are partners to the business and hold the line while trying to help reach solutions. They know you need to hold the line, but the respect comes from doing it while understanding the business and acting like a partner.

    ------------------------------
    Ginger Glaser RAC
    Vice-President, Quality and Regulatory Affairs
    Maplewood MN
    United States



  • 4.  RE: Establishing trust and value-add for your team

    Posted 22-Jul-2016 10:54

    Excellent Question, and equally excellent responses so far. I agree with striving to be a business partner, gaining business acumen, and trying to find a solution rather than just saying "no". Our regulatory team has evolved from being the group of "no" to being seen more of a partner and facilitator. 

    The only thing I would add, and what has worked for me in conflict situations is not just stating what can or cannot be done but taking the pains to explain WHY it needs to be done that way. In my experience, if people understand the basis behind any given recommendation, they are more likely to accept the recommendation. 

    Thank you for initiating a very insightful discussion! 

    ------------------------------
    Manan Hathi RAC
    Regulatory Affairs Specialist
    Stryker Communications
    Flower Mound TX
    United States



  • 5.  RE: Establishing trust and value-add for your team

    Posted 25-Jul-2016 06:56

    Very Insightful question with equally astute answers from the members. I would like to add/piggy back on Manan's thought to help alleviate the "google affect". First of all we have to understand the regulatory question well enough to see what the business angle demands (discussions with SME's really help) and therefore effectively bridge a smoother resolution. When the RA professional add's the "why"as Manan suggested it kind of takes off the google affect by personalizes the thought/recommendation.

    Few other thing's RA personnel can proactively do is to create a customized recommendation instead of forwarding links/standards/guidance documents. We could also add few precedents/case studies with an successful RA/business partnership (bullet points) related to the question in place. There is a famous quote- "Creativity is knowing how you hide your sources". However, I suggest the RA professional add all the references for the recommendation to make the reader understand the Regulatory Intelligence and creativity that was put in place to come with the  guidance.

    ------------------------------
    Raj Thangapazham
    Rockville MD
    United States



  • 6.  RE: Establishing trust and value-add for your team

    Posted 22-Jul-2016 16:13
    Hi Tina,

    For your question, I can speak for a whole day!

    I will share when people may fail to earn trust from me.

    - when s/he does things without care repeatedly (more than 4 times or more).
    - when s/he is not rational or illogical
    - when s/he gets emotional for trivial things
    - when s/he frequently says "I will do my best" without knowing what/how to do things with WHY
    - when s/he uses filler words excessively as a sign/indication of not knowing the subject or rather too emotional
    - when s/he chooses to become untrainable or unnecessarily secretive
    - when s/he fails to exercise sound judgment repeatedly
    - when s/he chooses to spend time in gossiping against anyone
    - when s/he fails to take responsibility but rather conveniently chooses to blame others
    - when s/he spends time in developing own agenda or trying to play politics
    - those why sometimes say "I don't like politics" as they are the ones who tend to play real politics. 
    etc.  






  • 7.  RE: Establishing trust and value-add for your team

    Posted 22-Jul-2016 17:14

    By and large...what Glenda said.

    Although I probably would have interpreted your question differently.  Everyone seems to be offering excellent suggestions for RA when working with others in the company.  Because you said "business," I initially thought you were talking about executive management.  I think everyone else probably got it right, but I will go ahead and comment on the difference in my strategies when dealing with the execs versus coworkers.

    When I talk to the execs, it is all about the business goals and how regulatory is helping to achieve them.  This usually means go fast, but don't get us into trouble. :)

    Otherwise, I normally work with product development teams. They tend to be naturally more committed to their product.  They do want to move forward at a satisfying pace, but they also tend to be more interested in "getting it right."  They also don't want to end up being embarrassed by a lot of questions from the FDA that would seem to suggest they didn't do a very good job of developing it.  So I focus on how to assure that the FDA review goes smoothly and also what is likely to assure the product is successful post-market.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Durham, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com



  • 8.  RE: Establishing trust and value-add for your team

    Posted 26-Jul-2016 10:28

    Julie,

    I found your comments on executive management vs product development teams interesting. I agree that exec management discussions need to be about helping meet business goals. However, I have seen project teams at two different ends of the spectrum. The first, as you describe, are very dedicated to getting their product right, with the right compliance etc. They do well if you explain the "why" to them. Conversely, I have worked with teams that are ONLY about "how fast can we throw this out the door" and "what is the absolute minimum we can do." Typically these teams either 1) have the idea that medical device development is done by throwing out a prototype and then iterating based on feedback from the field, or 2) are very inexperienced and don't quite understand the need for what RA is requesting. These types of teams require somewhat different approaches than the first type.

    Ginger

    ------------------------------
    Ginger Glaser RAC
    Vice-President, Quality and Regulatory Affairs
    Maplewood MN
    United States



  • 9.  RE: Establishing trust and value-add for your team

    Posted 27-Jul-2016 02:27

    Ginger, I have to smile at your last line; my initial reaction is, yes, and that's to throw *them* out the door.  My other reaction was, Well, darn, Ginger, and here I was trying to keep my response relatively brief, for once.  There are quite a number of different scenarios that could fit under this umbrella.

    I have found that it is usually 1) and 2), rather than 1) or 2).  "What's the minimum we can do?" is practically the motto of the VC-driven start-up.  In the interest of brevity, I decided to leave start-ups out of it, because Tina asked about a regulatory team, and most start-ups are too small to have a regulatory team.

    But you can certainly find this mentality inside an established device company as well.  Sometimes it's just one or a few teams, but sometimes that mentality goes all the way to the top of the organization.  In the latter case, I don't think there is much to be done, other than decide if you really want to work there.  In the former, a lot depends on the company's product development processes.  If you are lucky, regulatory must be brought in early, so you have  the opportunity to educate the team before it has taken too many shortcuts.  If not, then often you end up being the belated bearer of bad news and unhappy director of a salvage operation.  Small consolation is that at least they will know better next time.

    Another bleak scenario is a simple struggle for control.  Some people aren't cut out for a team environment, nor for a regulated environment.  They resent the whole idea that they can't do their job however they please.  I don't know of any happy solutions to this one, either.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Durham, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com



  • 10.  RE: Establishing trust and value-add for your team

    Posted 27-Jul-2016 14:41
    Julie,

    "...Another bleak scenario is a simple struggle for control.  Some people aren't cut out for a team environment, nor for a regulated environment.  They resent the whole idea that they can't do their job however they please.  I don't know of any happy solutions to this one, either...."

    It has been amazing to observe at all levels from top to bottom how professionals exercise their judgment and discretion during discussion with lack of awareness or full awareness, etc. 

    For some of them, it is all about fighting for control no matter what!

    But then, why do we need to fight for when it comes down to addressing regulatory requirements/CGMP requirements, etc.

    After all, if we know what/how to do things with WHY, no need to fight or get even frustrated!  Most of time, there are more than one way, I don't see why one should choose to become a pain to go with the way proposed as long as it is reasonable and acceptable.

    At the end of the day, what I see it is critical is to help others make accurate, better, informed decisions.

    Regarding "any happy solutions," providing educational or training should be/is one of the best ways to go with as it will greatly improve people's awareness and knowledge including the following:

    The FDCA (aka FFDCA or the Act of 1938) can impose absolute criminal liability to any individual in the firm. 

    By the way, I've dealt with almost all kinds of people during my career. 

    Hoping you would consider bringing me and experience what I can share to your top and senior management!

    I can completely re-shape their way of managing people or thinking process. 

    Thank you.  

    s/ David
    ______________________________________________
    Dr. David Lim, Ph.D., RAC, ASQ-CQA 
    Phone (Toll-Free): 1-(800) 321-8567



    "Knowledge is power only when it is practiced and put into action." - Regulatory Doctor

    NOTICE: This communication (including any attachments) may contain privileged or confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this communication and/or shred the materials and any attachments and are hereby notified that any disclosure, copying or distribution of this communication, or the taking of any action based on it, is strictly prohibited.





  • 11.  RE: Establishing trust and value-add for your team

    Posted 24-Jul-2016 02:50

    Wow - thank you all for the amazing feedback!  I have a bit more detailed follow-on question for you...

    I perceive that one challenge many RA teams face is the fact that so much of what we do is available on the internet, giving rise to some very interesting (and often misguided) perceptions about what we do.  I don't think anyone can argue that RA is one of many disciplines that suffer from the "Google Affect".

    While I'll readily admit to being guilty of this myself through practicing self-diagnosis using WebMD, I would never challenge my physician's education, experience, and advice.  However, it often seems easy for this to occur when discussing a proper 510(k) strategy, required testing for successful submissions, etc with various functional teams and/or senior leadership.  How have you been able to successfully explain to your team that while you applaud them for taking the time to do their own research on global regulations, it's generally never quite as simple as it appears online.  For example, what has worked for you to explain that authoring a successful 510(k) is much more than the ability to complete a checklist of contents and filling out the required forms?  What other ways have you or your team been impacted the the "Google Affect"?  

    ------------------------------
    Tina O'Brien RAC, MS
    Sr. Regulatory Affairs Specialist
    Fisher & Paykel Healthcare
    Auckland
    New Zealand



  • 12.  RE: Establishing trust and value-add for your team

    Posted 24-Jul-2016 10:57
    Tina,

    I have listed some items potentially believed to lose some trust if not personally implemented.

    If you implement all items in your personal and professional practices, others will love your way of approaching things.

    I want you to view/consider "Google Affect" as your advantage. Because others can search for google, you don't have to answer all questions, saving your time and energy! 

    For 510(k) matters, if you provide guidance on what the team should/must be aware of, they will appreciate you and your efforts over time, assuming you are on points when providing guidance/information.

    If you turn out to be right in part or wrong in part over time, you lose some credit, if not all credit.

    In your practice, please consider providing information to others in a "PASS-IT" manner.

    PASS-IT - Practical, Actionable and Sustainable Solutions/Strategy in an Integrated, Thorough Manner.

    Please be advised "you can't always satisfy everyone in any way they want." As long as you practice in a PASS-IT manner, that is sufficient enough to move forward without feeling bad.

    Thank you.  

    s/ David
    ______________________________________________
    Dr. David Lim, Ph.D., RAC, ASQ-CQA 
    Phone (Toll-Free): 1-(800) 321-8567



    "Knowledge is power only when it is practiced and put into action." - Regulatory Doctor

    NOTICE: This communication (including any attachments) may contain privileged or confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this communication and/or shred the materials and any attachments and are hereby notified that any disclosure, copying or distribution of this communication, or the taking of any action based on it, is strictly prohibited.





  • 13.  RE: Establishing trust and value-add for your team

    Posted 25-Jul-2016 08:27

    Hi Tina.

    Personally I love the Google Affect.  It makes my job more interesting and also proves to me that my partners are passionate about getting to the right place.  I also tend to look at things maybe a bit differently than some other folks - I want my partners to know and understand things.  So if they are looking things up and even challenging me - that's the sweet spot of the business relationship in my mind.  That makes me up my own knowledge and work ethic to get this right the first time.  And, more importantly, it is also a major step in starting the discussion about what regulatory does and why its important to involve us earlier rather than later in the process and discussions!

    While I agree it is almost never "simple" as Google might make it seem to some folks, the fact that someone took the time to try to comprehend it already proves you have a business champion in your midst to help you get your team to the respect and value-added position of your first initial question that started the thread.  For that you should be happy and take some pride in the fact that you have gotten your business partner to try to comprehend.  While I agree that the discussion should not take the form of accusation against either side, the fact that someone is challenging you to provide a reasonable rationale behind your position is really a great thing and a learning experience for you and your team.  My best and strongest advice to you is - whenever the question is raised in an appropriate manner, take advantage of the discussion to (1) understand the basis of the questions and where they are originating from; (2) seriously consider the question and possible alternate strategies before responding; and (3) if the question and resulting answer bring about a possible change in process or system, remember that person who brought the issue to you for possible positions when you have openings!  Because that person has started thinking like a business regulatory person and that is what you want!

    ------------------------------
    Victor Mencarelli
    Sr. Manager - Regulatory Affairs
    Hain Celestial Group
    United States



  • 14.  RE: Establishing trust and value-add for your team

    Posted 25-Jul-2016 13:21

    I concur with Victor and will add that I google right back at them. I want to understand the design issues and the marketing issues, just as I hope they want to understand the regulatory issues.  A team runs on communication, and effective communication requires a common base of knowledge.

    That's not to say that everyone has to have full knowledge of everything.  If that were realistic, you probably wouldn't need a team in the first place. Teams are formed when the breadth and depth of knowledge and understanding required for the project exceeds the capacity of a single person.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Durham, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com



  • 15.  RE: Establishing trust and value-add for your team

    Posted 26-Jul-2016 10:36

    Hi Tina,

    You are right that, in some groups, the ability to get documents on the internet leads everyone to think they are a regulatory expert. There are a couple of things that can be done to help counter this. As others have said, the more you can interpret how it applies to your product and why, the better. I've also found that if you can give options "there are 3 ways we could meet that requirement" they help both to establish that there are often multiple ways to look at regulations and to help others see that you are creatively trying to help them comply in the manner best for the project business.

    Experience also helps in this area. Many times when someone provides me their interpretation of a reg or guidance, I can say "yes, but when I submitted this and this that isn't how FDA viewed it" or something similar. In the end, those real-world experiences often have the most impact. If you haven't had the experience yourself, use resources. Ask for examples from others. Quote something you heard FDA say at a seminar. Scour warning letters for examples you can use. A variation on this is to find and use the "additional resources" you know about that the self-proclaimed experts do not. For instance, if someone says "this regulation does not say you can't say 510(k) approved [sic] devices are safe and effective" - you pull out the guidance, or warning letter etc that gives FDA's interpretation. Over time, as you establish you better know how to use and interpret all the information available, this type of push back usually dies down.

    g-

    ------------------------------
    Ginger Glaser RAC
    Vice-President, Quality and Regulatory Affairs
    Maplewood MN
    United States



  • 16.  RE: Establishing trust and value-add for your team

    Posted 28-Jul-2016 20:02
    Hi Tina,

    I appreciate your comment about the Google effect, and yes, it's frustrating to have to push back against the push back.

    One thought comes to mind - An experienced person in Regulatory knows how to assess the relative risks of different strategies and methods. A person with tenure at a particular company knows how to assess the relative risk tolerance and resources of the company. Taken together this allows the experienced person to make wise suggestions about how to proceed in almost any situation.

    Communicating to team members about the concept of regulatory risk, and the risk/benefit considerations therof, might help.

    Best of luck,

    Joanne Pelaschier





  • 17.  RE: Establishing trust and value-add for your team

    Posted 27-Jul-2016 16:13

    Thank you everyone for the amazing conversation!  It's evident in the themes that carry through that we all have faced the same challenges to some degree and at some point in our careers. 

    While I must admit that my questions were a combo of personal experience in the US and NZ and observed challenges of other RA teams, the feedback and advice is really quite global.  I fully intend to share the entirety of our discussion with my current and future RA teams for consideration from both a best practices and motivational perspective. 

    Kind regards,

    Tina

    ------------------------------
    Tina O'Brien RAC, MS
    Sr. Regulatory Affairs Specialist
    Fisher & Paykel Healthcare
    Auckland
    New Zealand