Grateful for the humans who made this year worth it. Everyone who trusted us with their chaos. Merry Christmas to those celebrating. 🎄

To everyone in clinical research working through the holidays: your work matters more than most people realize. Trials don't pause. Patients can't wait. You show up anyway. Thank you. #ClinicalResearch #ScienceFeed

Most site managers are one resignation away from chaos, because every process lives in someone's head. Document your 3 most dreaded tasks, map where information gets lost, automate the repeatable stuff.

Holidays are stressful for CRCs: 'queries don't stop.' Urgency feels productive. But that's not strategy. Try batching responses, setting sponsor expectations upfront, and automating updates. Protect your time like you protect patient safety. Burning out doesn't help anyone enroll faster.

Protocol amnesia costs you 15 minutes per patient visit. Coordinators flip through protocols mid-visit, hunting visit windows or that one lab requirement. The best sites? One laminated page per study. - Visit windows (actual days) - Critical I/E criteria - Lab requirements + timing - CRA contact

Many site coordinators I talk to eat lunch at their desk. You're managing 6 protocols, drowning in source docs, and skipping breaks because "there's too much to do." Here's the thing: Your research org won't collapse if you leave for 30 minutes. But you might. Take your break. Leave the building.

Most CRCs spend 15-20 min/visit updating CTMS. That's 6+ hours/week of admin. The trick: spend 90 mins setting up automated visit tracking at protocol launch. Make your calendar the single source of truth. Result: visits auto-populate, deviations flag themselves. Stop playing detective.

The "always available" CRC culture isn't dedication - it's a systems failure. Boundaries aren't laziness. They're strategic. Protected time = fewer errors, faster closeout, better retention.

If everything is a priority, nothing is. Your site's drowning in "urgent" tasks because you haven't defined what urgent actually means. I spent years in sales watching reps spiral. The fix? A simple triage system.

I started learning automation to solve the problems that my wife lived as an RC. What surprised me most: the gap between "this would save 12 hours a week" and "but we've always done it this way." The tech isn't hard. Changing systems thinking is. #ClinicalResearch

Everyone's predicting 2026 clinical research trends. Mine? Sites that build operational moats - unique data capabilities, specialized communities, AI workflows - finally get leverage. What's your prediction? #ClinicalResearch

Every efficient site I've worked with protects their team's time like it's sacred. The struggling ones? Drowning in 20+ systems, reactive queries, sponsor tech that doesn't integrate. What's your team's biggest time waster? #ClinicalResearch

Building workflows for CRCs this week. Every conversation: more respect for the complexity they juggle. 61% of their time is admin work. 66% believe tech could help. But most tech just adds another system to the pile. We're fixing that. #ClinicalResearch #CRC

51% screen failure rate isn't a recruitment problem - it's a pre-screening problem. Most sites burn CRC hours on patients who were never eligible. Better intake = fewer wasted visits, happier patients, better enrollment. #ClinicalResearch

Portal fatigue isn't a training problem. You don't need better users. You need fewer systems with actual integration. Sites drowning in 15 logins don't need another tutorial - they need automation that bridges the gaps. Technology should reduce cognitive load, not multiply it.

Burnout isn't a badge of honor - it's a systems failure. 44% of CRCs report emotional exhaustion. That's not a self-care problem. That's a workflow problem. Learn more here: open.substack.com/pub/maxoutpu... #ClinicalResearch

76% of trials now get amended. Sites operate under mixed protocol versions for 7 months on average. That's not a staffing problem. That's a systems problem. Before you add headcount, ask: what work shouldn't exist at all? You can't hire your way out of bad systems.

I've been a yacht deckhand, an SDR who 6x'd the sales record, and a CEO of a hardware startup. Now I build automation for clinical research sites. The through-line? Systems thinking. (1/4)