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Note to File: A Clinical Research Podcast cover art

Note to File: A Clinical Research Podcast

Note to File: A Clinical Research Podcast

Written by: Brad Hightower
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Note to File is a podcast for clinical research sites - interviews, best practices, and candid commentary from Brad Hightower, founder of Hightower Clinical and clinical research professional. Economics Hygiene & Healthy Living Management Management & Leadership Physical Illness & Disease
Episodes
  • Trial Naming Ethics, Branding vs. Recruitment, and the Site Staffing Squeeze
    Mar 30 2026

    Today on Note to File, we riff on everything from **Air Max Day** to the very real challenges facing clinical trial sites in 2026.

    We start light with sneaker talk and "national days," then dive into three meaty topics for the clinical research community:

    1. **The Ethics & Psychology of Trial Acronyms**
    - Are names like **HERCULES**, **IRONMAN**, or **CINDERELLA** harmless branding or subtle false promises?
    - How mythological or aspirational names can shape **patient expectations**, hope, and decision‑making.
    - Why ultra-generic names like "SUMMIT" or cryptic codes like *D6‑75309‑0001* both cause headaches for sites, sponsors, and indexing.

    2. **Branding Clinical Trials vs. Actually Recruiting Patients**
    - The difference between **drug branding** (post‑market) and **trial advertising** (short‑lived, action‑oriented).
    - Why patients don't care about the "Cinderella Trial" – they care about **their pain, their disease, and their options**.
    - How segmenting your audience and tailoring creative (rather than forcing one unified "brand") can drive better recruitment and diversity.
    - Real‑world example: why ads showing **real pain and limitation** outperformed "happy, active" imagery for phantom limb pain trials.

    3. **Site Staffing: Slightly Better, Still Rough**
    - Why site org charts are usually **flat**, with limited traditional "career ladder" for coordinators.
    - The ongoing tension between **sites vs. CRO/CRA roles**: more money and prestige vs. travel, burnout, and less flexibility.
    - How **culture, flexibility, learning opportunities, and fair pay** can keep great staff at sites.
    - Ideas for giving coordinators **growth without fake titles**: exposure to budgets, BD, regulatory, data, and operations.

    Along the way, we talk about:

    - Equal Pay Day and how **structural disparities** show up in research careers
    - The impact of **remote monitoring** on CRA life
    - Why "butts in seats 8–5" is a terrible proxy for productivity
    - How sites can lean into their strengths to become **great places to build a career**, not just a stepping stone

    If you're a **site owner, coordinator, CRA, sponsor, or vendor** trying to navigate recruitment, staffing, and branding in real life (not in pitch decks), this one's for you.

    **Subscribe** for more candid, unfiltered conversations about the clinical research industry, and check out more at **notetofilepodcast.com**.

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    32 mins
  • Clinical Trials, Creepy Data, and Corporate Bullshit
    Mar 30 2026

    It's March 24th and we're back with another **Sticky Notes** edition of **Note to File: A Clinical Research Podcast**—where we mix serious industry topics with just the right amount of nonsense.

    In this episode, we cover:

    - 🥩 **National Cheesesteak Day** (plus cocktails, "National Stephanie Day," and the strangely titled *International Day for the Right to the Truth…*)
    - 💊 **National Adverse Drug Event Awareness Day** – why women are disproportionately affected, and how trial design and dosing play a role
    - 🧩 **ICON + Advarra's "research-ready, connected site network"** – is this actually helping sites, or just more sponsor/CRO-controlled tech dumped on them?
    - 📊 **Who owns your site data?** We dig into how IRBs and vendors may be using operational data for site selection and "intelligence"
    - 🧪 **Dana-Farber's $15M NIH settlement** over manipulated images – what this says about accountability in academic research
    - 💼 **New study on "corporate bullshit"** – why people who see through buzzwords and jargon may actually be *better* at their jobs (and why Kool-Aid drinkers might be happier)

    If you work at a site, sponsor, CRO, IRB, or anywhere in the clinical trial ecosystem—and you're tired of sanitized, corporate-approved narratives—this one's for you.

    ---

    ### 🔖 Suggested Timestamps
    0:00 – Cold open
    2:13 – Welcome to Note to File
    2:41 – Spring, spring break, and weather nonsense
    4:09 – National Cheesesteak Day & the "day of the day" rundown
    6:29 – National Adverse Drug Event Awareness Day (and gender differences)
    9:12 – ICON + Advarra "research-ready" network – what does this really mean for sites?
    12:06 – Are vendors mining site data for sponsors? Data ownership & ethics
    17:52 – Dana-Farber $15M NIH settlement over manipulated data
    22:02 – Study: corporate bullshit, buzzwords, and job performance
    25:10 – Kool-Aid, happiness, and critical thinking at work
    26:31 – Wrap-up

    ---

    **About Note to File**
    Note to File is a clinical research podcast featuring interviews, candid commentary, and general nonsense for the clinical research community. No corporate spin, no paid messaging—just real talk from people in the trenches.

    🌐 More at: **notetofilepodcast.com**

    ---

    #ClinicalResearch #ClinicalTrials #ResearchSites #Advarra #ICON #NIH #DanaFarber #Pharma #CRAlife #NoteToFile #HealthcareData #WorkCulture

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    25 mins
  • Will Gen Z Fix What's Broken in Clinical Trials?
    Mar 27 2026

    Ever feel like life – and clinical research – are both a little chaotic and unpredictable… kind of like March weather and tornado season in Oklahoma?

    In this **Sticky Notes** episode of **Note to File**, Brad and Denali kick things off with some real-life banter:
    - Spring break in **Oklahoma City**
    - Unseasonably **90-degree** days
    - The joy and dread of **tornado-adjacent season**
    - How March and April always seem like a weather "crap shoot"

    From there, we pivot back into the spirit of Note to File: candid, unscripted conversation for the **clinical research community**. If you're a CRC, coordinator, site owner, CRA, or just clinical-research-curious, this is your space to hang out, unwind, and still feel connected to the work.

    🔹 **What you can expect from Sticky Notes episodes:**
    - Short, informal check-ins between full episodes
    - Real talk about life *around* clinical research
    - The same unfiltered, practical vibe you know from Note to File

    ---

    📌 **About Note to File**
    **Note to File** is a clinical research podcast featuring interviews, commentary, and plenty of unscripted nonsense for people who live and work in the world of trials.

    👉 More episodes, resources, and info:
    [https://notetofilepodcast.com](https://notetofilepodcast.com)

    ---

    👍 If you enjoy this episode:
    - **Like** the video to support the channel
    - **Subscribe** for more clinical research conversations
    - **Comment** where you're listening from and what your weather's like today

    #ClinicalResearch #NoteToFile #StickyNotes #ClinicalTrials #ResearchSites #CRCs

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    31 mins
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