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Conditions and diseases
When a clinical trial starts to struggle, the conversation almost always turns to enrollment, with recruitment numbers running low and retention becoming increasingly difficult to maintain as timelines slip and pressure mounts. Sponsors and study teams begin asking how enrollment…
When a clinical trial starts to struggle, the conversation almost always turns to enrollment, with recruitment numbers running low and retention becoming increasingly difficult to maintain as timelines slip and pressure mounts. Sponsors and study teams begin asking how enrollment can be improved, accelerated, or rescued, often treating it as the central problem that needs to be solved.
But after more than fifteen years working inside clinical research operations across academic …
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Why clinical trials fail before enrollment even begins
Conditions and diseases
Chronic disease is rising. Our system is not designed for it. This is not a controversial observation. Across clinical practice, research, and health system leadership, there is growing recognition that the burden of chronic illness is increasing and beginning earlier…
Chronic disease is rising. Our system is not designed for it. This is not a controversial observation. Across clinical practice, research, and health system leadership, there is growing recognition that the burden of chronic illness is increasing and beginning earlier in life. What is less often acknowledged is that the structure of our health care system has not evolved at the same pace. In clinical settings, this shift is already …
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Why our health care system is failing chronic disease patients
Conditions and diseases
When I began coordinating GI research in inflammatory bowel disease (IBD), I noticed something unexpected: Second- and third-year GI fellows, bright, motivated, steeped in medical science, had received little to no formal training on diet's role in disease. For many,…
When I began coordinating GI research in inflammatory bowel disease (IBD), I noticed something unexpected: Second- and third-year GI fellows, bright, motivated, steeped in medical science, had received little to no formal training on diet’s role in disease. For many, nutrition was treated as peripheral, “something dietitians handle,” rather than core physician knowledge.
This is not a reflection on their ability or commitment. It reflects how medical education is structured. U.S. …
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Why clinician education must prioritize nutrition training
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