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.

Note to File
Claim This Podcastby Brad Hightower
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Podcast Overview
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.
Language
🇺🇲
Publishing Since
5/14/2020
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Recent Episodes

March 30, 2026
Trial Naming Ethics, Branding vs. Recruitment, and the Site Staffing Squeeze
<p>Today on Note to File, we riff on everything from **Air Max Day** to the very real challenges facing clinical trial sites in 2026.</p> <p>We start light with sneaker talk and "national days," then dive into three meaty topics for the clinical research community:</p> <p>1. **The Ethics & Psychology of Trial Acronyms** <br /> - Are names like **HERCULES**, **IRONMAN**, or **CINDERELLA** harmless branding or subtle false promises? <br /> - How mythological or aspirational names can shape **patient expectations**, hope, and decision‑making. <br /> - Why ultra-generic names like "SUMMIT" or cryptic codes like *D6‑75309‑0001* both cause headaches for sites, sponsors, and indexing.</p> <p>2. **Branding Clinical Trials vs. Actually Recruiting Patients** <br /> - The difference between **drug branding** (post‑market) and **trial advertising** (short‑lived, action‑oriented). <br /> - Why patients don't care about the "Cinderella Trial" – they care about **their pain, their disease, and their options**. <br /> - How segmenting your audience and tailoring creative (rather than forcing one unified "brand") can drive better recruitment and diversity. <br /> - Real‑world example: why ads showing **real pain and limitation** outperformed "happy, active" imagery for phantom limb pain trials.</p> <p>3. **Site Staffing: Slightly Better, Still Rough** <br /> - Why site org charts are usually **flat**, with limited traditional "career ladder" for coordinators. <br /> - The ongoing tension between **sites vs. CRO/CRA roles**: more money and prestige vs. travel, burnout, and less flexibility. <br /> - How **culture, flexibility, learning opportunities, and fair pay** can keep great staff at sites. <br /> - Ideas for giving coordinators **growth without fake titles**: exposure to budgets, BD, regulatory, data, and operations.</p> <p>Along the way, we talk about: </p> <p>- Equal Pay Day and how **structural disparities** show up in research careers <br /> - The impact of **remote monitoring** on CRA life <br /> - Why "butts in seats 8–5" is a terrible proxy for productivity <br /> - How sites can lean into their strengths to become **great places to build a career**, not just a stepping stone</p> <p>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. </p> <p>**Subscribe** for more candid, unfiltered conversations about the clinical research industry, and check out more at **notetofilepodcast.com**.</p>

March 30, 2026
Clinical Trials, Creepy Data, and Corporate Bullshit
<p>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.</p> <p>In this episode, we cover:</p> <p>- 🥩 **National Cheesesteak Day** (plus cocktails, "National Stephanie Day," and the strangely titled *International Day for the Right to the Truth…*) <br /> - 💊 **National Adverse Drug Event Awareness Day** – why women are disproportionately affected, and how trial design and dosing play a role <br /> - 🧩 **ICON + Advarra's "research-ready, connected site network"** – is this actually helping sites, or just more sponsor/CRO-controlled tech dumped on them? <br /> - 📊 **Who owns your site data?** We dig into how IRBs and vendors may be using operational data for site selection and "intelligence" <br /> - 🧪 **Dana-Farber's $15M NIH settlement** over manipulated images – what this says about accountability in academic research <br /> - 💼 **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)</p> <p>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.</p> <p>---</p> <p>### 🔖 Suggested Timestamps<br /> 0:00 – Cold open <br /> 2:13 – Welcome to Note to File <br /> 2:41 – Spring, spring break, and weather nonsense <br /> 4:09 – National Cheesesteak Day & the "day of the day" rundown <br /> 6:29 – National Adverse Drug Event Awareness Day (and gender differences) <br /> 9:12 – ICON + Advarra "research-ready" network – what does this really mean for sites? <br /> 12:06 – Are vendors mining site data for sponsors? Data ownership & ethics <br /> 17:52 – Dana-Farber $15M NIH settlement over manipulated data <br /> 22:02 – Study: corporate bullshit, buzzwords, and job performance <br /> 25:10 – Kool-Aid, happiness, and critical thinking at work <br /> 26:31 – Wrap-up</p> <p>---</p> <p>**About Note to File** <br /> 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.</p> <p>🌐 More at: **notetofilepodcast.com** </p> <p>---</p> <p>#ClinicalResearch #ClinicalTrials #ResearchSites #Advarra #ICON #NIH #DanaFarber #Pharma #CRAlife #NoteToFile #HealthcareData #WorkCulture</p>

March 27, 2026
Will Gen Z Fix What's Broken in Clinical Trials?
<p>Ever feel like life – and clinical research – are both a little chaotic and unpredictable… kind of like March weather and tornado season in Oklahoma?</p> <p>In this **Sticky Notes** episode of **Note to File**, Brad and Denali kick things off with some real-life banter: <br /> - Spring break in **Oklahoma City** <br /> - Unseasonably **90-degree** days <br /> - The joy and dread of **tornado-adjacent season** <br /> - How March and April always seem like a weather "crap shoot" </p> <p>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.</p> <p>🔹 **What you can expect from Sticky Notes episodes:**<br /> - Short, informal check-ins between full episodes <br /> - Real talk about life *around* clinical research <br /> - The same unfiltered, practical vibe you know from Note to File </p> <p>---</p> <p>📌 **About Note to File** <br /> **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.</p> <p>👉 More episodes, resources, and info: <br /> [https://notetofilepodcast.com](https://notetofilepodcast.com)</p> <p>---</p> <p>👍 If you enjoy this episode:<br /> - **Like** the video to support the channel <br /> - **Subscribe** for more clinical research conversations <br /> - **Comment** where you're listening from and what your weather's like today</p> <p>#ClinicalResearch #NoteToFile #StickyNotes #ClinicalTrials #ResearchSites #CRCs</p>
158 total episodes available
Recent guests on Note to File
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Dr Manfred Stapff
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Zach Gobst
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[Guest Name Credential]
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Josh Rose
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Jeff Smith
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Michelle Jones
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Laura Hilty
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Dan Schell
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Laura O'Donnell
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Dr Robert Califf
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Darshan Kulkarni
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Edye Edens
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This podcast updates daily.
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This podcast is available on 10 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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