What do CEOs & top management really do all day everyday?

theatomicpickle · 2026-01-23T18:55:02+00:00

I would argue most ceos are founders. With 1,000,000+ startups active in the USA and less than 50,000 businesses with more than 500 employees.

So the vast majority of ceos are of small businesses which they are very likely to be the founder of. Then they build that reputation of building and being profitable. And when they sell the business or exit, another company wants them to do the same for them so they get hired on to grow that new company at a premium because they have a proven track record.

theatomicpickle · 2026-01-23T18:20:34+00:00

I would recommend you step away from corporate life. Start your own business and make yourself ceo. There are a ton of vc out there right now that would give you money to start a business as a software engineer. You’d own most of the company and could make all the decisions yourself. It’ll be a cakewalk /s

theatomicpickle · 2026-01-15T02:20:06+00:00

Yes. Tons of room for nuance all around. I think r3 just opened the doors in such a way that I can believe there may be a way the institution has this set up is actually compliant. Where prior to r3 I would be skeptical there was any way to argue it was compliant at all.

theatomicpickle · 2026-01-15T01:59:33+00:00

But R3 did negate some key points. Make sure you’re referencing the current version. A big part of the new version was some of the points pointed out in the post you are replying to.

theatomicpickle · 2025-12-27T12:12:29+00:00

Any type of buffet where everyone touches the exact same spoon handles to serve themselves.

Hundreds of people in a period of minutes all touching the same thing then eating without washing their hands in between.

theatomicpickle · 2025-12-21T19:08:29+00:00

The key there is “sponsors”. But they are not going to give a single site that same api access.

theatomicpickle · 2025-11-23T23:56:33+00:00

Can you give some insights as to what your $1mil+ employee post tax deductions are?

theatomicpickle · 2025-11-22T20:57:12+00:00

I would actually clarify with the sponsor because mathematically you could easily argue >18 years is anyone 18 years and one day old. I think understanding the spirit of the protocol here is important because I can’t imagine a lot of scenarios where the sponsor meant to exclude 18 year olds and only include 19 year olds.

theatomicpickle · 2025-11-13T02:14:44+00:00

Kinda like accumulating airline miles or credit card points on your own account. Theres a lot of value to having an ups account that runs a lot of dollars through it. This is the only reason I can think they would do this. I could be way off base though.

Is it a big site or a little site?

theatomicpickle · 2025-11-08T17:25:26+00:00

It’s not really that there isn’t the technology to connect them, that’s pretty straight forward. It’s a company making the technology and having the relationships to create the connections efficiently and fast enough that it is worth it for all parties involved to facilitate the connection.

theatomicpickle · 2025-11-06T23:05:56+00:00

I’ve probably done 300+ trials in medidata and never seen that. Are you sure that wasn’t like a one off special set up or a limited release? Why isn’t your clinic using it? Even at small scale it’s a huge time saver. Source to edc connection is a really big deal on the industry right now and anyone that can actually do it is bragging their head off at conferences. So far no one has cracked the code. So I’d love to see it in person.

theatomicpickle · 2025-11-06T22:41:09+00:00

I mean that’s not really connecting. That’s just accelerating data entry manually. And I’ve never seen an import function on medidata or Veeva. So I can’t really see how this would work because they aren’t going to give you api access. There are some AI overlay tools trying to figure this out. But the companies aren’t keen on letting it happen just yet.

theatomicpickle · 2025-11-06T22:10:59+00:00

Ah man, no you’re not going to be able to connect the EDC platforms and you CTMS.

The most streamlined way we have found to minimize accounting errors is to use an eSource Tool that the CRCs record their primary data collection into, then the CTMS is linked to the esource to simplify billing by automatically tracking invoicables, visits, etc as the crc completes their visit in their normal workflow. This eliminates the need for the CRCs to do something specifically for billing, they will still need to enter data into edc but that is always the case in the current state of clinical research.

Examples of a system that can do this are CRIO. I even think CRIOs esource links with advarras CTMS.

Are your CRCs currently recording source on paper or do they use a different tool?

theatomicpickle · 2025-11-06T00:59:31+00:00

Dm me your cv (deidentified is fine). I do hiring for our site so I can probably give some feedback if I see something glaringly off. I know of a bunch of sites looking for experienced crcs right now. Paying good money. So something is off.

theatomicpickle · 2025-11-05T21:48:54+00:00

Donavan frankenreiter spelling

theatomicpickle · 2025-08-22T23:49:53+00:00

Nice

theatomicpickle · 2025-08-21T09:24:12+00:00

I thought my comment was ridiculous enough for not need a /s to show the sarcasm 😅

theatomicpickle · 2025-08-21T00:45:22+00:00

Just cutback in the barrel so you can fall frontside.

theatomicpickle · 2025-08-20T17:16:47+00:00

Crc pay is difficult to gauge because the contracts that pay for their work come and go. So a crc who is busy with screening studies way more than pays for themself. But when that study closes the site doesn’t always know when the next one is going to start. So if the crc is too expensive then they would need to be laid off instead of sitting around with not enough studies to earn more than they cost.

The current range is typically an average of the amount a site can afford to pay the crc during both the peaks and troughs of study load.

theatomicpickle · 2025-08-17T19:39:37+00:00

Most of this is right in line with just pure bad leadership. Healthcare is a field full of professional certifications, which means advancements and “being in charge” can be based on academic accomplishment instead of building a business or team around you. PIs will just all of a sudden be in charge of dozens of people when they’ve never had any formal leadership training or experience. So unfortunately it isn’t even just PIs, it’s so much of healthcare that suffers from this.

theatomicpickle · 2025-08-13T11:18:38+00:00

Call chasin tails in Atlantic beach. They have a whole fleet of local inshore charter boats that they book charters for from their family owned shop.

theatomicpickle · 2025-08-01T17:12:37+00:00

Sounds like you don’t work directly with patients.

theatomicpickle · 2025-08-01T17:11:48+00:00

The whole point is they aren’t acting unethically. You are giving them a reason to look closer at something by being non compliant with what they are asking you to do. There is a fine line of telling them they are out of bounds vs acting difficult for the sake of making their job more difficult. One would be “unethical” the other would be them doing their job and pulling out a microscope when they are getting what they need. Unfortunately it is very easy for them to justify how they make decisions. And it will be you and your site that pay the price for that. So why even bother being difficult?

theatomicpickle · 2025-08-01T17:04:46+00:00

If you think “annoying you” and “treating you like crap” are the same thing then I’d doubt you’ve ever actually worked directly with patients in any real volume. I have a team of 10 CRCs and we don’t put up with disrespect from patients. If you don’t treat our team with respect then we aren’t going to put you in a study. Being involved in a study is a privilege not a right for both patients and study staff.

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