A Career Built on Curiosity: A Conversation with Inna Nemirovskaya

For Inna Nemirovskaya, clinical research was never just a career choice. It became a lifelong journey that began more than two decades ago and continues to shape the way she thinks about science, people, and the impact of data. Before entering clinical research, Inna trained and worked as a physician, caring for pediatric patients with […]

Pavel Tikhonov: Creating Alignment in Clinical Research

  For Pavel Tikhonov, good project management comes down to one main focus: alignment. A clinical trial brings together sponsors, investigators, sites, vendors and cross-functional teams, all with different priorities, pressures and areas of expertise. Pavel sees an important part of his role as making sure those different groups understand one another and remain focused […]

When Medical Coding Becomes a Bottleneck: Lessons From a Real Clinical Study

From the Confidence Medical Affairs Desk by Ekaterina Shilova Medical coding challenges are often discussed from a theoretical perspective, including inconsistent terminology, free-text entries, fragmented analyses, or delayed queries. However, the operational impact becomes much clearer when these issues unfold in a real study environment. A recent clinical study demonstrated how quickly coding review can […]

Medical Coding Is Not Just Data Management. It’s a Medical Responsibility

From the Confidence Medical Affairs Desk by Katarina Nedman Medical coding is often perceived as a technical or data management activity performed somewhere in the background of a clinical trial. In reality, coding decisions play a far more significant role. They directly influence how clinical data is interpreted, analyzed, and ultimately presented throughout the entire […]

Risk-Based Monitoring in Fixed-Budget Trials

From the Confidence Medical Affairs Desk by Inna Nemirovskaya Concentrating Oversight Where It Protects Study Credibility In extremely low-budget, full-service clinical trials, monitoring strategy ceases to be a matter of preference. It becomes structural. When financial flexibility is absent, oversight must be designed with precision, because every monitoring decision directly competes with another operational priority. […]