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The Effective Statistician – in association with PSI

The Effective Statistician – in association with PSI

NuevoMove Beyond Excel with R for Health Technology Assessment2 de noviembre de 2026 · 27 min
Episodios
486
Se publica
cada semana
Último episodio
2 Nov 2026

Sobre el podcast

The podcast from statisticians for statisticians to have a bigger impact at work. This podcast is set up in association with PSI - Promoting Statistical Insight. This podcast helps you to grow your leadership skills, learn about ongoing discussions in the scientific community, build you knowledge about the health sector and be more efficient at work. This podcast helps statisticians at all levels with and without management experience. It is targeted towards the health, but lots of topics will be important for the wider data scientists community.

Episodios 486

  1. Move Beyond Excel with R for Health Technology Assessment

    27 minEpisodio 481

    A Conversation with Robert Smith When should we move beyond Excel for health technology assessment? I sit down with Dr Robert Smith to explore why increasingly complex health economic models call for a …

  2. Turn Data into Decisions by Putting People First

    23 minEpisodio 480

    A Conversation with With Dr. Annika Bergbauer Why you should listen We can produce excellent analyses and build powerful tools, yet still struggle to change how decisions are made. In this conversation, we …

  3. Better Dose Decisions and a Culture of Statistical Innovation

    39 minEpisodio 479

    A Conversation with Marie-Karelle Riviere and Anaïs Andrillon Highlights and timestamps 06:09 — Rethinking dose selection with Project Optimus 13:11 — Exploring the U-DESPE approach to dose optimization 23:07 — …

  4. Five Lessons for a Meaningful Career in Statistics

    42 minEpisodio 478

    A Conversation with Godwin Yung Why You Should Listen I explore practical ideas to help you: Choose work that matters. Focus your time on problems worth solving rather than trying to pursue every interesting …

  5. Integrated Evidence Planning That Connects Drug Development to Patient Needs

    33 minEpisodio 477

    A Conversation with Gorana Capkun Why You Should Listen Understand integrated evidence planning and how it connects evidence generation across functions, stakeholders, and geographies. Look beyond regulatory …

  6. How to Make Statistics Click with Schools Outreach and Interactive Data Visualization

    28 minEpisodio 476

    A Conversation with Steve Mallett Why You Should Listen Discover how PSI helps students see where maths can take them, including careers in pharmaceutical statistics. Learn how interactive visuals can connect a …

  7. Will AI Replace Statisticians? The Future of Statistics in Pharma

    25 minEpisodio 475

    A Conversation with Chris Harbron Why you should listen Listen to this episode to: Understand how AI may change statistical work in the pharmaceutical industry Recognize the limitations of using AI in clinical …

  8. How to Build an Effective Patient-Reported Outcome Strategy for Clinical Trials

    21 minEpisodio 474

    A conversation with Julia Poritz Why you should listen You’ll learn: Learn how to build a cohesive patient-reported outcome strategy from measure selection through publication. Choose PRO measures that reflect …

  9. How the R Consortium Is Transforming Regulatory Submissions and AI in Clinical Trials

    18 minEpisodio 473

    A Conversation with Ning Leng Why you should listen If you work in statistics, data science, statistical programming, or clinical development, this episode will give you a practical look at how the industry is …

  10. Project Optimus and what you need to know about it

    25 minEpisodio 472

    A Conversation with Ayon Mukherjee Cancer treatments have changed dramatically over the past decade, but have our dose-finding strategies kept pace? In this episode, I speak with Dr. Ayon Mukherjee, who leads …

  11. Unlocking Growth: The Power of Coaching and Mentoring for Statisticians

    36 minEpisodio 471

    A Discussion with Alun Bedding and Emma May In this insightful interview, Emma May and Alun Bedding explore the nuances of coaching and mentoring, sharing personal stories, frameworks, and practical tips to …

  12. Understanding and Mitigating Endpoint Bias in External Control Arms

    29 minEpisodio 470

    A Conversation with Benjamin Ackerman External control arms are becoming increasingly important in drug development, but creating valid comparisons requires more than matching patient populations. In this …

  13. The Future of Statistical Methodology in Drug Development

    32 minEpisodio 469

    A Discussion with Alun Bedding and David Wright, Jürgen Hummel, and Jenny Devenport This episode features three leading statistical methodology experts discussing the role, impact, and future of methodology …

  14. Rethinking Programming Validation and Traceability in Clinical Trials

    23 minEpisodio 468

    A Discussion with Andrew (Andy) York Episode Summary What does “quality” really mean in statistical programming? In this episode of The Effective Statistician, I speak with Andrew (Andy) York about the evolving …

  15. How Applied Improvisation Develops and Reinforces Interpersonal Skills

    33 minEpisodio 467

    A Conversation with Alun Bedding and Richard Zink In this episode, I hand over the mic to Alun Bedding, who speaks with Richard Zink about a topic that might surprise many statisticians: applied improvisation …

  16. What does a clinical lead expect from a statistician?

    32 minEpisodio 466

    A Conversation with Anna Mosikian Episode Overview In this episode, I speak with Anna Mosikian, a physician by training and Global Clinical Program Lead working at the intersection of clinical development and …

  17. Measuring Trust – A Key to Effective Leadership

    28 minEpisodio 465

    A Conversation with Alun Bedding Why You Should Listen You want to build stronger, trust-based relationships at work You’re leading teams and want measurable ways to improve culture You want to understand how …

  18. Choosing and Interpreting PROs and COAs – A Guide for Clinical Trial Statisticians

    41 minEpisodio 464

    Interview with Rachael Lawrance ** Why You Should Listen ** If you work in clinical trials or healthcare analytics, this episode will help you: Understand why patient perspectives are now central—not optional …

    Notas del episodio
    Interview with Rachael Lawrance

    **

    Why You Should Listen

    ** If you work in clinical trials or healthcare analytics, this episode will help you:

    • Understand why patient perspectives are now central—not optional
    • Learn the difference between PROs and COAs, and when each matters
    • See how questionnaires are scientifically developed and validated
    • Improve how you select, analyze, and interpret endpoints
    • Avoid common pitfalls when using patient-reported data
    Episode Highlights
    • 00:00 – Introduction and background to the episode
    • 01:31 – Rachael’s journey into patient-centered outcomes
    • 03:24 – Why PROs have become central to drug development
    • 05:18 – What COAs are and how they extend beyond PROs
    • 05:46 – The four types of COAs explained
    • 08:58 – Generic vs disease-specific questionnaires
    • 13:16 – How PRO instruments are developed and validated
    • 15:06 – What “meaningful change” really means
    • 17:02 – Using Phase II data to inform Phase III endpoints
    • 18:24 – FDA expectations and guidance on PROs
    • 21:47 – Using the estimand framework for patient-centered endpoints
    • 23:15 – What “psychometrically sound” actually means
    • 31:16 – How I would choose the right PRO or COA for a trial
    • 34:01 – Avoiding missing data and reducing patient burden
    • 37:18 – Key takeaways on interpreting patient-reported data
    About the Guest

    Rachael Lawrance Senior Director & Functional Lead Statistics, Patient-Centered Outcomes (PCO), Adelphi Values

    Rachael is a highly experienced statistician specializing in patient-centered outcomes. She works across the full lifecycle of PRO development—from qualitative research and questionnaire design to statistical validation and interpretation.

    With a background in pharma and consultancy, she focuses on bridging the gap between rigorous statistical methodology and meaningful patient insights.

    🔗 Links & References

  19. How Statisticians Can Build Trust and Lead with Emotional Intelligence

    39 minEpisodio 462

    A Conversation with Alun Bedding and Emma May Why You Should Listen You want to grow into a leadership role as a statistician You’re looking to improve communication and influence You want to better understand …

    Notas del episodio
    A Conversation with Alun Bedding and Emma May

    Why You Should Listen

    • You want to grow into a leadership role as a statistician
    • You’re looking to improve communication and influence
    • You want to better understand emotional intelligence in practice
    • You aim to build trust and psychological safety within your team
    • You want actionable leadership strategies you can apply immediately

    What You Will Learn in This Episode

    • Why emotional intelligence is critical for leadership effectiveness
    • How to recognize and manage your own emotional responses
    • The importance of psychological safety and how to create it
    • Why coaching is more effective than giving answers
    • How trust underpins influence and team performance
    • The role of growth mindset in continuous development
    • Practical communication techniques including the power of silence

    Episode Highlights [00:02:00] A non-linear path into statistics Emma shares how she “fell into” statistics and discovered her passion for people development.

    [00:04:00] Beyond technical expertise Why communication, emotional intelligence, and leadership skills are essential complements to technical knowledge.

    [00:06:00] Emotional intelligence and career success How EQ contributes significantly to leadership effectiveness and workplace performance.

    [00:07:00] Understanding emotions in practice Recognizing and managing emotions both your own and others’.

    [00:10:00] The role of instinct vs rational thinking How immediate emotional reactions influence behavior and decision-making.

    [00:12:00] Creating psychological safety in teams Using structured agreements to foster openness and trust.

    [00:18:00] Speaking up and being brave Why courage is essential for maintaining trust and integrity.

    [00:22:00] From advising to coaching Shifting from giving solutions to asking the right questions.

    [00:25:00] Leadership as partnership Working collaboratively rather than solving problems alone.

    [00:28:00] Trust as the foundation of leadership Why trust is essential for influence and effectiveness.

    [00:30:00] Developing a growth mindset Learning from feedback and reframing failure as progress.

    [00:34:00] The value of humility in leadership Why saying “I don’t know” can strengthen credibility.

    [00:36:00] One key leadership habit curiosity Asking questions and actively listening to understand others.

    [00:37:00] The power of silence How creating space in conversations leads to deeper insights.

    About the Guest

    Emma May Emma May is a statistician and leadership coach with a strong focus on professional development. Her work centers on helping individuals build the human skills such as emotional intelligence, communication, and trust that complement technical expertise and enable long-term career success.

  20. The Evolving Role of Generative AI in Pharma

    33 minEpisodio 461

    A conversation with Manuel Cossio, Director Global AI at Cytel Why You Should Listen: If you’re curious about Generative AI but unsure how it truly fits into clinical development, medical writing, or …

    Notas del episodio
    A conversation with Manuel Cossio, Director Global AI at Cytel Why You Should Listen:

    If you’re curious about Generative AI but unsure how it truly fits into clinical development, medical writing, or statistical programming, this episode will give you clarity.

    We talk openly about:

    ✔ What’s actually working right now in pharma

    ✔ Where GenAI can save significant time and reduce burnout

    ✔ How to use AI safely in regulated environments

    ✔ What to watch out for when it comes to hallucinations, governance, and data protection

    Whether you’re a statistician, programmer, data scientist, or biometrics leader, this episode will help you see where AI can realistically support your work—and where human expertise remains essential.

    Links:

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  21. Kicking Off 2026: Gratitude and What’s Ahead

    2 minEpisodio 460

    Celebrating our community and looking ahead to a new year of insights In this episode: A heartfelt thank you to listeners for their support and engagement Appreciation for guests who share practical insights …

    Notas del episodio
    Celebrating our community and looking ahead to a new year of insights In this episode:
    • A heartfelt thank you to listeners for their support and engagement
    • Appreciation for guests who share practical insights and experiences
    • Recognition of Reine and the production team for their behind-the-scenes contributions
    • A glimpse at what’s coming to The Effective Statistician in 2026
    • An invitation to follow, subscribe, and share ideas for future episodes

    If you enjoy The Effective Statistician, please follow or subscribe on your preferred platform, and leave a comment. Your feedback and ideas help shape the future of the podcast, and I’m excited to continue this journey with you in 2026.

    Thank you for being part of our community!

    Links:

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  22. Why to present better and how as a statistician

    36 minEpisodio 459

    A conversation with Kaspar Rufibach Why You Should Listen: ✔ By the end of this episode, you’ll: ✔ Pick up concrete steps to improve your presentation skills over time: feedback, recordings, formal training …

    Notas del episodio
    A conversation with Kaspar Rufibach Why You Should Listen:

    ✔ By the end of this episode, you’ll:

    ✔ Pick up concrete steps to improve your presentation skills over time: feedback, recordings, formal training, and deliberate practice.

    ✔ See why communication is leadership – and why “you can’t lead if you can’t communicate” really applies to statisticians.

    ✔ Learn how to start a presentation: from a blank sheet to a clear set of 2–4 key messages your audience will actually remember.

    ✔ Rethink slide design so your slides support you—instead of becoming an information dump that competes with your voice.

    ✔ Understand the crucial difference between academic talks (“what I did”) and business presentations (“what we should do now and why”).

    Get practical ideas to prepare earlier, present shorter, and focus on what your audience truly needs to hear.

    Episode highlights with timestamps
    • [00:02:00] Why presentations matter more than you think
      Kaspar shares why statisticians can’t “hide behind the numbers” if they want real impact.
    • [00:03:00] How Kaspar actually starts a talk
      From a blank sheet of paper to a small set of key messages.
    • [00:07:45] The problem with crowded slides
      Why most slide decks try to do the wrong job—and what Kaspar does instead.
    • [00:14:00] Presentations, reputation, and wasted time
      How the way you present shapes your personal brand with colleagues and leaders.
    • [00:18:00] When leaders don’t care about your methods
      The shift from “here’s what I did” to “here’s what we should do.”
    • [00:20:45] Starting with your conclusion
      How leading with recommendations can save you when your time is suddenly cut.
    • [00:23:30] Simple habits to become a better presenter
      Small changes Kaspar says you can start using in your next talk.
    • [00:29:00] Dealing with fear and staying authentic
      Why there are no “natural born presenters” and what really helps you improve.
    • [00:33:00] Kaspar’s three core principles
      The key ideas he hopes every statistician remembers after this episode.
    Links:

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  23. External control arms - how to get to a good one

    27 minEpisodio 458

    A conversation with Deepa Jahagirdar Why Listen ✔ You want a clearer understanding of when and why ECAs make sense. ✔ You’re dealing with real-world data and need a practical framework for selecting the right …

    Notas del episodio
    A conversation with Deepa Jahagirdar

    Why Listen

    ✔ You want a clearer understanding of when and why ECAs make sense.

    ✔ You’re dealing with real-world data and need a practical framework for selecting the right source.

    ✔ You’ve heard the term target trial emulation, but want to understand how it’s applied in real projects.

    ✔ You want to strengthen the causal credibility of your studies without relying solely on randomized trials.

    ✔ You want simple, actionable principles for handling confounding and unmeasured bias.

    Episode Highlights:

    [00:00] – Setting the stage
    I introduce the topic of external control arms and why they’re more widely relevant than many statisticians think.

    [01:35] – Introducing Deepa
    Deepa shares her path from social epidemiology into designing and supporting ECA studies at Cytel.

    [03:00] – Why ECAs are fascinating
    We talk about how methods used to study policies without RCTs translate into clinical research.

    [04:00] – Where ECAs show up
    I walk through common scenarios—from rare diseases to extension studies—where external controls add value.

    [07:30] – Choosing the right real-world data
    Deepa explains how she approaches data selection depending on disease, outcomes, and feasibility.

    [10:20] – Target trial emulation
    We discuss how designing the “ideal RCT” guides everything that follows when constructing an ECA.

    [16:30] – Handling confounding
    Deepa explains the role of expert knowledge, DAGs, and standard adjustment approaches.

    [21:20] – Thinking about unmeasured confounding
    We talk about assessing robustness and understanding how much bias it would take to overturn your results.

    [24:20] – Final takeaways
    Deepa highlights the importance of focusing on the big causal question and overall robustness—not perfection.

    Links:

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

    **Episode Highlights: ** [00:00] – Setting the stage I introduce the topic of external control arms and why they’re more widely relevant than many statisticians think.

    [01:35] – Introducing Deepa Deepa shares her path from social epidemiology into designing and supporting ECA studies at Cytel.

    [03:00] – Why ECAs are fascinating We talk about how methods used to study policies without RCTs translate into clinical research.

    [04:00] – Where ECAs show up I walk through common scenarios—from rare diseases to extension studies—where external controls add value.

    [07:30] – Choosing the right real-world data Deepa explains how she approaches data selection depending on disease, outcomes, and feasibility.

    [10:20] – Target trial emulation We discuss how designing the “ideal RCT” guides everything that follows when constructing an ECA.

    [16:30] – Handling confounding Deepa explains the role of expert knowledge, DAGs, and standard adjustment approaches.

    [21:20] – Thinking about unmeasured confounding We talk about assessing robustness and understanding how much bias it would take to overturn your results.

    [24:20] – Final takeaways

  24. Top 9: Non-parametric analyses - much more than just the Wilcoxon test!

    40 minEpisodio 457

    Interview with Frank Konietschke Why You Should Listen: Why this episode made our all-time Top 9: If you’ve ever thought “non-parametric = Wilcoxon/Mann-Whitney and that’s it,” this conversation will happily …

    Notas del episodio
    Interview with Frank Konietschke Why You Should Listen:

    Why this episode made our all-time Top 9: If you’ve ever thought “non-parametric = Wilcoxon/Mann-Whitney and that’s it,” this conversation will happily destroy that myth. Frank shows how rank-based methods unlock rigorous analyses for skewed data, outliers, ordinal endpoints, small samples, composites/estimands—and how to communicate effects without relying on means.

    You’ll walk away with:

    ✔ Non-parametric ≠ one test: A broad toolkit for two-group, multi-group, longitudinal, factorial, and covariate-adjusted designs.

    ✔ When ranks shine: Ordinal scales, heavy skew, small n (e.g., preclinical/animal studies), outliers, composite endpoints under the estimand framework.

    ✔ Interpretable effects without means: The probability-based “relative treatment effect”—“What’s the chance a random patient on A does better than a random patient on B?”

    ✔ Link to parametrics (when you must): How the rank-based effect relates to standardized mean differences under normality.

    ✔ Presenting results: Confidence intervals for rank-based effects and clean visualizations.

    ✔ Software exists: SAS macros and R packages for rank-based models (plus pointers to Frank’s book).

    ✔ Missing data & estimands: Practical thinking about composite strategies, treatment policy, and ongoing research for rank methods with missingness.

    Episode Highlights:

    00:00 – 03:31 | Welcome & setup
    TES resources, PSI community, and why innovative methods often struggle with adoption.

    03:32 – 06:00 | Meet Frank
    From Göttingen to Munich, Texas, and back to Berlin; preclinical research focus.

    06:01 – 09:11 | What are non-parametric analyses?
    No strict distributional model; works for metric, ordinal, and binary data.

    09:12 – 12:13 | Why ranks?
    Small samples, unknown distributions; robustness when outliers occur.

    12:14 – 14:35 | Where ranks are the better choice
    Ordinal ratings (A/B/C/… without meaningful distances), outliers, skew, composites.

    14:36 – 21:18 | Defining the treatment effect without means
    Relative treatment effect as a probability (e.g., 60% = in 60% of random pairings, new treatment is better).
    Connection to parametric world under normality assumptions.

    21:19 – 23:13 | How to present it
    Confidence intervals for rank-based effects and clear plots.

    23:14 – 30:18 | Beyond two groups
    Multi-arm trials, repeated measures, factorial designs, covariate adjustments; pseudo-ranks and why unweighted references improve interpretability and power properties.

    30:19 – 35:33 | Missing data, real-world setups & estimands
    Practical strategies (composites, treatment policy) and active research on rank methods with missingness.

    35:34 – 39:41 | Collaboration & wrap-up
    Research networks, software, and how statisticians can lead method adoption.

    References:
    • Book: Brunner, E., Bathke, A.C., Konietschke, F. (2019).  Rank and Pseudo-Rank Procedures for Independent Observations in Factorial Designs -Using R and SAS. Springer
    • Brunner, E., Konietschke, F., Pauly, M., & Puri, M. L. (2017). Rank‐based procedures in factorial designs: hypotheses about non‐parametric treatment effects. Journal of the Royal Statistical Society: Series B (Statistical Methodology), 79(5), 1463-1485.
    • Konietschke, F., Bathke, A. C., Hothorn, L. A., & Brunner, E. (2010). Testing and estimation of purely nonparametric effects in repeated measures designs. Computational Statistics & Data Analysis, 54(8), 1895-1905.
    • Konietschke, F., Hothorn, L. A., & Brunner, E. (2012). Rank-based multiple test procedures and simultaneous confidence intervals. Electronic Journal of Statistics, 6, 738-759.
    • Konietschke, F., Harrar, S. W., Lange, K., & Brunner, E. (2012). Ranking procedures for matched pairs with missing data—asymptotic theory and a small sample approximation. Computational Statistics & Data Analysis, 56(5), 1090-1102.
    Links:

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  25. How to communicate results from adaptive studies simple, but still correct

    24 minEpisodio 456

    A Conversation with Kaspar Rufibach Why You Should Listen: ✔ You need clear, defensible language for papers, conferences, and labels when your study had interims and stopping rules. ✔ You’ll learn practical …

    Notas del episodio
    A Conversation with Kaspar Rufibach Why You Should Listen:

    ✔ You need clear, defensible language for papers, conferences, and labels when your study had interims and stopping rules.

    ✔ You’ll learn practical rules-of-thumb for when “naïve” estimates are okay—and when to adjust.

    ✔ You’ll hear what regulators typically focus on vs. what patients and clinicians actually want to know.

    Episode Highlights:

    02:00 – Why communicating adaptive results is hard (and how simple can still be correct)

    04:14 – What bias are we actually interested in? Conditional vs. unconditional

    07:20 – Consequences for point estimates and confidence intervals

    09:15 – Ordering the sample space across stages; stage-wise ordering and p-values

    12:23 – Median-unbiased estimation: what it is and when to use it

    13:38 – Secondary endpoints, safety, and multiplicity strategies

    16:13 – Estimation efficiency vs. unbiasedness: what should we optimize?

    17:40 – Communicating to scientific vs. lay audiences

    18:36 – Should we publish p-values for secondary endpoints in adaptive trials?

    20:20 – No one-size-fits-all template—and why fairness matters across programs

    20:30 – Pre-planning or bust: why post-hoc “fixes” don’t carry the properties we need

    21:49 – Trust, reproducibility, and credible decision-making

    23:16 – ICHE20: read it, comment, improve it

    Links:

    🔗 ICHE20 (Adaptive Clinical Trials) – draft guidance: worth reading for its perspective on estimation and communication.

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  26. Introduction to adaptive designs and ICH E20

    30 minEpisodio 455

    A Conversation with Kaspar Rufibach Why You Should Listen: If you’ve ever wondered what adaptive designs really are, when they make sense, and how ICH E20 will influence our work as statisticians, this episode …

    Notas del episodio
    A Conversation with Kaspar Rufibach Why You Should Listen:

    If you’ve ever wondered what adaptive designs really are, when they make sense, and how ICH E20 will influence our work as statisticians, this episode will give you a clear, practical overview.
    You’ll learn:

    ✔ Why adaptive designs often save valuable time—and what organizational barriers keep teams from using them.

    ✔ What types of adaptations are possible and truly useful in confirmatory settings.

    ✔ How combining evidence across study stages works in principle.

    Episode Highlights:

    01:28 – Catching up with Kaspar
    Kaspar returns to the podcast to dive into the topic of adaptive clinical trials.

    02:34 – Why adapt?
    We discuss the main motivation behind adapting a trial and when it’s worth the effort.

    03:00 – Group-sequential designs
    A quick look back at where adaptive concepts began and why they remain relevant.

    06:03 – Practical adaptations
    We touch on examples of adaptations that can make studies more flexible and efficient.

    10:00 – Planning challenges
    Kaspar shares how real-world constraints shape decisions around adaptive design.

    15:06 – Why not more often?
    We reflect on the cultural and operational reasons these designs are still less common than expected.

    25:30 – ICH E20
    An overview of what the new guideline covers and why statisticians should pay attention.

    27:13 – Looking ahead
    I share upcoming opportunities to continue this discussion at industry meetings in Basel.

    29:13 – Closing thoughts
    A reminder about the value of good planning and purposeful adaptation in clinical trials.

    Resources and Links:
    • ICH E20 (Draft): Adaptive Designs for Clinical Trials
    • ICH E9(R1): Estimands and Sensitivity Analyses in Clinical Trials
    • EFSPI Regulatory Workshop & ISCB Conference (Basel)

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  27. Leadership, Influence & Presenting: Human Skills That Make Statisticians Effective

    36 minEpisodio 454

    A conversation with Alexander Schacht and Alun Bedding Why You Should Listen: ✔ Hear my personal reflections on 456 episodes and the evolution of this podcast. ✔ Learn a simple, values-based view of leadership …

    Notas del episodio
    A conversation with Alexander Schacht and Alun Bedding Why You Should Listen:

    ✔ Hear my personal reflections on 456 episodes and the evolution of this podcast.

    ✔ Learn a simple, values-based view of leadership that applies no matter your level.

    ✔ Discover how to influence people—not departments—and build trust.

    ✔ See why contextual teaching beats generic “Stats 101” courses.

    ✔ Walk away with three immediate actions: decide to lead, listen deeply, and invest in your presentation skills.

    Episode Highlights:

    00:00 – Why Alun is interviewing me for Episode 456

    01:57 – What counts as an “episode” and why this milestone matters

    03:03 – From estimands to blurred lines across stats/data science

    06:10 – My view of leadership: helping others accomplish something

    08:08 – Values, purpose, and the “win–win” principle

    10:09 – Goal-driven meetings and tying them to vision and values

    12:44 – Why you can’t influence a department—you influence people

    15:47 – Trust = character × competence × care (as others perceive it)

    17:16 – Being known: why personal and departmental branding matters

    19:00 – How targeted training builds credibility and influence

    23:00 – Presentation skills as a multiplier for all other communication

    28:34 – Listening: the most underrated leadership skill

    33:00 – My three practical actions to apply this week

    35:30 – Closing thoughts and invitation to connect

    Resources and Links:
    • Stephen R. Covey — The 7 Habits of Highly Effective People
    • Michael Hyatt — leadership and values-driven success
    • John Blakey — trust model (ability, integrity, benevolence)
    • Oscar Trimboli — How to Listen
    • Toastmasters — practice for public speaking
    • How to Be an Artist (book on learning and creativity)

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  28. Top 8: The Single Arm Studies and What are the Alternatives?

    46 minEpisodio 453

    Interview with Anja Schiel Why You Should Listen: f you’ve ever wondered whether single-arm studies are “good enough” for regulators or HTA bodies, this episode will challenge your assumptions. Anja Schiel, one …

    Notas del episodio
    Interview with Anja Schiel Why You Should Listen:

    f you’ve ever wondered whether single-arm studies are “good enough” for regulators or HTA bodies, this episode will challenge your assumptions. Anja Schiel, one of Europe’s leading voices at the regulator–HTA interface, explains why comparisons matter, where single-arm designs break down, and what smarter alternatives exist.

    You’ll walk away with:

    ✔ A clearer understanding of the limits of single-arm trials

    ✔ Practical strategies for choosing comparators that strengthen your evidence package

    ✔ Insight into adaptive and hybrid designs that balance efficiency with rigor

    ✔ A regulator/HTA insider’s perspective on what decision-makers really need from statisticians

    Episode Highlights:

    00:01:36 – Meet Anja Schiel and learn how she bridges regulation and HTA

    00:02:28 – Why connecting regulators and HTA bodies early matters for drug development

    00:06:07 – Where single-arm studies often fall short in real-world decision-making

    00:08:01 – What accelerated approvals have taught us about assumptions in trial design

    00:10:17 – Why comparison—not just randomization—is at the heart of sound evidence

    00:12:12 – The pitfalls of relying on literature-based or naïve comparisons

    00:16:54 – How regulators and HTA approach evidence differently

    00:17:00 – What “concurrent control” really means and why it’s crucial

    00:20:33 – Strategic thinking when selecting comparators for long-term value

    00:26:00 – The role of adaptive and hybrid designs in modern trials

    00:33:59 – Ethical considerations when trial designs fall short

    00:36:26 – Why rare diseases demand smarter collaboration and evidence planning

    00:40:25 – Communicating study objectives and estimands clearly for all stakeholders

    00:44:55 – Final takeaways: how statisticians can lead the push for better designs

    Links:

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  29. Top 7: How to work with a physician within Pharma to become a valuable partner

    27 minEpisodio 452

    Discussion with Benjamin Piske and Alexander Schacht Why You Should Listen: Working with physicians isn’t always easy. Different mindsets, expectations, and communication styles can get in the way. In this …

    Notas del episodio
    Discussion with Benjamin Piske and Alexander Schacht Why You Should Listen:

    Working with physicians isn’t always easy. Different mindsets, expectations, and communication styles can get in the way. In this episode, you’ll hear how to:

    ✔ Build trust and respect with physicians in pharma

    ✔ Communicate effectively across disciplines

    ✔ Know when to support, when to push back, and how to be seen as a partner

    Episode Highlights:


    [01:28] Introducing the topic of working with physicians in pharma

    [02:27] Seeing physicians as colleagues, not customers

    [04:53] Learning to speak each other’s language

    [06:26] Cultural challenges for physicians moving from hospitals into pharma

    [10:59] Approaching discussions with a partnership mindset

    [12:59] Why involving statisticians early leads to smoother studies

    [15:18] Strategies for handling disagreements constructively

    [19:08] The p-value debate and knowing when to push back

    [24:55] Explaining outputs so physicians (and beyond) can understand

    [25:26] The idea of having a physician mentor

    Links:

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

  30. Top 6: What is EU HTA and why should statisticians care?

    36 minEpisodio 451

    Interview with Lara Wolfson and Anders Gorst-Rasmussen Why You Should Listen: ✔ EU HTA is becoming reality: Joint Clinical Assessments begin soon with oncology/ATMPs and will expand to all medicines over the …

    Notas del episodio
    Interview with Lara Wolfson and Anders Gorst-Rasmussen Why You Should Listen:

    ✔ EU HTA is becoming reality: Joint Clinical Assessments begin soon with oncology/ATMPs and will expand to all medicines over the next years.

    ✔ Statisticians are central: Re-analyses, indirect comparisons, RWE, and quality-of-life analyses will be required—often beyond what regulatory trials were designed for.

    ✔ Timelines are tight: From EMA Day 120 scoping to dossier deadlines and final JCAs just 30 days post-marketing authorization.

    ✔ Transparency and resources matter: Joint assessments will be public, and both companies and agencies face capacity and clarity challenges.

    ✔ You can prepare now: Incorporate HTA needs into trial design, analysis planning, and cross-functional collaborations.

    Episode Highlights:


    00:00 – 02:30 | I introduce the episode and explain why EU HTA is such a critical topic

    02:30 – 05:30 | Lara and Anders introduce themselves and their HTA work at MSD and Novo Nordisk

    05:30 – 10:45 | Regulatory vs. HTA: safe & effective vs. how good, for whom, and at what cost

    10:45 – 18:30 | Europe’s patchwork: national differences in comparators, standards of care, and access

    18:30 – 23:45 | The EU regulation: joint clinical assessments, economic modeling, and what’s changing

    23:45 – 32:30 | What it means for us as statisticians: re-analyses, ITCs/NMAs, RWE, QoL, and capacity issues

    32:30 – 36:00 | Why “transparency” can’t just be 50,000-page PDFs—clear, reproducible evidence matters

    36:00 – 45:00 | The PSI HTA SIG’s role, current activities, and how you can get involved

    45:00 – end | Our final takeaways and a call for statisticians to engage now

    Links:

    🔗 Join the PSI HTA Special Interest Group and watch for their newsletter and training.

    🔗 Review EUnetHTA 21 methodological drafts—they are shaping the future of JCAs.

    🔗 The Effective Statistician Academy – I offer free and premium resources to help you become a more effective statistician.

    🔗 Medical Data Leaders Community – Join my network of statisticians and data leaders to enhance your influencing skills.

    🔗 My New Book: How to Be an Effective Statistician - Volume 1 – It’s packed with insights to help statisticians, data scientists, and quantitative professionals excel as leaders, collaborators, and change-makers in healthcare and medicine.

    🔗 PSI (Statistical Community in Healthcare) – Access webinars, training, and networking opportunities.

    Join the Conversation:
    Did you find this episode helpful? Share it with your colleagues and let me know your thoughts! Connect with me on LinkedIn and be part of the discussion.

    Subscribe & Stay Updated:
    Never miss an episode! Subscribe to The Effective Statistician on your favorite podcast platform and continue growing your influence as a statistician.

    Glossary:

    HTA – Health Technology Assessment

    EU HTA / JCA – Joint Clinical Assessment forming the evidence base for national HTA decisions

    EMA / CHMP – European Medicines Agency / Committee for Medicinal Products for Human Use

    RWE – Real-World Evidence; NMA/ITC – Network/Indirect Treatment Comparison

    QoL/HRQoL – (Health-Related) Quality of Life measures

    PSI HTA SIG – PSI Special Interest Group on HTA

    EFPIA – European Federation of Pharmaceutical Industries and Associations

Aquí están los 40 episodios más recientes de 486. Los anteriores están en el feed del podcast.

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