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Beware of assumptions that seem "obvious" in one
decade. They may become quaint in the next.
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© A J A Z | I N S I G H T S 1
"Self-awareness is probably overrated. A complex, self-regulating system doesn't need it to be successful, or even smart.“ David Brin
2022 2022
The Gold Sheet 28 March 2014
BAD-I and Confronting the
Illusions of Quality (1937 to 2022):
Rx i-SMART
Writing, self-
authorship, an i-
SMART technology
• Hussain, A.S., Process Analytical Technology (PAT): Understanding Validity of Pharmaceutical Quality Control and
Assurance. In Handbook of Validation in Pharmaceutical Processes (pp. 883-915). CRC Press (2021)
• Hussain, A.S., Morris, K. & Gurvich, V.J. Pharmaceutical Quality, Team Science, and Education Themes:
Observations and Commentary on a Remarkable AAPS PharmSciTech Theme Issue. AAPS PharmSciTech 22, 88
(2021). https://doi.org/10.1208/s12249-021-01970-7
• Hussain, A. S. Digitization in Pharma and Digital Therapeutics: A Migratory Birds Eye View for Charting a Path
Forward. Pharma Times, 20(12), December 2020. https://ipapharma.org/3d-flip-book/pharma-times-december-
2020/
• Gurvich, V.J., Hussain, A.S. In, and Beyond COVID-19: US Academic Pharmaceutical Science and Engineering
Community Must Engage to Meet Critical National Needs. AAPS PharmSciTech 21, 153 (2020).
https://doi.org/10.1208/s12249-020-01718-9
• Hussain, A. S. Pharmaceuticals Beyond 2020: Professionals and Artificial Intelligence. Indian Pharmaceutical
Association. Pharma Times. 52: 14- 19 June 2020. https://ipapharma.org/3d-flip-book/pharma-times-june-2020/
• Hussain, A.S., Gurvich, V.J. & Morris, K. Pharmaceutical “New Prior Knowledge”: Twenty-First Century Assurance
of Therapeutic Equivalence. AAPS PharmSciTech 20, 140 (2019). https://doi.org/10.1208/s12249-019-1347-6
• Hussain, A.S. Chaos to Continual Improvement: Path to Harmonization. CPhI Industry Report 2019:
https://www.cphi.com/content/dam/Informa/cphi/en/cphi-insights/HLN19CPhI%20Insights-2019-Industry-
Report.pdf
• Hussain, A. S. How To Break The Pharmaceutical 2-3 Sigma Barrier (Like Amgen). Pharmaceutical Online.
September 18, 2017. https://www.pharmaceuticalonline.com/doc/how-to-break-the-pharmaceutical-sigmabarrier-
like-amgen-0001
• Hussain, A. S. Compliance Or Adherence? How To Approach cGMP Regulations In The 21st Century? Pharmaceutical
Online. Guest Column | September 22, 2016. https://www.pharmaceuticalonline.com/doc/compliance-or-
adherence-how-to-approachcgmp-regulations-in-the-st-century-0001
• Hussain, A.S. The culture of Pharmaceutical Quality: Personnel Development. Biopharma Asia
March/April 2016; The culture of Pharmaceutical Quality Management System. Biopharma Asia
November/December 2015, and The culture of Pharmaceutical Quality: Connecting the Dots. Biopharma Asia
34-38. Issue September/October 2015
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 2
Aj az S . H u s s ai n , P h .D.
i-SMART: Internal Validation for Continuous
Professional Development & Validation Life-cycle
Management
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© A J A Z | I N S I G H T S 3
Title: A heading, a brief summary of the matters it
deals with, [a legal document, an appellation, ..]
SMART Acronym (objectives, technology); smart: elegant, stylish, quickness and ease of learning, alertness, resourcefulness, etc
Internal Within an individual, technology, and corporation
Validation To recognize or affirm the validity or worth of a person, their feelings, and opinions; declare legal [Good], prove the accuracy
Continuous Without interruption [subtly different from continual; regularly recurring in a series]
Professional One who declares to be skilled in a specific occupation (an activity that occupies a person's attention)
Development The act of improving by expanding, enlarging, and refining
Life-cycle To go through a recurring sequence in the course of existence and experience of being alive
Management Actions to achieve a goal, objectives, results
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© A J A Z | I N S I G H T S 4
[S.M.A.R.T]^3
• Specific, Measurable, Achievable, Realistic, and Time-bound
Management
• Self-Monitoring, Analysis, and Reporting Technology
Machines
• Safe, Modest, Actionable Research and Testing [assumptions, beliefs, etc.]
Man [living human beings]
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© A J A Z | I N S I G H T S 5
Scientific training and Experience (FD&C Act) and Education, Training or
Experience (21 CFR 211.25): Suitable [Maturity] and Capability [Development]
to Assure Effectiveness Fairly and Responsibly: [SMART]^3
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© A J A Z | I N S I G H T S 6
Guidance, know-how and how do you know?
Theory to Practice [ of
Industrial Pharmacy] &
Observations to
Development
Regulatory guidance
documents, a
collection of
“consensus” or least
common denominator
Technical information
and know-how
(education & [practical]
training)
Adaptive learning
(learning [on the job]
from experience, self,
and others)
Don follow “the science.” Validate the scientific method in your practice!
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 7
Fake it till you make it is not Good
To Err is Human, IOM (1999)
[CPD], Redesigning Continuing Education in the Health
Professions |The National Academies Press (2010)
A Design Thinking, Systems Approach to Well-Being Within
Education and Practice: Proceedings of a Workshop |The
National Academies Press (2018)
Medical errors third-leading cause of death in America
(cnbc.com) (2018)
Physicians experience imposter syndrome more often than other
U.S. workers | News Center | Stanford Medicine (2022)
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 8
Cascading objectives, errors of omission &
commission and the experienced “fractal”
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 9
Effective error management aims at continuous reform, not local fixes. ~ James Reason (Human Error, 1990)
Education and training: Installation Qualification (IQ)
Theory and Practice [of
Industrial Pharmacy]
“Observation to
Development”
Years on the job a
good measure of
experience?
How to measure
experience
(objectively)?
Suitability
capability? OQ, PQ, CPV, Continual Improvement, and Continuous Development,
SMART objective, annual performance, and product review and reports.
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 10
Validating subjective experience objectively
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 11
i-SMART: Internal validation [is] continuous
development
Safe Modest Actionable Research Test
Seeking external validation to self-assurance
Unmet cascaded objectives OOS
Root cause
[unknown]
Why, why, …
To recognize or affirm the validity or worth of a person,
their feelings, and opinions (1); declare legal [Good] (2);
prove the accuracy (3).
Feeling If I don’t look, there is no problem! P-D-C-A
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 12
Feeling Good: Looking, Being, Doing, and Seeing
Mean Meaning Making and Manufacturing Maturity | A Column by Ajaz Hussian, Pharma Times (Nov. 2020)
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 13
i-SMART: A journey within and without
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 14
Self-authorship (contemporaneous notes)
Why
How
What
Maturing is knowing and changing feelings
How To Break The Pharmaceutical 2-3 Sigma Barrier (Like Amgen) (pharmaceuticalonline.com) (September 18, 2017)
P-D-C-A
Feeling
Experience: an emotional sensation (feeling), firsthand knowledge of states, situations, emotions, and sensations
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 15
Practical: Learning from [Others] Experience
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 16
Recalls were the result of the companies’ own test!
“Butterfly effect.” Does it make sense?
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 17
Sensemaking Symposium, 23-25 October 2001. Command and Control Research Program. Office
of the Assistant Secretary of Defense. Final Report.
Good Culture of Pharmaceutical Quality to Maturity
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 18
In the growing chaos, it is urgent and essential that we
must be the change we seek in the world. Be i-SMART!
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 19
4 Life Science Lessons from the PAT to QbD Journey, May 2022
1: Professional Development Is Essential
2: Development Empowers Our SMART Future
3: Education and Training + Adaptive Learning
4. Care is Research, Wisdom is in Practice
[SMART]^3 a path
to i-SMART
• Hussain, A.S., Process Analytical Technology (PAT): Understanding Validity of Pharmaceutical Quality Control and
Assurance. In Handbook of Validation in Pharmaceutical Processes (pp. 883-915). CRC Press (2021)
• Hussain, A.S., Morris, K. & Gurvich, V.J. Pharmaceutical Quality, Team Science, and Education Themes:
Observations and Commentary on a Remarkable AAPS PharmSciTech Theme Issue. AAPS PharmSciTech 22, 88
(2021). https://doi.org/10.1208/s12249-021-01970-7
• Hussain, A. S. Digitization in Pharma and Digital Therapeutics: A Migratory Birds Eye View for Charting a Path
Forward. Pharma Times, 20(12), December 2020. https://ipapharma.org/3d-flip-book/pharma-times-december-
2020/
• Gurvich, V.J., Hussain, A.S. In, and Beyond COVID-19: US Academic Pharmaceutical Science and Engineering
Community Must Engage to Meet Critical National Needs. AAPS PharmSciTech 21, 153 (2020).
https://doi.org/10.1208/s12249-020-01718-9
• Hussain, A. S. Pharmaceuticals Beyond 2020: Professionals and Artificial Intelligence. Indian Pharmaceutical
Association. Pharma Times. 52: 14- 19 June 2020. https://ipapharma.org/3d-flip-book/pharma-times-june-2020/
• Hussain, A.S., Gurvich, V.J. & Morris, K. Pharmaceutical “New Prior Knowledge”: Twenty-First Century Assurance
of Therapeutic Equivalence. AAPS PharmSciTech 20, 140 (2019). https://doi.org/10.1208/s12249-019-1347-6
• Hussain, A.S. Chaos to Continual Improvement: Path to Harmonization. CPhI Industry Report 2019:
https://www.cphi.com/content/dam/Informa/cphi/en/cphi-insights/HLN19CPhI%20Insights-2019-Industry-
Report.pdf
• Hussain, A. S. How To Break The Pharmaceutical 2-3 Sigma Barrier (Like Amgen). Pharmaceutical Online.
September 18, 2017. https://www.pharmaceuticalonline.com/doc/how-to-break-the-pharmaceutical-sigmabarrier-
like-amgen-0001
• Hussain, A. S. Compliance Or Adherence? How To Approach cGMP Regulations In The 21st Century? Pharmaceutical
Online. Guest Column | September 22, 2016. https://www.pharmaceuticalonline.com/doc/compliance-or-
adherence-how-to-approachcgmp-regulations-in-the-st-century-0001
• Hussain, A.S. The culture of Pharmaceutical Quality: Personnel Development. Biopharma Asia
March/April 2016; The culture of Pharmaceutical Quality Management System. Biopharma Asia
November/December 2015, and The culture of Pharmaceutical Quality: Connecting the Dots. Biopharma Asia
34-38. Issue September/October 2015
1 0 / 9 / 2 0 2 2
© A J A Z | I N S I G H T S 20

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I-SMART Internal Validation for Continuous Professional Development.pdf

  • 1. Beware of assumptions that seem "obvious" in one decade. They may become quaint in the next. 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 1 "Self-awareness is probably overrated. A complex, self-regulating system doesn't need it to be successful, or even smart.“ David Brin 2022 2022 The Gold Sheet 28 March 2014 BAD-I and Confronting the Illusions of Quality (1937 to 2022): Rx i-SMART
  • 2. Writing, self- authorship, an i- SMART technology • Hussain, A.S., Process Analytical Technology (PAT): Understanding Validity of Pharmaceutical Quality Control and Assurance. In Handbook of Validation in Pharmaceutical Processes (pp. 883-915). CRC Press (2021) • Hussain, A.S., Morris, K. & Gurvich, V.J. Pharmaceutical Quality, Team Science, and Education Themes: Observations and Commentary on a Remarkable AAPS PharmSciTech Theme Issue. AAPS PharmSciTech 22, 88 (2021). https://doi.org/10.1208/s12249-021-01970-7 • Hussain, A. S. Digitization in Pharma and Digital Therapeutics: A Migratory Birds Eye View for Charting a Path Forward. Pharma Times, 20(12), December 2020. https://ipapharma.org/3d-flip-book/pharma-times-december- 2020/ • Gurvich, V.J., Hussain, A.S. In, and Beyond COVID-19: US Academic Pharmaceutical Science and Engineering Community Must Engage to Meet Critical National Needs. AAPS PharmSciTech 21, 153 (2020). https://doi.org/10.1208/s12249-020-01718-9 • Hussain, A. S. Pharmaceuticals Beyond 2020: Professionals and Artificial Intelligence. Indian Pharmaceutical Association. Pharma Times. 52: 14- 19 June 2020. https://ipapharma.org/3d-flip-book/pharma-times-june-2020/ • Hussain, A.S., Gurvich, V.J. & Morris, K. Pharmaceutical “New Prior Knowledge”: Twenty-First Century Assurance of Therapeutic Equivalence. AAPS PharmSciTech 20, 140 (2019). https://doi.org/10.1208/s12249-019-1347-6 • Hussain, A.S. Chaos to Continual Improvement: Path to Harmonization. CPhI Industry Report 2019: https://www.cphi.com/content/dam/Informa/cphi/en/cphi-insights/HLN19CPhI%20Insights-2019-Industry- Report.pdf • Hussain, A. S. How To Break The Pharmaceutical 2-3 Sigma Barrier (Like Amgen). Pharmaceutical Online. September 18, 2017. https://www.pharmaceuticalonline.com/doc/how-to-break-the-pharmaceutical-sigmabarrier- like-amgen-0001 • Hussain, A. S. Compliance Or Adherence? How To Approach cGMP Regulations In The 21st Century? Pharmaceutical Online. Guest Column | September 22, 2016. https://www.pharmaceuticalonline.com/doc/compliance-or- adherence-how-to-approachcgmp-regulations-in-the-st-century-0001 • Hussain, A.S. The culture of Pharmaceutical Quality: Personnel Development. Biopharma Asia March/April 2016; The culture of Pharmaceutical Quality Management System. Biopharma Asia November/December 2015, and The culture of Pharmaceutical Quality: Connecting the Dots. Biopharma Asia 34-38. Issue September/October 2015 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 2
  • 3. Aj az S . H u s s ai n , P h .D. i-SMART: Internal Validation for Continuous Professional Development & Validation Life-cycle Management 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 3
  • 4. Title: A heading, a brief summary of the matters it deals with, [a legal document, an appellation, ..] SMART Acronym (objectives, technology); smart: elegant, stylish, quickness and ease of learning, alertness, resourcefulness, etc Internal Within an individual, technology, and corporation Validation To recognize or affirm the validity or worth of a person, their feelings, and opinions; declare legal [Good], prove the accuracy Continuous Without interruption [subtly different from continual; regularly recurring in a series] Professional One who declares to be skilled in a specific occupation (an activity that occupies a person's attention) Development The act of improving by expanding, enlarging, and refining Life-cycle To go through a recurring sequence in the course of existence and experience of being alive Management Actions to achieve a goal, objectives, results 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 4
  • 5. [S.M.A.R.T]^3 • Specific, Measurable, Achievable, Realistic, and Time-bound Management • Self-Monitoring, Analysis, and Reporting Technology Machines • Safe, Modest, Actionable Research and Testing [assumptions, beliefs, etc.] Man [living human beings] 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 5
  • 6. Scientific training and Experience (FD&C Act) and Education, Training or Experience (21 CFR 211.25): Suitable [Maturity] and Capability [Development] to Assure Effectiveness Fairly and Responsibly: [SMART]^3 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 6
  • 7. Guidance, know-how and how do you know? Theory to Practice [ of Industrial Pharmacy] & Observations to Development Regulatory guidance documents, a collection of “consensus” or least common denominator Technical information and know-how (education & [practical] training) Adaptive learning (learning [on the job] from experience, self, and others) Don follow “the science.” Validate the scientific method in your practice! 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 7
  • 8. Fake it till you make it is not Good To Err is Human, IOM (1999) [CPD], Redesigning Continuing Education in the Health Professions |The National Academies Press (2010) A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop |The National Academies Press (2018) Medical errors third-leading cause of death in America (cnbc.com) (2018) Physicians experience imposter syndrome more often than other U.S. workers | News Center | Stanford Medicine (2022) 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 8
  • 9. Cascading objectives, errors of omission & commission and the experienced “fractal” 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 9 Effective error management aims at continuous reform, not local fixes. ~ James Reason (Human Error, 1990)
  • 10. Education and training: Installation Qualification (IQ) Theory and Practice [of Industrial Pharmacy] “Observation to Development” Years on the job a good measure of experience? How to measure experience (objectively)? Suitability capability? OQ, PQ, CPV, Continual Improvement, and Continuous Development, SMART objective, annual performance, and product review and reports. 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 10
  • 11. Validating subjective experience objectively 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 11
  • 12. i-SMART: Internal validation [is] continuous development Safe Modest Actionable Research Test Seeking external validation to self-assurance Unmet cascaded objectives OOS Root cause [unknown] Why, why, … To recognize or affirm the validity or worth of a person, their feelings, and opinions (1); declare legal [Good] (2); prove the accuracy (3). Feeling If I don’t look, there is no problem! P-D-C-A 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 12
  • 13. Feeling Good: Looking, Being, Doing, and Seeing Mean Meaning Making and Manufacturing Maturity | A Column by Ajaz Hussian, Pharma Times (Nov. 2020) 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 13
  • 14. i-SMART: A journey within and without 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 14 Self-authorship (contemporaneous notes) Why How What
  • 15. Maturing is knowing and changing feelings How To Break The Pharmaceutical 2-3 Sigma Barrier (Like Amgen) (pharmaceuticalonline.com) (September 18, 2017) P-D-C-A Feeling Experience: an emotional sensation (feeling), firsthand knowledge of states, situations, emotions, and sensations 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 15
  • 16. Practical: Learning from [Others] Experience 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 16
  • 17. Recalls were the result of the companies’ own test! “Butterfly effect.” Does it make sense? 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 17 Sensemaking Symposium, 23-25 October 2001. Command and Control Research Program. Office of the Assistant Secretary of Defense. Final Report.
  • 18. Good Culture of Pharmaceutical Quality to Maturity 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 18
  • 19. In the growing chaos, it is urgent and essential that we must be the change we seek in the world. Be i-SMART! 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 19 4 Life Science Lessons from the PAT to QbD Journey, May 2022 1: Professional Development Is Essential 2: Development Empowers Our SMART Future 3: Education and Training + Adaptive Learning 4. Care is Research, Wisdom is in Practice
  • 20. [SMART]^3 a path to i-SMART • Hussain, A.S., Process Analytical Technology (PAT): Understanding Validity of Pharmaceutical Quality Control and Assurance. In Handbook of Validation in Pharmaceutical Processes (pp. 883-915). CRC Press (2021) • Hussain, A.S., Morris, K. & Gurvich, V.J. Pharmaceutical Quality, Team Science, and Education Themes: Observations and Commentary on a Remarkable AAPS PharmSciTech Theme Issue. AAPS PharmSciTech 22, 88 (2021). https://doi.org/10.1208/s12249-021-01970-7 • Hussain, A. S. Digitization in Pharma and Digital Therapeutics: A Migratory Birds Eye View for Charting a Path Forward. Pharma Times, 20(12), December 2020. https://ipapharma.org/3d-flip-book/pharma-times-december- 2020/ • Gurvich, V.J., Hussain, A.S. In, and Beyond COVID-19: US Academic Pharmaceutical Science and Engineering Community Must Engage to Meet Critical National Needs. AAPS PharmSciTech 21, 153 (2020). https://doi.org/10.1208/s12249-020-01718-9 • Hussain, A. S. Pharmaceuticals Beyond 2020: Professionals and Artificial Intelligence. Indian Pharmaceutical Association. Pharma Times. 52: 14- 19 June 2020. https://ipapharma.org/3d-flip-book/pharma-times-june-2020/ • Hussain, A.S., Gurvich, V.J. & Morris, K. Pharmaceutical “New Prior Knowledge”: Twenty-First Century Assurance of Therapeutic Equivalence. AAPS PharmSciTech 20, 140 (2019). https://doi.org/10.1208/s12249-019-1347-6 • Hussain, A.S. Chaos to Continual Improvement: Path to Harmonization. CPhI Industry Report 2019: https://www.cphi.com/content/dam/Informa/cphi/en/cphi-insights/HLN19CPhI%20Insights-2019-Industry- Report.pdf • Hussain, A. S. How To Break The Pharmaceutical 2-3 Sigma Barrier (Like Amgen). Pharmaceutical Online. September 18, 2017. https://www.pharmaceuticalonline.com/doc/how-to-break-the-pharmaceutical-sigmabarrier- like-amgen-0001 • Hussain, A. S. Compliance Or Adherence? How To Approach cGMP Regulations In The 21st Century? Pharmaceutical Online. Guest Column | September 22, 2016. https://www.pharmaceuticalonline.com/doc/compliance-or- adherence-how-to-approachcgmp-regulations-in-the-st-century-0001 • Hussain, A.S. The culture of Pharmaceutical Quality: Personnel Development. Biopharma Asia March/April 2016; The culture of Pharmaceutical Quality Management System. Biopharma Asia November/December 2015, and The culture of Pharmaceutical Quality: Connecting the Dots. Biopharma Asia 34-38. Issue September/October 2015 1 0 / 9 / 2 0 2 2 © A J A Z | I N S I G H T S 20