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A. The Importance of Study Specifications
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B. Qualifying CROs
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C. Evaluating CRO Proposals and Choosing the Right CRO
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VI. Making it Work: How to Lay the Groundwork for a Successful Project Relationship
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A. Company Organization: Redefining the Structure
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B. Personnel: Developing New Skills
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C. Procedures: The Best of Both Worlds
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VII. Measuring Results: End-of-Study Evaluation of the CRO
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VIII. Beyond the Project at Hand: Long-Term Relationships with Key CROs
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References
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I. Introduction
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This is as strange a maze as men e'er trod;
and there is in this business more than nature
Was ever conduct of; some oracle
Must rectify our knowledge
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William Shakespeare
The Tempest
Those who are now negotiating the unfamiliar, often rocky terrain of today's drug development environment may do well to remember that they are not the first to face newand sometimes frighteningchallenges. After all, every age of radical change in business and industry plucks us from our familiar surroundings and plunks us down in a strange new landscape. If we are human, our first responses may be fear, panic, and resistance to change; if we are wise, these soon give way to hope, excitement, and a sense of new possibilities. The key is to explore the new world with open and observant minds, looking to those who have gone before us and gleaning from their experiences the strategies we must master to negotiate the terrain successfully.
Just as the Industrial Revolution completely redefined the environment in which goods are manufactured and produced, and just as the PC Revolution wholly transformed the face of the landscape of communications, so now has

 
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