# Flexibility by Design: Rethinking hybrid models for today’s trials with Bianca Fajardo Page: https://stenobird.com/podcast/the-cog-review-building-better-clinical-studies-7614513/flexibility-by-design-rethinking-hybrid-models-for-today-s-trials-with-bianca-fajardo Text version: https://stenobird.com/podcast/the-cog-review-building-better-clinical-studies-7614513/flexibility-by-design-rethinking-hybrid-models-for-today-s-trials-with-bianca-fajardo.md Podcast: [The COG Review: Building Better Clinical Studies](https://stenobird.com/podcast/the-cog-review-building-better-clinical-studies-7614513) Published: 2026-06-30T04:00:00+00:00 Episode link: https://the-cog-review.captivate.fm/episode/flexibility-by-design-rethinking-hybrid-models-for-todays-trials-with-bianca-fajardo Audio file: https://episodes.captivate.fm/episode/550166bd-661b-4fe8-a6f6-f7b299e80428.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-cog-review-building-better-clinical-studies-7614513/episodes/flexibility-by-design-rethinking-hybrid-models-for-today-s-trials-with-bianca-fajardo Duration seconds: 1602 ## Resource Discover how to move beyond inherited outsourcing templates and intentionally design operational models that fit your trial’s priorities, improving speed, oversight, and cost control in clinical operations. Guest Bianca Fajardo Director of Clinical Operations, Functional Services Group, Premier Research LinkedIn Episode Overview Recorded live at COG New England, this session features Bianca Fajardo, Director of Clinical Operations at Premier Research, sharing high-value insights into clinical trial outsourcing decisions and the shift toward more tailored operational models. Drawing on over two decades in the field, Fajardo addresses a key operational challenge: most sponsor organizations inherit legacy outsourcing models instead of designing them to fit evolving trial needs. The discussion walks through practical frameworks for clinical outsourcing - from leveraging the RFP process as a design dialogue rather than a simple price exercise, to using a “soundboard” approach to weigh competing priorities like speed, cost, oversight, and geography. Bianca presents real-world examples of hybrid delivery in action, highlighting trade-offs and how to architect models that flex with program needs. Designed for professionals managing clinical trial outsourcing, vendor management, and CRO selection, this session offers concrete best practices that can be implemented across sponsor, CRO, and clinical service teams. Whether you work on study startup, country/site activation, or portfolio-level oversight, you'll find operational strategies for clinical study optimization that are focused, actionable, and relevant amid growing complexity and new technology adoption. Key Moments 00:02:21 – Why most clinical teams default to legacy outsourcing models instead of intentional design 00:04… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-cog-review-building-better-clinical-studies-7614513/episodes/flexibility-by-design-rethinking-hybrid-models-for-today-s-trials-with-bianca-fajardo/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-cog-review-building-better-clinical-studies-7614513/flexibility-by-design-rethinking-hybrid-models-for-today-s-trials-with-bianca-fajardo.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.