
Learn how real world evidence complements randomized trials by turning real world data—electronic health records, claims, registries, and patient generated information—into regulator-ready insights.
Explore how real world data from claims, electronic health records, registries, and wearables becomes real world evidence through transparent, fit-for-purpose study designs.
Real world evidence moved from a curious bystander to a trusted regulator-aligned witness through policy, technology, common data models, and privacy preserving analytics.
Position real world evidence as a common language that aligns regulators, payers, clinicians, and patients through transparent design, governance, and robust data to support faster, smarter access.
Map EHR structure and biases to turn transactions into analysis-ready real-world evidence. Blend structured data with narrative notes, enforce quality checks, and document lineage for regulator-ready datasets.
Explore how claims data illuminate utilization and cost endpoints in real-world evidence, comparing open and closed streams, and show how linkage to clinical records enables timely, scalable insights.
Explore how registries and pragmatic trials bridge real-world evidence and randomized research, enabling faster, broader insights into natural history, effectiveness, and safety within clinical practice.
Explore wearables, apps, and PROs as real-world data streams linked to records and claims, with governance, validation, and equity to support outcomes and market access.
Improve real world evidence credibility by enforcing data completeness, conformance, and provenance, with automated checks and a clear lineage from source systems to analysis.
Compare cohort and case-control designs for real-world evidence from administrative data, using transparent pre-specified plans and methods like propensity weighting to manage bias.
Frame target trial emulation by defining a time-zero protocol with baseline covariates and a clear estimand, then align real-world data to that design.
Map trials along a pragmatic–explanatory spectrum to balance control and realism, using purpose-driven design, transparent decisions, and registry-based methods to inform regulators, payers, and clinicians.
Build external and synthetic control arms from registries and electronic records, align eligibility, endpoints, and follow-up to mirror a single-arm trial and accelerate credible answers.
Learn to name bias and design around it, using exchangeability, clear adjustment, and fair follow up to compare like with like; use diagrams and diagnostics for trustworthy real world evidence.
Master time-to-event analysis and survival methods for real-world data, accounting for censoring, competing risks, delayed entry, and real-world endpoints to inform care and policy.
Observe how interrupted time series and difference-in-differences transform real-world policy data into credible counterfactuals, revealing level shifts, slope changes, and policy impact.
Learn instrumental variables and causal forests to identify heterogeneous treatment effects in real-world evidence, and translate findings for regulators and payers with credible, actionable guidance.
Perform sensitivity and quantitative bias analyses to quantify unmeasured confounding and missing data, using E values and tipping point analysis to strengthen real-world evidence for care decisions.
Set up a self-contained, reproducible R and Python lab using Conda, renv, and Docker. Isolate, document, and automate your workflow for regulatory-grade real-world evidence.
Exploit the Omop data model and Fhir interoperability to enable federated, large-scale analytics and real world evidence through real-time data exchange.
Reproduce an FDA sentinel real-world evidence study comparing dabigatran and warfarin in Medicare patients using active-comparator new-user design, high dimensional propensity scores, IPTW, and a Cox model.
Transform one-off analyses into validated, reusable pipelines by enforcing version control, automated testing, data quality checks, parameterization, and containerized reproducibility for regulatory use.
Discover how the FDA real-world evidence framework turns principles into a practical playbook, emphasizing relevance, reliability, fit-for-purpose design, pre-specified protocols, and traceability with concurrent controls.
Align your real-world evidence with EMA, MHRA, and PMDA expectations by standardizing data to a shared schema, ensuring provenance, reproducibility, and auditability across federated analyses and containerized workflows.
Align your submission with a crisp protocol, a defined sap, and full traceability to prove reproducibility, minimize bias, and show provenance from data to analysis.
Master real world evidence design for health technology assessment by emulating trials with registries and claims, linking clinical effect to value through transparent, budget-conscious modeling.
Establish a culture of inspection readiness by tracing data lineage, freezing environments, and maintaining auditable run logs, lineage diagrams, and git commits with container image digests for reproducible results.
Frame early discovery with patient reality using real world evidence to define population, prognostic factors, and actionable biomarkers. Align screening design and target validation with longitudinal data and genomic context.
Real-world data transforms feasibility from guesswork into cartography, guiding computable phenotypes, pre-screening, and site selection to accelerate enrollment with diverse, data-backed decisions.
Real world evidence drives post-marketing commitments and label expansion by leveraging registries, curated electronic records, and real-world cohorts to evaluate safety, durability, and access.
Learn how pharmacovigilance transforms spontaneous reports, claims, and EHR data into timely safety signals using longitudinal designs and disproportionality methods.
Real world evidence informs cost-effectiveness and budget-impact models by integrating real world data on persistence, switching, and resource use from EHRs, claims, and registries.
Turn burden into a human story by integrating real world data, claims, and electronic records. Map epidemiology: incidence, prevalence, costs, and quality of life to inform transparent pricing.
Craft value dossiers by weaving trial data with real world evidence, linking narrative visuals to reproducible code and economic models, enabling payers to test scenarios and pathways.
Navigate HIPAA and GDPR with practical privacy safeguards to enable cross-border real-world evidence, using anonymisation, pseudonymisation, and expert determination while leveraging data privacy frameworks, DPIA, and federated analytics.
Explains how broad and dynamic consent enable secondary use of real-world data through computable preferences and transparent governance, turning consent into an operating system for ethical evidence.
Explore governance models for pharma data sharing, translating contracts into human-readable, auditable agreements, and selecting patterns like centralized lake, data environments, or federated analytics to speed science while protecting privacy.
Expose and mitigate bias in real world data by improving capture, detection, and governance across data, models, and reporting to deliver equitable health insights.
Discover how transformer models unlock unstructured clinical notes into structured variables for real world evidence, enabling credible NLP pipelines trusted by regulators.
Explore federated and privacy-preserving analytics to derive outcomes without sharing raw data, using secure enclaves, secure aggregation, and differential privacy to accelerate real-world evidence.
Real-time RWE dashboards deliver continuous, in-workflow guidance from signals and models integrated into the EHR, enabling timely, privacy-preserving decisions with transparent reasoning.
Emulate a target trial to design a defensible real-world study, crafting a protocol and analysis plan and delivering a regulatory-ready dossier.
Real-world evidence is now assessed by regulators and payers as seriously as trial evidence - and judged by the same standards. This course teaches the design and the analysis, and gives you the code to run every method yourself.
Six and a half hours across ten modules, 52 lectures, and a complete R and Python analysis toolkit built on a synthetic dataset where the true answer is known, so you can check whether a method actually recovered it.
What you will be able to do
Design a study that survives review. Cohort and case-control designs, emulating a target trial, pragmatic versus explanatory questions, external and synthetic control arms, and the biases that quietly destroy observational comparisons.
Judge data before you analyse it. Electronic health records, claims, registries and devices; completeness, provenance and fitness for purpose; the OMOP and FHIR data models.
Run the methods. Propensity score matching and inverse probability weighting with balance diagnostics, time-to-event and survival analysis, difference-in-differences, interrupted time series, instrumental variables, and quantitative bias analysis.
Meet regulatory and HTA expectations. What EMA, FDA, NICE and other assessment bodies look for in a real-world study, and how to prepare protocols and statistical analysis plans that anticipate their questions.
Use RWE where it earns its keep. Feasibility, label expansion, post-authorisation safety studies, pharmacovigilance, burden of disease, cost-effectiveness and budget impact for market access.
Handle governance properly. GDPR and HIPAA, consent and secondary use, fairness and equity in datasets, and the documentation that makes work reproducible.
The analysis toolkit
Downloadable, and every script has been executed end to end before publication. Six Python scripts and three R scripts, with a synthetic cohort, a panel dataset and a monthly time series - plus an answer key stating the true effects planted in the data.
Target trial emulation, and a demonstration of the immortal time bias created by defining exposure with information from the future
Propensity scores: caliper matching, stabilised and truncated weights, standardised mean differences, common support
Survival analysis: Kaplan-Meier, Cox, the proportional hazards test, restricted mean survival time, absolute risk and number needed to treat
Difference-in-differences with cluster-robust errors and a parallel-trends test; interrupted time series with seasonality
Instrumental variables: first-stage F, two-stage least squares, bootstrap intervals, and what a local average treatment effect actually is
Sensitivity analysis: E-values, negative control outcomes, rule-out analysis and specification robustness
Why the synthetic data matters. The true hazard ratio is 0.75 and confounding by indication is planted deliberately, so a naive comparison reports 1.03 and concludes the drug does nothing. Every correct method in the toolkit moves that estimate back towards the truth. You see the failure and the fix, on the same data, in the same session.
The R scripts depend only on base R and the survival package, which ships with every standard installation. The Python scripts install from a single requirements file. No paid software, no licences, no cloud account.
Who this is for. HEOR, market access, epidemiology, biostatistics, medical affairs and regulatory professionals who need to design, run, commission or critically read real-world studies. If you have ever been handed a database study and asked whether to believe it, this course is aimed at you.