FDA Needs Inspection Staff Recruitment Plan: GAO

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Speaking on a Government Accountability Office (GAO) podcast, GAO healthcare director Mary Denigan-Macauley says FDA needs to have a plan to address all of the causes that make it difficult to recruit facility inspectors and a strategy for retaining new hires. The podcast focuses on foreign and domestic facility inspections and makes the point that in-person inspections still have not returned to pre-Covid levels.

Denigan-Macauley says the agency will continue to rely on several alternate approaches to in-person inspections.

She says GAO has had longstanding concerns about FDA’s ability to retain its workforce. “It’s for that reason that we have put them on the High Risk list,” Denigan-Macauley says, “saying their oversight of medical products is in jeopardy because of their inability to retain that workforce. So the High Risk list is our way of putting issues that we have concerns about duplication, overlap, and fragmentation for issues that are of high criticality. In our case, it’s actually about transformation. We would like to see a transformation of how FDA oversees the medical products.”

GAO's full report can be read here.

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