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March 26, 2026

Last month, Certara had the chance to sponsor the Linking Leaders Medical Writing Executive Roundtable, which brought together leaders from across pharma and biotech – including Pfizer, Roche, Merck, Regeneron, BMS, and others. This important discussion reinforced something many of us are noticing across the industry:

Medical Writing is entering one of the most significant transformations in its history.

Generative Artificial Intelligence (GenAI) is accelerating content creation. Regulatory submissions are becoming more complex, with a trend toward less storytelling and more data-driven approaches. The role of medical writers is evolving from simply producing documents to becoming strategic leaders in shaping the regulatory narrative.

Below are five key themes and their implications for leaders shaping their Medical Writing strategy for 2026.

1. Medical Writing is now Strategic Regulatory Communication

Many leaders questioned whether the term “Medical Writing” still accurately reflects the role’s true value. Why? Today’s medical writer is often the only person with a comprehensive view of an entire submission package, integrating clinical science, regulatory requirements, and stakeholder perspectives. The true value of Medical Writers lies in their ability to shape the regulatory narrative, align messaging across teams, and synthesize complex data into a compelling submission story of efficacy and safety. In other words, this is a strategy, not administrative writing.

2. AI will accelerate writing - but not replace writers

There are well-documented use cases for Generative AI that include:

  • Clinical Study Reports and Summaries
  • Protocols
  • Patient Safety Narratives
  • Literature Reviews
  • Quality Control consistency checks

But the industry consensus is clear.

GenAI can reduce the effort needed for Draft 1 preparation by about 30–50%. However, to produce a final document, the more realistic lifecycle efficiency gains are around 15–20% once validation, review cycles, and regulatory input are included. The key takeaway:

GenAI reduces the effort required to produce content from disparate sources while enabling writers to add more value by focusing on regulatory strategy, narrative positioning, and scientific interpretation.

3. The medical writing talent model is changing

Historically, the recruitment of medical writers primarily focused on scientific credentials and demonstrated writing skills. In the future, leaders are prioritizing a broader skill set that includes:

  • Digital Literacy
  • AI fluency
  • Structured Content Authoring
  • Cross-Functional Leadership
  • Regulatory Strategy

At the same time, organizations face a new challenge: If GenAI drafts early content, how can less experienced writers develop deep scientific and regulatory judgment? The solution to upskilling writers will involve new mentoring and training models, rather than traditional apprenticeship approaches that rely on over-the-shoulder reviews.

4. Process discipline may deliver more value than technology

One surprising insight from the roundtable: Many organizations realize that behavioral inefficiencies cancel out the benefits of AI. For instance, excessive review cycles, unclear decision-making processes, comment overload, and perfectionist editing. Several leaders mentioned that enforcing review discipline and streamlining processes can lead to productivity gains equal to or greater than automation alone.

5. Submissions are moving toward structured data

Regulatory agencies are gradually shifting from document-based reviews to data-centric ecosystems. Initiatives like ICH M11 electronic protocols highlight this emerging trend. Moving forward, submissions will likely include structured data, modular content, and narrative interpretations. This evolution will increase the importance of Medical Writers, not decrease it. They will serve as integrators of data, narrative, and regulatory intent.

Strategic priorities for Medical Writing leaders in 2026

Based on the discussion, several priorities stand out for leadership teams:

  1. Reposition Medical Writing as a strategic function
    Elevate the role from document creation to regulatory narrative leadership.
  2. Build AI-enabled workflows
    Focus on end-to-end submission workflows, not isolated AI tools.
  3. Modernize the workforce through upskilling
    Develop writers who blend science, digital skills, and strategic thinking.
  4. Introduce process discipline
    Reduce review cycles and emphasize fit-for-purpose solutions content.
  5. Prepare for structured regulatory content
    Start investing in modular, structured content models that align with future submission systems.

Final thought

The future of Medical Writing will not be defined by AI alone.

Success depends on how leaders intentionally develop their talent pools, adapt their processes to integrate technology, and improve the organizational view of the medical writing function. The organizations that succeed will transform Medical Writing from a documentation role into a strategic driver for accelerating regulatory success. And ultimately, that change is about one thing: delivering new therapies to patients more quickly.

Authors

Demetrius Carter

SVP, Regulatory Services

Demetrius Carter, RAC, is a clinical development executive with 20+ years of drug development experience in both the pharmaceutical and medical device industries. His experience includes roles at Glaxo SmithKline, Pfizer and JNJ before transitioning into the CRO industry. While at IQVIA, Demetrius held roles of increasing responsibilities in project management, clinical monitoring, and central laboratories. He also led global operations at Syneos Health for both the medical device and the oncology business units. Demetrius presently serves as the senior vice president, regulatory services at Certara where he oversees their regulatory writing, strategy, and operations functions. He has a Bachelor of Science in Biological Sciences from North Carolina State University and an MBA from Fairleigh Dickinson University. He also holds several certifications including Project Management Professional (PMP) from the Project Management Institute, Lean Six-Sigma Green Belt Certification from Villanova University, and the Regulatory Affairs Certification (RAC).

Heather Graham

Heather Graham

Vice President - Regulatory Writing & Scientific Publications

Heather Graham started her career in the pharmaceutical industry more than 17 years ago, and today she is the Vice President of Regulatory Writing and Scientific Publications at Certara. Her biopharma experience includes both large and small organizations, and she has successfully led a number of new medicines and vaccines to global approval in major markets (such as Canada and the US) in addition to developing markets where access to medicines can be more challenging. In her current role, Ms. Graham leads a global organization comprising more than 150 regulatory and scientific experts spanning 8 countries.

Ms. Graham is passionate about patient centricity and advocacy in drug development and has worked throughout her career to incorporate the voice and perspective of patients in the regulatory decision-making process.

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