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MedicinMan
         ~       FIELD               FORCE                             E XCE L LE N CE                                          ~
                                                                                                                                              TM




  PHARMA           |   MEDICAL             DE VICES                |      DIAGNOSTICS                          |     SURGICALS
Vol. 1 Issue 4                                             www.medicinman.net                                                   November 2011



Editorial

Employee is the New Customer
 Are your employees engaged, not engaged or disengaged?
                                                                                                          INSIDE MEDICINMAN

According to Gallup‘s necessary to keep their             negatively and Engage-
recent global survey on jobs. And 27% are actively
                                                                                                           EDITOR‘S PICK
                                                          ment leads to better Cus-
Employee Engagement disengaged,                indicating tomer Satisfaction, Higher




                                                                                                                              SUCCESS STORY
and Wellbeing, only 11% they view their jobs nega-        Productivity and Greater
of workers are engaged. In tively and may spread that     Profitability. It is time
other words, only one in negativity to co-workers.        that managers at all levels                                                         8
nine employees are emo- The findings are based on         develop metrics to meas-
tionally connected to their an unprecedented study        ure the engagement levels
workplaces and feel they of engagement involving          of their co-workers and                        AMLESH RANJAN‘S FASCI-
                                                                                                         NATING RISE FROM MR TO
have the resources and 47,000 employees in 120            map these to desired out-                      ASSOC. DIRECTOR POWERED
support they need to suc- countries. As the Employ-       comes and work towards                         BY EXCELLENCE AND VALUES.

ceed. The majority of ee Engagement Meta                  building a more engaged
                                                                                                         HOT ON LINKEDIN: IS
workers, 62%, are not en- Analysis Outcomes show,         Field Force rather than
                                                                                                         PHARMA TOO STEEPED IN
gaged — that is, they are Disengagement impacts           just managing attrition.                       TRADITIONS TO ATTRACT                3
emotionally detached and everything from Absen-           Read full report on:                           GEN-Y?
are likely to do just what is teeism to Safety to Quality http://bit.ly/gallups12 . ▌
                                                                                                         HBR STUDY REVIEW:
                                                                                                         THE 7 TRAITS OF GREAT                4
                                                                                                         SALESPEOPLE

                                                                                                         INDIAN PHARMA - THE
                                                                                                         FUTURE IS HERE: REPORT
                                                                                                         ON THE PHARMA FUTURE                 6
                                                                                                         KNOWLEDGE CONCLAVE.
                                                                                                         SALIL KALLIANPUR
                                                                                                         NO FIRE? DON‘T HIRE!
                                                                                                         WILLIAM FERNANDEZ                    11
                                                                                                         ARE YOU SELLING DRUGS
                                                                                                         OR CREATING
                                                                                                         HEALTHCARE COMPANIES?                12
                                                                                                         HANNO WOLFRAM

                                                                                                         INDUCTION: OPPORTUNITY
                                                                                                         TO LEARN BY SEEING                   13
 MedicinMan wishes all its readers Success and                                                           V. SRINIVASAN

                                                                                                         EMOTIONAL INTELLI-
  Happiness—both Personal and Professional                                                               GENCE - INSIGHT FOR BE-
                                                                                                                                              14
            this Festive Season !                                                                        GINNERS
                                                                                                         VIJAYA SHETTY
Attention Medical Reps and Front-line Managers !
                                                                        TM

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MedicinMan Vol.1. Iss.4.

                                                             Is Indian Pharma too Steeped in
Hot on Linked                                                Past Tradition to Attract Gen Y?
                                                             Gen Y, while talented, is also irreverent of traditions like addressing
As seen on Indian Pharma Connection                          seniors as 'Sir'. What changes will Indian Pharma need to undergo?

                I don't think the Gen Y is irreverent. They are merely opinionated and have strong

»               viewpoints. They need to be heard. This is where Indian Pharma is lacking. They
                are treated as learners and trainees but they are definitely also a part of the target
                audience. They know how and where customers can be tapped. Devanshi Mayani
                Great ideas have not come from business schools but from the field.

»               Many times we seniors turn a deaf ear to suggestions from the field
                or turn down saying its impractical. That‘s the beginning of conflict
                and non-implementation of existing strategies. Every one needs to be
                heard. As we grow, we seniors should learn to be patient listeners.
      If you can listen to any rubbish from customers why not listen to suggestions
      from a junior? Sanjeev Deshpande

                 You must also look at the status of an M.R. Till date they remain blue collared people (not even workmen).

»                A whole list of responsibilities, dodgy Doctors, skinning chemists/stockists, unhealthy work culture, indif-
                 ferent/inexperienced bosses, package not justifying the efforts required. Has anyone bothered to compare
                 the growth pattern, social security of a M.R. with that of any Class 4 employee? Talking of Big degrees like
      MBA (available at every nook and corner), expecting, them to be reverent, agree to illogical strategies, work ethics,
      seems funny. Remember, this industry has no value for experience. The number of years experience as an M.R. has no
      value in the job market when he/she ,seeks a job change at 45years of age. All the Pharma companies want to sell
      their products, without promoting. Shekhar Kumar Prasad

                 I am not Gen-Y but Gen-Y takes many things for granted. Agreed, they have graduated with B.Pharm or

»                M.Pharm degrees but what is taught in classes and books is mere theory. Gen-O, (I am part of Gen-O) has
                 hands-on knowledge plus that little thing called experience. Experience is not available in any book. And I
                 do not see any reason why Gen-Y will not be respected; respect is not got but is earned. Please let not
     M.Pharms be on a high stool since what they are taught is only theory. Come with an open mind, absorb knowledge
     and rise in the field. Prem Goel

                  Our Consultant, a brilliant person, who was a B. SC. then, (who went on to launch a pharma company lat-

»                 er), had joined as MR in an MNC in early 1950s. He told that then a doctor had advised him once to quit
                  the profession as it is not noble, guys smoke and take to drinks (a taboo then for a large part of the socie-
                  ty). He also said that marriage proposals were difficult to come by. However, he had a passion for the field
      and was highly successful, working as consultant till age 78+. Later this very profession was to offer one of the finest
      salaries, chances of quicker growth (MR to VP/President or even MD). Why then has it turned almost a full circle?
      Definitely the Profession has lost zeal at MR level. Dr. Ulhas Ganu

                 We should talk about MR only when the higher management is ready to take risks with new and innovative

»                strategies. This would motivate an MR by getting him out of the boredom. If MRs don‘t get respect (as they
                 seem to think) it is because they are unable to get the attention of the customer. This is because they use
                 mundane selling tactics with no innovation. Why is there no innovation? Several Reasons. It is difficult to
      get out of one‘s comfort zone to try something new It is a risky proposition. We believe we should give only what our
      customers demand (even though customers themselves are often unaware of where they stand). Imitating other com-
      panies. Belief that we shouldn‘t give "Gyan" to our doctors, and much more. Dr. Shalini Ratan

                        Note: Comments have been paraphrased. Click on the commenters‘ name to see Linkedin Profile

                     Visit Indian Pharma Connection on Linkedin for more such insightful discussions.                                  3
                                  Join MedicinMan on Linkedin: http://linkd.in/medicinman
HBR Study Review Article                                             MedicinMan Vol.1. Iss.4.


                                                                             WHAT MAKES GREAT SALESPEOPLE?
                                                                             Indian Pharma generally selects sales- This should be very encouraging for salespeo-
                                                                             people like they select any other professional ple who are considered Introverts but who
                                                                             – on the basis of qualification and experience. have other traits like Conscientiousness,
                                                                                                                                                  Achievement Orienta-
                                                                             Now an excel-
                                                                             lent, must-read
                                                                                                       Surprisingly, traits like                  tion, Curiosity and Lack
                                                                                                                                                  of Discouragement.
                                                                             article by Steve            Modesty and Lack of
                                                                             Martin of the                                                        While ‗naturals‘ will
                                                                                                     Gregariousness feature as have a head-start, most
                                                                             Harvard      Busi-
                                                                             ness      Review,       traits of Top Salespeople.                   of the Personality Traits
                                                                                                                                                  like Achievement Orien-
                                                                             talks about 7
                                                                                                                             tation, Lack of Discouragement, Lack of Self
                                                                             Personality Traits of Top Salespeople.
                                                                                                                             Consciousness and Curiosity can be cultivated
                                                                             Surprisingly, traits like Modesty and Lack of through self-awareness and self-development,
                                                                             Gregariousness (not ‗loud‘ or too friendly) feedback and coaching to create a culture of
                                                                             feature as prominent traits of top salespeople. top performance.



                                                        PERSONALITY TRAITS                  1.Modesty. 2.Conscientiousness.
                                                        OF TOP SALESPEOPLE
                                                                                            3.Achievement Orientation.
                                                                    4.Curiosity. 6.Not Easily Discouraged.




                                                                                                                                                                                 Professional Growth Special
                                                               5.Lack of Gregariousness. 7.No Self-Consciousness.
                                                 1.MODESTY: No inflated ego; propriety in dress, speech and    5.(Not) GREGARIOUS: Someone with ―loud‖ personality. Tends
The Seven Personality Traits of Great Salesmen




                                                 conduct. Does not take a know-it-all approach with            to be pushy and aggressive in approach. The old sales para-
                                                 Drs. Shows consideration for Dr‘s. personal space.            digm emphasized a ―push‖ approach to selling—selling by
                                                                                                               overwhelming. The new paradigm demands that the
                                                 2.CONSCIENTIOUS: ethical, honest, just, morals, principled.   MR pay close attention to the needs of the Dr. and
                                                 Gives 100% to the job at hand. Believes in ethical            his patients and deliver value in a calm, business-
                                                 selling to Drs. Seeks to do all that is required of           like manner.
                                                 him/her, and to do it well.
                                                                                                               6.Not Easily Discouraged: Not easily put down by failure or re-
                                                                                                               jection. Has his emotions firmly under control and looks for
                                                 3.ACHIEVEMENT ORIENTATION: Has a ―can-do‖ attitude and the
                                                                                                               opportunity in failure. MR is willing to persist with dif-
                                                 will to get the job done regardless of circumstance. Takes
                                                                                                               ficult (or rude) customers. He is not discouraged by
                                                 pride in meeting Company objectives and targets.
                                                                                                               negativity from colleagues and seniors.
                                                 Is willing to go the extra mile if required.

                                                 4.CURIOSITY: desire to know; interest in others' concerns     7.No Self-Consciousness: A self-conscious person is ill-at-ease
                                                 leading to inquiry and discovery. Loves prospecting for       with himself and others. Lack of Self-Consciousness
                                                 new leads. Has a desire to learn more about the               comes from a healthy image of oneself. Even if one
                                                 market and master the science behind the art of               has a shy personality, with practice, one can ensure
                                                 selling.                                                      that this is not a disadvantage.


                                                 Editor‘s Note: Career development begins with awareness and progresses to self development, when an individual takes
4                                                on the responsibility of improving himself by imbibing the qualities that lead to becoming a great salesperson.
                                                 Read the full article in the Harvard Business Review: http://bit.ly/qsvXKY
3 FACTORS IMPACT MR – DOCTOR INTERACTION IN THE CURRENT MARKET SCENARIO
 1. SCARCITY OF ATTENTION !
 2. SCARCITY OF TIME !
 3. SCARCITY OF INTEREST !             ENHANCING PHARMA-DOCTOR-PATIENT ENGAGEMENT


 Medical Rep—Doctor interaction should address these 3 scarcities to be effective.
 Promedik Algorithms are based on current research and simplifies diagnosis and treatment.
 Promedik Algorithms are very effective in engaging the doctor‘s attention in the shortest
 possible time by conveying clinically relevant scientific research. Promedik Algorithms also
 make the task of a Medical Rep easier and interesting by giving him a clear picture of the
 disease management sequence and where his product fits in. Promedik Algorithms enhance
 the MR-Dr. interaction and takes it from the level of mere product detailing to the delivery of
 actionable research based Rx information.

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MedicinMan Vol.1. Iss.4.




     Indian Pharma – The Future is Here.
                                    Highlights of the                 present as
                                                                      nothing
                                                                                       with the same doctors? This
                                                                                       means a sharp reduction in

                                      Pharma Future                   much had
                                                                      changed in
                                                                                       access to doctors as they
                                                                                       restrict the number of days

                                  Knowledge Conclave                  two     dec-
                                                                      ades. The
                                                                                       to see MRs and the number
                                                                                       of MRs seen on those days.
                                  at the FOUR SEASONS                 pharma-
                                                                      ceutical
                                                                                       How should pharma react?
                                                                                       Should it adopt technology?
                                     HOTEL, MUMBAI                    industry in      What role will technology
                                                                                       play? Will companies reduce
                                                                      India     is
                                                                      considered       field forces as cost effective
                                             Salil Kallianpur         a     slow       alternatives to technology?
                                                                      adopter of       Will e-detailing and e-
                                                                      new tech-        marketing replace MRs? Not
                                                                      nology, new      quite it seemed. Access to
                                                                      media and        the clinic is limited. Access
                                                       – simply put - new ways of      to mindshare is not. If com-
     ACCESS TO THE       The future       has al- doing things.                        panies demonstrate a will-
                                                                                       ingness to work with doctors
    CLINIC IS LIMITED.   ways    bewildered             »Emerging markets is a
                         man. Inability to see the      buzzword at global head-       to improve patient out-
    ACCESS TO MIND-      future forced us to learn      quarters of every MNC.         comes, then doctors are like-
                                                                                       ly to accept companies as
    SHARE IS NOT. IF     from history. The need to      Yet, every ‗new‘ business
                         know the future has given      model looks and feels the      partners and not view MRs
       COMPANIES         rise to an entire industry     same - Foray into branded      as an infringement on their
                                                                                       time and decision making.
     DEMONSTRATE A       called Business Intelligence   generics; Expand to rural
                         (BI). For Pharma business      markets and Expand sales       »Doctors in India seldom
    WILLINGNESS TO       leaders BI serves as a vital   forces to increase reach.      practice in groups. Every
    WORK WITH DOC-       crutch.                        Hardly anything novel          doctor, even when attached
                                                        here; except that novelty      to private hospitals, is an
    TORS TO IMPROVE »The global pharmaceuti-            will lie in execution. Phar-   independent consultant.
                         cal industry has billions of
      PATIENT OUT-       dollars at stake in India.     ma Companies, when faced       This increases the complexi-
                                                        with the same environ-         ties of the partnership equa-
    COMES, THEN DOC-     Analysts estimate the mar-
                                                        ment, challenges and op-       tion as each doctor has
                         ket size to be humongous
    TORS ARE LIKELY      as various ailments threat-    portunities chose to react     unique needs and require-
                         en human life with pain,       in almost the same way.        ments. Can pharma evolve
    TO ACCEPT COMPA-                                    The actual execution of        to a mass customization
                         discomfort and death. In-
    NIES AS PARTNERS     teresting insights emerged     these plans will set the men   model? If so, how quickly?
                         at the ―Pharma Future          apart from the boys. So, if    »From its current focus on
     AND NOT VIEW                                       field forces expand and
                         Knowledge Conclave 2011‖                                      products and productivity,
     MRS AS AN IN-       organized by Indegene          companies bring in more        the transition of the phar-
                         Lifesystems. Disappoint-       generic brands instead of      maceutical business model
     FRINGEMENT ON                                      novel products, will it not
                         ingly, most executives be-                                    to one that bundles products
     THEIR TIME AND      lieved the future would not    mean more Medical Reps         with services, customizes
                                                        discussing more brands
6   DECISION MAKING.     be too different from the                                     offerings to each individual
MedicinMan Vol.1. Iss.4.




  Indian Pharma – The Future is Here.
customer and leverages practices that have been diseases (CVD, diabetes,
technology to reach out to adopted in India have al- smoking) there was little or
                                                                                                    THE CRITICAL
many more customers, ready been tried and tested no discussion on how health                         DIFFERENCE
opens up the need for vast in the West. Does this leaders will become agile
amounts of data. How make India a wait-and- caretakers of interdependent                             IS BETWEEN
much data is enough? Da- watch market? Should networks that grow smarter                            DATA AND IN-
ta, sometimes, never seems iPads be used as detailing as they get to know and sup-
enough. Most often data tools in India just because port individual patients.                        SIGHTS. WE
that gets you to a ―yes-no‖ reps in the West use them? »The pharmaceutical indus-
decision is enough. Can The point here is that tech- try can explore robust value                     MAY SOME-
executives differentiate nology should be used only creation and revenue gener-
when to ask for more and if it makes sense. There is ating opportunities in areas
                                                                                                     TIMES HAVE
when to use what is availa- little to gain if we tweak that will help prevent onset                 AN OVERLOAD
ble when business models existing and time-tested                          of chronic diseases
move from be-                                                               or assist chronically
                                                                                                    OF DATA BUT
ing product fo- What is happening to healthcare is no ill patients manage
cused to becom-
                                                                                                    A DEFICIT OF
                           different from other industries—the              their disease in cost
ing      customer
                       power of the individual is increasingly efficient ways.                        INSIGHTS.
focused?       The
critical    differ- influencing how healthcare is directed
                                                                            What is happening
                                                                            to healthcare is no
                                                                                                    KNOWLEDGE
ence is between
data and in-
                       and delivered, enabled by the techno- different from oth-                        OF THE
                                                                            er industries—the
sights. We may logical and the virtual world we live in. power of the indi-                           CUSTOMER
sometimes have                                                              vidual is increas-
an overload of data but a processes that continue to ingly influencing how                            REQUIRES
deficit      of    i n s i g h t s . deliver results, just for the healthcare is directed and
Knowledge of the customer heck of it. Technology is delivered, enabled by the
                                                                                                       FACE-TO-
and insights derived from simply an enabler, not a technological and the virtual                     FACE INTER-
that knowledge can never means in itself. Ask your- world we live in. This is by
be substituted by business self how long the novelty of no means a Western phe-                        ACTION.
intelligence tools, however detailing with an iPad will nomenon. This is the future
sophisticated. In-depth last if the content remained of the pharmaceutical indus-
                                                                                                    TECHNOLOGY
understanding of custom- stale. Now ask yourself how try in India:                                   THEREFORE,
ers can only happen from easy it is to quickly update
increased face-to-face in- the latest clinical data on
                                                                   The Pharma Future. ▌               WILL AUG-
teraction requiring human iPads of the sales force us-
intervention. Technology ing technology.
                                                                                                      MENT THE
                                                                                Salil Kallianpur
therefore, will augment the »The focus lay too much on
                                                                                is    Marketing     SALES FORCE
sales force effort and not discussing the adoption of
substitute it.                       technology rather than on
                                                                                Manager        at
                                                                                                     EFFORT AND
                                                                                Medtronic. He
»Yet, why is technology what new processes would                                is an influential    NOT SUBSTI-
adoption so poor in the evolve from path-breaking                  healthcare blogger at
Indian pharmaceutical in- technology. Despite India                salilkallianpur@word                TUTE IT.
dustry? Most business being the capital of chronic                 press.com
                                                                                                                   7
MedicinMan Vol.1. Iss.4.




              Featured Thought Leader
    Success Story: Palajori to Dusseldorf                                                    by Amlesh Ranjan

                      I sit today on the               Palajori was important           You are on the move and
                      banks of river Rhine             though, because our classic      largely on your own as
                      in the German city of            brands of Hoechst were           your manager can be with
                      Dusseldorf, a tad ex-            selling well. Over time, I       you for only 2-3 days in a
                                                       grew very fond of the tea        month. You are among the
                      hausted after three
                                                       and samosas of Rohini tea        very few whose day-to-day
                      hectic but satisfying
                                                       stall and always managed         work can actually make a
                      days as a Speaker and            to hitch-hike till the high-     difference to the health of
                      Panelist at the Commercial       way on the bicycle of the        the country and its people.
                      Excellence and SFE semi-         local chemist to make my
    Amlesh Ranjan     nar.                                                              I started as an MR in 1988,
                                                       way back to town.
                      Today was a high point in                                         working mostly at Patna. I
                                                       Becoming a Medical Repre-        had the privilege of work-
    ―BECOMING A       my career when, after my
                      session on ―Co-creation of
                                                       sentative was not an easy
                                                                                        ing with very supportive
                                                       decision for the son of a
                                                                                        seniors, most of whom
      MEDICAL         Value in Partnership with
                      the Customer‖, Dr. Lean-
                                                       Doctor, when all expected
                                                                                        were ‗legends‘ in the phar-
                                                       you also to either follow his
                                                                                        ma circle. Therefore, I
    REPRESENTA-       dra Herrero, well-known
                      Change Management Guru
                                                       footsteps or better still, be-
                                                                                        learnt a lot at the very be-
                                                       come a Civil Servant or a
                      and Renowned Author                                               ginning of my career.
    TIVE WAS NOT      commented, ―Very insight-
                                                       Bank Probationary Officer.
                                                       My family members at my          West Bengal, in 1996, was
                      ful presentation: Co-
    AN EASY DECI-     creation of value is a noble
                                                       home town, Nawada, were          my first area as a First Line
                                                       actually upset with my de-       Manager. Very soon, the
                      goal.‖
    SION FOR THE                                       cision!                          realization dawned that
                      As I sip my coffee at this       My father was supportive         Area Management is a
       SON OF A       cozy café in this beautiful      though, because I had got a      complex and critical func-
                      city, my thoughts travel         break in a great company,        tion in Pharma and possi-
     DOCTOR...        back to the small tea stall      Hoechst. But he also hoped       bly a primer for General
                      in Palajori (a village in the    that I would change my           Management.
     MY FAMILY        tribal belts of eastern In-
                      dia) where I would go reg-
                                                       mind in a few months.            West-Bengal was followed
                                                       One more person was hap-         by a year at Orissa and
                      ularly for my doctor calls
    MEMBERS AT        twenty years ago.
                                                       py, our town‘s first MBA,        then five very successful
                                                       who was pleasantly sur-          years in Andhra Pradesh.
       MY HOME        Invariably, by the time I        prised at my selection.          In three years at Vizag, we
                      would finish my call, the
    TOWN,     NAWA-   only public transport avail-
                                                       Definitely, there was, and
                                                       is, something unique about
                                                                                        had managed to create the
                                                                                        No.1 team in the country.
                      able would have left. Thus,
    DA, WERE AC-      going back to the Head-
                                                       the Medical Representative
                                                       profession—You are part of
                                                                                        The Hyderabad stint gave
                      quarters was out of ques-                                         me the experience of es-
                                                       a evolved sales & marketing
    TUALLY UPSET      tion, proper food and water
                                                       team which does scientific
                                                                                        tablishing a concept from
                      a distant dream because                                           pre-marketing to launch to
                                                       selling and the key custom-
       WITH MY        there was no concept of a
                                                       ers are doctors who are
                                                                                        development.
8    DECISION!‖
                      hotel in places like Palajori.
                                                       revered in the society.
MedicinMan Vol.1. Iss.4.




             Featured Thought Leader
  Success Story: Palajori to Dusseldorf                                                                by Amlesh Ranjan

The turning point in my         Healthcare delivery will be     The industry is full of suc-
career was when I entered       a critical sector for Phar-     cess stories of people rising
Corporate Head Quarters,        ma‘s future aspirations in      from the frontline sales
Mumbai, as Team Head,           India. It is a very dynamic     roles to organization level
Operational Effectiveness       domain, with lots happen-       leadership roles. It will be
in 2005 and had the op-         ing at an amazing pace.         great to see more and more
portunity to work under a       Health systems & Hospitals      bright youngsters join the
Great Leader from whom I        offer tremendous opportu-       industry as Pharma truly
learnt the art of finding       nities in Market Access,        deserves the best talent.
                                Disease Management &                                                Amlesh speaking at the Eyefor
simple solutions to com-                                        It has been a satisfying             Pharma event in Germany
plex problems. I then           Key Account Marketing &         journey for me and my
moved into ‗Sales Force         Partnership development.        sincere gratitude to all who       ―My growth and devel-
Effectiveness and Analyt-       For my success, I am grate-     kept supporting me. The            opment did follow a
ics‘ and was part of the        ful to my organization.         backbone of my being has
                                                                                                   certain path. Sharing
Business Excellence team        Hoechst, HMR, Aventis,          been my wife and my two
headed by an amazing                                            kids. My success can be            my Success Mantra :
                                Sanofi-aventis and now
Strategist.                     Sanofi. My organization,        attributed to my consistent
                                                                                                   (1) Stick to Ethics and
In this period, I had the       has an uncompromising           desire to ‗add Value‘ by
                                approach towards Values         excelling at every responsi-       stay with Basics
privilege of having seniors,
peers and team members,         and emphasis on Learning        bility assigned.                   (2) Keep Learning and
who were consistently re-       & Development.                  Nothing deterred me from           help Develop
defining the concepts and       Despite being in the field, I   taking the task ‗head on‘,
re-stretching boundaries.       built my conceptual under-      whatever the job or the            (3) Innovation, the key
This helped me develop an       standing by doing courses       project. This coupled with         imperative
ability to be strategic in my   on Business Management          an insatiable appetite for
thinking, and inculcated in                                     learning, helped me opti-
                                                                                                   (4) Excellence, the on-
                                and Pharma Marketing.
me the courage to chal-         This combined with my           mize the opportunities that        ly way
lenge the status quo.           rich contextual experience,     came my way and also               (5) Get going, NOW!‖
In 2007 October, I was          helped me transition from       gave me the strength and
further elevated to the po-     an Operational to a Strate-     wisdom to cope with chal-
sition of an Associate          gic position.                   lenges and adversity.
Director. My last two years     Pharma is a great domain        But above all, it has been         ―THE VALUE
have been in Public & Pri-      to be in and a Medical Rep      my unwavering adherence
vate Healthcare Marketing       or Scientific Sales Execu-      to values that has helped
                                                                me reach this position be-
                                                                                                    YOU ADD,
& Operations. This posi-        tive is a good way to start
                                one‘s career. While the MR      cause all along I have been
tion has given me the op-
portunity to work under         position offers a great op-     a firm believer that, ‗The         COMES FROM
                                                                Value you add, comes from
two members of the Sanofi
Senior Management. They
                                portunity to develop cus-
                                tomer and communication         the Values, you hold‘. ▌           THE  VALUES,
have helped me gain an          orientation, Area Manager
understanding of the            position lays the founda-
                                                                Amlesh Ranjan is Assoc. Direc-
                                                                tor at Sanofi. Send feedback to:     YOU HOLD‖
Healthcare systems and
policies      in    India.
                                tion for General Manage-
                                ment        abilities.
                                                                amlesh.ranjan@sanofi.com
                                                                amleshranjan@gmail.com
                                                                                                         ~      9
Business Insight for Second-line Managers
                                                                                                MedicinMan Vol.1. Iss.4.




              LinkedinSight
     Q. What are the Most Important KRAs for Second-line Managers in Pharma?
     I. Sales
     (a) Total Sales of Rs. Mn. and a growth of % over previ-
     ous year
     (b) Promoted Sales of Rs. Mn. and a growth of % over
     previous year
     (c) Mkt Sh% growth for the Total Region from % to %
     (d) Mkt Sh% growth on Priority portfolio (Regional)                      Insight shared by Keith Pinto on
                                                                              Linkedin Group Pharma Trainers Forum.
     from % to %
                                                                              Keith Pinto is Sr. GM—Training and
     (e) Volume growth of % over previous year                                Management Development at GSK.
     (f) New Product launches with Sales of Mn. in Year of
     Launch
                                                                   IV. Rx Objectives
     II. Profitability                                             (a) Total Rx Volume Increase
     (a) Gross Profit Target of Rs. Mn. and GP Margin of %         (b) Promoted Products Rx Increase
     to Sales                                                      (c) Avg. Total Rx Value Increase
     (b) Expenses at or under Rs. Mn and at % to Sales             (d) Avg. Promoted Products Rx Value Increase
     (c) Regional Contribution target of Rs. Mn a Contrib.
     Margin of % to Sales                                          V. Regional management
                                                                   (a) No Bad Debts in The Region
     III. Productivity
     (a) Average Total Productivity Increase of %                  VI. Field Force Metrics
     (b) Promoted Products Productivity Increase of %              (a) % Reps on target
                                                                   (b) % FLSM‘s on Target
     (c) SLSM will move from Quadrant to Quadrant
                                                                   (c) Sales Calls per Day Average
     (d) Movement from Quadrant 1* FLSMs: Reps:
                                                                   (d) % Customer Reach vs. Target
     (e) Movement from Quadrant 2* FLSMs: Reps:
                                                                   (e) % Customer Coverage Frequency vs. target
     (f) Movement from Quadrant 3* FLSMs: Reps:
                                                                   (f) % SLSM time on the field
     *The 3 quadrants pertain to the 3 Pillars- Results/ Activi-   (g) % FLSM time on the field
     ties/ Leadership Behaviors at each level in the hierarchy.    (h) % Rep time out of the field

     Q. What are the 3 most important KRAs for second line managers in Healthcare?
     A. The three important KRAs for second line Sales Staff in Health Care are:
     1) Managers must at least once develop first hand con-
                                                                             Insight shared by Dr. Dev Taneja on
        tact / coverage by Drs., Healthcare Facilities, Newer                Linkedin group Indian Healthcare Industry.
        emerging HC trends / Facilities in his / her territory.              Dr. Taneja is VP - Planning, Systems and
        Periodic, Personal contact with key referring Doctors/               Strategy at Seven Hills Hospital, Mumbai
        institutions as per his/her schedule calendar.
     2) Periodic Mapping of Parent Hospital's Clinical Program Marketing share vis-à-vis main competitors in terms of
        revenues / volumes, Addition / Deletion of new Consultants, Addition / Deletion of technology and Addition /
        Deletion of additional space plus major partnerships and alliances.
     3) Performance appraisal with respect to variance in business compared to target per clinical program assigned to
        Sales Manager by Dr., Areas, Corporate business, addition of new channel partners etc.
10
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MedicinMan Vol.1. Iss.4.




         NO FIRE? DON’T HIRE !
How Front-line Managers as Talent Scouts can Reduce the Impact of Attrition
                                    Vision of the Organiza-           Step 3: India is made up of
                                    tion – If you want to lead,       small towns. Here reading
                                    pay like a leader to attract      English is more important
                                    the best talent. Mediocre         than fluency in spoken Eng-
                                    companies attract mediocre        lish. Fluency in Regional lan-
                                    people.                           guage is also important. To
                                    Goal of the Organization          Sell You have to Spell, Pro-
                                    – Organizations focusing on       nunciation part plays im-
                                    short term goals never both-      portant part in Detailing.
                                                                      Therefore reading text of         William Fernandes
                                    er about reducing attrition
                                                                      Visual Aid should be integral    Sr. Training Manager
                                    and creating talent pool.
                                                                      part of Interview.                  Blue Cross Labs
                                    Investment in People –
                                    How much will you invest on       Step 4: Education Back-
                                                                      ground – Pharma Selling          The 7 Deadly Sins
                                    people development is im-
                                    portant as people stay on in      involves scientific communi-      of Recruitment
                                                                      cations.    So      preference     -Performia Australia
                                    ―learning organizations‖.
Attrition! Attrition! At-                                             should be given to Pharmacy
                                    Interview Process - Every                                          Making the job ad
trition! People every-                                                and     Science     graduates.
                                    Manager has to be ready for                                         too good to be
where are blaming attri-                                              Street-smart Arts and Com-
                                    attrition. Front-line Manager                                            true.
tion    for    nonperfor-                                             merce graduates with right
                                    must be a talent scout and
mance. Attrition is prevalent                                         attitude, skill and enthusi-
                                    have number of potential                                             Focusing on
                                                                      asm also perform well.
across industries including top     candidates in mind in case of                                         education,
organizations like Infosys.         vacancy. He should scout for      Step 5: Using NDA formula
                                                                                                       ―experience‖ and
Pharmaceutical Industry, espe-      potential candidates while        for      final      selection:
                                                                                                        other wastes of
cially Sales and Marketing          working in the field. Vacan-      Need+Desire+Attitude.
                                                                                                             time.
have been hit badly. Career         cies in high potential territo-   (NDA) formula should be
oriented people are being of-       ries should be carefully filled   used for final selection as
                                                                      skills can be developed by       Listening, but not
fered choices by other indus-       with right candidates. Wrong
                                                                      training. People with need,           looking.
tries like IT, Real Estate, Hos-    selection will do more harm
pitality, Banking and Retailing.    than good.                        desire to succeed and right
                                                                      attitude will work better and     Let‘s find some-
We must accept the fact that        The following are 5 Steps
                                                                      work for a longer time.           one just like me!
attrition is the order of the day   to ensure ‗Right Fit‘:
and it is not likely to reduce in                                     Post Hiring Actions -
                                    Step 1: Physical Appearance
future. We can only reduce the                                        After Training and Induc-        Making personali-
                                    – Person should be physical-
impact of it by applying right                                        tion, Feedback and Perfor-         ty a priority.
                                    ly fit and presentable in ap-
HR policies in the organiza-                                          mance Appraisal are im-
                                    pearance with good attire
tion. However Front-line Man-                                         portant to develop and retain
                                    sense and enthusiasm as                                               Not reference
agers can also minimize the                                           good performers. Regular
                                    MR‘s job involves lot of leg                                           checking.
impact of Attrition through                                           and specific feedback is very
                                    work and meeting highly
                                                                      essential to develop new MR.
Right Selection, Recruitment        qualified people.                                                   Losing the right
                                                                      Scouting, recognizing and
and Interview Process to en-        Step 2: Family Background                                           candidate by not
                                                                      nurturing a talent pool to
sure ―Right Fit‖. Three im-         is very important as a person                                          acting fast
                                                                      meet the future needs by
portant aspects must be con-        with needy background will                                              enough.
                                                                      FLMs will help reduce the
sidered while making recruit-
ment policies:
                                    be hardworking and more
                                    stable.
                                                                      impact of Attrition. ▌           Taken from Performia         11
                                                                                                       Austrailia. Read more here
Business Insight from Germany                                     MedicinMan Vol.1. Iss.4.

                                           How Top Management can Help Medical Reps Overcome Rejection
       Are You                             No one knows more                  cial and market dynamics       perous future. They would

        Selling                            about a disease than
                                           pharma companies
                                                                              are    driving    paradigm
                                                                              changes, pharma is yet to
                                                                                                             play and active role in
                                                                                                             healthcare.

       Drugs or                            with all their re-                 respond. Many companies        There are the examples,
                                                                              in many countries are still    like Janssen-Cilag (J&J)
                                           searchers in the bio-
                                                                              in drug selling mode.          having set up an integrated
       Creating                            chemical,     clinical
                                           and therapeutic field.
                                                                              Therefore doctors close
                                                                              their doors and reps are
                                                                                                             project to better detect and
                                                                                                             support the treatment of
                                           But research & devel-
      Healthcare                           opment brains ap-
                                           pear not be linked to
                                                                              confronted with rejection.
                                                                              The poor reputation of
                                                                              pharma is worsening, not
                                                                                                             schizophrenia in the north
                                                                                                             of Germany. They share

         Co’s ?
                                                                                                             their knowledge, being sub-
                                           marketing & sales                  even patients trust pharma     ject matter experts on the
                                           people. In many cases              and still: playing a more      disease and are getting ac-
                                           they do not even know each         active role in healthcare      tively      involved      in
                                           other. The transfer of the         appears far away for many      healthcare. They do this
                                           vast know-how available            companies.                     through a fully independent
                                           inside the industry is not         Here it might be very help-    service company, but at
                                           leveraged to create value to       ful to create a picture of     least they do it.
                                           those who deal with these          ―playing an active role in     Where are the other
                                           problems in their clinics or       healthcare‖ to highlight       experts?       They      call
                                           hospitals.                         what this could mean: Im-      themselves         research
                                            What if pharma started            agine a population in Afri-    based companies; know
                                            shaping their markets in-         ca, suffering from the         literally        everything
          Hanno Wolfram is MD                                                 plague of the 21st century:    about the specific dis-
                                            stead of complaining and
          at Innov8 GmbH and Co-                                              HIV. There are a number of     ease they are research-
                                            what if pharma would de-
          Founder at Pharmainstitut         liver improved quality of         companies who not only         ing. They carry neces-
          Contact him at :                  life to those affected, in-       know literally everything      sary insights and still
          hanno@innov8.de                          stead     of     selling   about HIV but as well have     do not really share the-
                                                   drugs? The ―history        remedies to treat it. Imag-    se competencies with
                                                   of pharma‖ has seen        ine that companies having      those affected. Be it
                                                   many changes in            synergistic drugs would        physicians not having
                                                   company        cultures,   join forces and resources      enough time during
                                                   restrictive laws and       and agree with govern-         consultation or be it
                                                   regulations imposed,       ments to train physicians,     patients with a real
                                                   changes of approach        nurses and teachers and        need for information and
   Co‘s like Wyeth and Sanofi Pasteur have, in     and style, but one         deploy their joint forces      assistance. Pharmaceutical
collaboration with WHO and others, contributed thing has remained             into many small HIV-           companies not only have all
significantly to polio immunization globally. –Ed                             clinics across such plagued    knowledge, but they also
                                                   unchanged even in
                                                   2011: it still is about    geographies and help to        have the economic power
         M     ANY COMPANIES ―selling drugs‖. Whereas                         prevent, assist in educating   and a number of other pre-
                                            many other industries offer       the population and treat       requisites, for example pro-
                ARE STILL IN                something different today:        those affected. Of course      fessional project manage-
                                                                              this approach will create      ment skills. Many of them
              DRUG SELLING the car industry provides                                                         are striving to improve the
                                            mobility, fashion industry        revenue for the company,
                       .T
              MODE HERE- offers desirability etc.                             paid by governments or         sales model, too few are
                                                                              even the WHO. In this          thinking about the business
            FORE DOCTORS                   Despite the fact that many         case, a pharma company         model of the future. If their
                                           companies claim to be              would deliver support to       understanding of Key Ac-
              CLOSE THEIR                                                                                    count Management would
                                           healthcare      companies,         those infected, assist the
          DOORS AND REPS                   their contribution is per-         country or government to       be the same as in other in-
                                                                                                             dustries, they will start to
12       ARE CONFRONTED
                                           ceived as nothing but
                                           providing     (undoubtedly
                                                                              cure one big reason of pov-
                                                                              erty and the lack of per-      offer solutions and no long-
                                                                                                             er drugs. ▌
          WITH REJECTION.                  helpful!) drugs. While so-         spective for a more pros-



                                                                                               Business Insight from Germany
MedicinMan Vol.1. Iss.4.

  Induction: Opportunity to Learn by Seeing
  All Companies, in-              their job well and are able   appreciate the new candi-      ―INDUCTION MUST
                                  to perform and succeed in     dates‘ strength and identify
  cluding MNCs, face                                                                            BE MADE A HAPPY
                                  their job. It is very im-     areas for improvement.
  shortage of field                                                                             OCCASION BY PAY-
                                  portant to put new MRs on     Front-line Managers must
  sales people and                the right track to ensure     make the first day of the      ING ATTENTION TO
  are unable to have              that they perform well and    new candidate a happy oc-
  full complement of              get the much needed confi-    casion by 1. paying atten-
                                                                                               SMALL DETAILS LIKE
  their planned field             dence in their abilities.     tion to small details like         PROVIDING
                                  First impressions are the     giving business cards on
  strength at any giv-                                                                          BUSINESS CARDS
                                  best impressions and the      the day of joining. 2. Mak-
  en time.                                                      ing a fully engaged team       ON THE FIRST DAY
                                  induction process tends to
  Front-line        Managers      make or break new candi-      member to share his induc-         OF WORK.‖
  should play an active role      dates. The induction pro-     tion experience and assure
  in filling up vacancies and     cess must be made into a      the new candidate of full
  ensure that new candidates      pleasant experience, which    support to create a sense of
  are inducted properly.          should create trust in the    belonging.
  If 30% of sanctioned            company and put the new       This sense of belonging will
  strength remains va-            candidate at ease within      ensure that the new candi-
  cant on an average, and         the team.                     date will share his concerns
  the per month sales             The confidence developed      openly. Any disregard to
  turnover     is    Rs.10        during induction holds the    their genuine concerns,
  crores with the full            key to future performance.    will end up driving them to
  complement of field             Hence Front-line Man-         some other company.
  force, then such com-           agers must be specially       Once a new candidate is
  panies tend to lose Rs.3        trained for this task         inducted     properly    the
  crores per month.               through Management            Front-line Manager also
  This loss of revenue puts       Development          Pro-     gains confidence in his
  undue pressure on other         grams. MDPs must re-          leadership capability and
  team members leading to         inforce the importance        this feel-good factor is key
  further attrition and in-       of induction through          to motivating MRs to per-
  creased pressure. Such is       activities and experien-      form to their fullest poten-
  the enormity of the situa-      tial learning. Front-line     tial. ▌
  tion posed by unfilled va-      Managers must have
  cancies.                        clear understanding of
  To break this cycle of attri-   situational leadership
                                  so that they can direct,                  V. Srinivasan
  tion—pressure—attrition,
                                  coach, support and del-                   has a rich expe-
  Front-line Managers must
                                  egate depending on the                      rience in HR
  ensure that the induction
                                  skill level of the new                     and Sales Ad-
  of new candidates is happy
                                  team members.                             ministration in
  and satisfying by making
                                                                 Pharma Companies, with
  it an opportunity to            Induction must be a two-
                                                                over 200 published articles
  learn by seeing.                way engagement process,
                                                                 to his credit in India and
  Front-line Managers must        where Front-line Managers
                                                                abroad. He can be contact-
  demonstrate field sales ac-     must demonstrate active &
                                                                 ed at shridhar1956@ re-
  tivities clearly, so that new   empathetic listening skills
                                                                       diffmail.com,
                                  to     understand     and
  candidates         understand
                                                                                                                    13
MedicinMan Vol.1. Iss.4.



     Emotional Intelligence - Insight for Beginners
                                   The greatest wealth one        How do we ensure that           As more and more people
                                   can have in life is good       MRs are able to achieve         accept that emotional intel-
                                   health….and we in the          enhanced relationship as        ligence is just as important
       AS MORE AND                 pharmaceutical     industry    well as prescription loyalty    to professional success, as
       MORE PEOPLE                 are the ones who provide       with doctors?                   technical ability, organiza-
                                   not only medicines but         How can we empower MRs          tions are increasingly hir-
        ACCEPT THAT                healthcare solutions to the    to work in these challeng-      ing sales personnel based
                                   population through the         ing times? We empower           on their emotional intelli-
         EMOTIONAL
                                   doctors.                       them by making them             gence. This is because stud-
       INTELLIGENCE                Medical Reps are the in-       emotionally intelligent.        ies have revealed that emo-
                                   credible force who work,                                       tional intelligence is twice
          IS JUST AS                                              What is emotional intelli-
                                   come rain, shine or thun-                                      as important in contrib-
                                                                  gence? By definition, Emo-
                                                                                                  uting to excellence as intel-
       IMPORTANT TO                der to make the world a        tional Intelligence (EI) is
                                   healthier place. Despite the                                   lect alone.
                                                                  the capacity for effectively
       PROFESSIONAL                paradigm shift in commu-       recognizing and managing        Thus to really succeed,
                                   nication, the value of face    our own emotions and            MRs must develop and ap-
         SUCCESS AS
                                   to face communication and      those of others.                ply their relational skills to
     TECHNICAL ABIL-               interaction of Medical Reps
                                                                  According       to     Daniel
                                                                                                  help them connect with
                                   with the doctors continues                                     doctors, recognize doctor
      ITY, ORGANIZA-               to be of utmost significance
                                                                  Goleman, EI has 5 basic
                                                                                                  wants and needs, and build
                                                                  principles necessary to be-
          TIONS ARE                in our industry. However,                                      strong lasting relation-
                                                                  come a leader. They are self
                                   today the number of MRs                                        ships. A representative who
                                                                  awareness, self regulation,
       INCREASINGLY                has risen so much that it
                                                                  self motivation, (the ability
                                                                                                  can respond appropriately
                                   has placed a burden on the                                     to the doctor‘s emotions
       HIRING SALES                doctor‘s time.
                                                                  to recognize your emotions
                                                                                                  can have a positive influ-
                                                                  and to understand what
         PERSONNEL                 In such a scenario, how do                                     ence on doctor satisfaction
                                                                  they are telling you), empa-
                                   we make our MRs stand                                          and prescription genera-
                                                                  thy and nurturing relation-
     BASED ON THEIR                out and make a mark? How                                       tion. In fact emotionally
                                                                  ships (realize how emo-
                                   do we ensure that our MRs                                      intelligent    people      are
         EMOTIONAL                                                tions affect people around
                                                                                                  known to produce better
                                   go beyond technical skills     you. When you understand
      INTELLIGENCE.                and skills such as getting     how they feel, this allows
                                                                                                  sales and higher productiv-
                                   appointments,     detailing,                                   ity.
                                                                  you to manage relation-
                                   and getting prescriptions?     ships more effectively) – all   Eventually they can emerge
                                                                  necessary ingredients to        as stronger leaders and
                                                                  engage customers and            better decision makers and
                                                                  maintain their loyalty.         hence move to the next
                                                                                                  level in their career. Emo-
                                                                  According to Deepak Cho-
                                                                                                  tional Intelligence can thus
                                                                  pra, ―When people are
                                                                                                  be a key to success in life
                                                                  emotionally bonded to you,
                                                                                                  especially in your career. ▌
                                                                  they want to have contact
                                                                  with you. They want to be
                                                                  of service and share in your    Vijaya Shetty is a senior
                                                                  vision. Deep motivation         consultant with Identity
                                                                  then develops. True, lasting    Business Solutions Hub.
                                                                  loyalties are formed.‖ MRs      She has 15 years work ex-
                                                                  who have a high level of        perience in the Pharma
14   MRs must learn to use Emotions powerfully; like the Airtel
     ad where a grandson returns home & makes his father to re
                                                                  Emotional Intelligence can
                                                                  foster better relationships.
                                                                                                  Industry .
     -connect with grandfather after years of separation. —Ed.
MedicinMan Vol.1. Iss.4.

Career Development – Chance or Choice?
The position of Medical         Many people even change         we are willing to reflect on   movie ―Titanic‖, Leonardi
Rep offers the maxi-            their names because they        the message and learn.         Di Caprio, says that life is
mum opportunities for           are embarrassed with their      Movies like ―Titanic‖ are      like a game of cards, you
career development for          names like ‗Chironji Lal        great because they speak       cannot choose which cards
those who are willing           Khosla‗ in the movie            about    challenges     and    are dealt to you. But you
and determined; even                                                                           can choose how well you
though field sales profes-                                                                     will play the game with the
sionals enter Pharma in-                                                                       cards you have. In the
dustry by chance rather                                                                        same way you may have
than choice. This is not                                                                       become an MR by chance,
bad in itself. Many im-                                                                        but you need not leave your
portant decisions about our                                                                    career development to
life have been made for us                                                                     chance. In the past three
and we did not have any                                                                        issues of MedicinMan,
choice in deciding key is-                                                                     we have featured MRs
sues like who our parents         Chironji Lal Khosla (first from left), often felt helpless   who entered the pro-
were, what name we would          about his place in life and society; this attitude changes   fession by chance but
carry, the place of our           dramatically over the course of the movie.                   made it a choice to ex-
birth, the color of our skin                                                                   cel in their work. Every-
and so many other things        ―Khosla Ka Ghosla‖. Mov-        choices that all of us have    one can learn a lot from
about which we wish we          ies are great entertainers as   to face and overcome in        these role models of how to
had         a        choice.    well as teachers, provided      career and life.     In the    turn chance into choice. ▌



    Career Development Resources for Medical
          Reps and Front-line Managers
                                          “If you are willing to read HardKnocks for the GreenHorn,
                           Rs. 599/-      it means you are willing to do whatever it takes to build
                                          your career.” - K. Hariram, Managing Director, Galderma


                                        Rs. 799/-


                                         “SuperVision for the SuperWiser Manager is a must for front-
                                         line managers of every pharma company. It is tailor-made to
                                         transform Medical Reps to leadership positions.”
                                         Akshya Mahapatra, Head–Sales and Marketing, Glenmark Pharmaceuticals




    To place your orders or find out more about Career Development Programs :
                                       E: anupsoans@medicinman.net
                                             M: +91 934 2232 949
EXECUTIVE TEAM
                       Book Review: Using Information Value Additions to
     EDITOR
   Anup Soans
                        Therapy to Put Patients First Our Editorial Board
EXECUTIVE EDITOR
                                                      ten book that seeks to put the                    Vardarajan S is GM
  Joshua Soans
                                                      Patient First.                                    - Strategy Mgt & Ops
      COO                                                                                               Excellence at Merck.
                                                      According to Dr, Shalini Ratan,
   Arvind Nair                                        another pioneer in putting pa-                    He began his career as
                                                      tients first, It is estimated that                a Medical Rep with
ADVISORY BOARD                                        over 70% patients leave the                       Searle and has a very
                                                      doctor‘s cabin without fully          distinguished career and varied
    Prof. Vivek
                                                      understanding the treatment           track record with Upjohn, Rhone
    Hattangadi
                                                      leading to poor compliance.           Poulenc,     Pfizer   and    Novo
   Jolly Mathews                                      Pharma companies would do             Nordisk. Vardarajan‘s stint with
                                                      well to widely circulate Using        IMS has given him a deep insight
EDITORIAL BOARD                                       Information Therapy to                into healthcare industry.
                                                      Put Patients First instead of
     Shashin                                          using devious ways of increas-                    Dr. Mandar Kubal
    Bodawala                                          ing prescriptions. Informed                       M.D is a Fellow of In-
                                                      patient is a compliant patient.                   fectious Diseases Soci-
Salil Kallianpur
                                                      Using Information Thera-                          ety of India and Amer-
                  In an era when the focus is         py to Put Patients First is a                     ican College of Chest
Dr. Shalini Ratan
                  shifting to delighting the Pa-      must read for all pharma sales        Physicians. He is the Chief of In-
Prabhakar Shetty tient, it is surprising that there   and marketing professionals to        fectious Diseases at several hospi-
                  are not many handy resources        gain insight and develop empa-        tals in Mumbai and is attached to
                  to understand patient aspira-       thy for patients leading to bet-      renowned hospitals including
  CONSULTANTS     tions and bridge the vital gap.     ter quality interaction with          Fortis. Dr. Kubal enjoys interact-
                  Dr. Anirudha Malpani and his        doctors. This is one Diwali gift      ing with Medical Reps has done
                  editor Rohan Pasricha have          that will light up the world of
 Amit Shekhar                                                                               interesting surveys on various
                  done a brilliant job in bridging    patient education with bright-        aspects of a Medical Reps work.
                  this gap with their well writ-      ness that it rightly deserves. ▌



                                                       Our Editors Have Klout !
 Send your queries, comments
       and feedback to:
  E: anupsoans@medicinman.net                           MedicinMan congratulates its Editorial Board member Salil Kalli-
                  M:                                    anpur for being nominated by John Mack on his list of Pharma
        +91 934 2232 949                                Twitter Pioneers. Salil is ranked 21 out of 92 on Klout score
                                                        http://bit.ly/rbXCYY). Follow Salil on Twitter: http://bit.ly/salilk
  E: arvindnair@medicinman.net
                  M:                 Linkedin Poll: Which Issue is Most Detrimental to
        +91 987 020 1422
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                                      Published and Printed for MedicinMan by Joshua Soans at 22 North Road, Cooke Town, Bangalore—84

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MedicinMan vol1 Issue 4; November 2011

  • 1. A BroadSpektrum Healthcare Business Media’s Corporate Social Responsibility Initiative MedicinMan ~ FIELD FORCE E XCE L LE N CE ~ TM PHARMA | MEDICAL DE VICES | DIAGNOSTICS | SURGICALS Vol. 1 Issue 4 www.medicinman.net November 2011 Editorial Employee is the New Customer Are your employees engaged, not engaged or disengaged? INSIDE MEDICINMAN According to Gallup‘s necessary to keep their negatively and Engage- recent global survey on jobs. And 27% are actively EDITOR‘S PICK ment leads to better Cus- Employee Engagement disengaged, indicating tomer Satisfaction, Higher SUCCESS STORY and Wellbeing, only 11% they view their jobs nega- Productivity and Greater of workers are engaged. In tively and may spread that Profitability. It is time other words, only one in negativity to co-workers. that managers at all levels 8 nine employees are emo- The findings are based on develop metrics to meas- tionally connected to their an unprecedented study ure the engagement levels workplaces and feel they of engagement involving of their co-workers and AMLESH RANJAN‘S FASCI- NATING RISE FROM MR TO have the resources and 47,000 employees in 120 map these to desired out- ASSOC. DIRECTOR POWERED support they need to suc- countries. As the Employ- comes and work towards BY EXCELLENCE AND VALUES. ceed. The majority of ee Engagement Meta building a more engaged HOT ON LINKEDIN: IS workers, 62%, are not en- Analysis Outcomes show, Field Force rather than PHARMA TOO STEEPED IN gaged — that is, they are Disengagement impacts just managing attrition. TRADITIONS TO ATTRACT 3 emotionally detached and everything from Absen- Read full report on: GEN-Y? are likely to do just what is teeism to Safety to Quality http://bit.ly/gallups12 . ▌ HBR STUDY REVIEW: THE 7 TRAITS OF GREAT 4 SALESPEOPLE INDIAN PHARMA - THE FUTURE IS HERE: REPORT ON THE PHARMA FUTURE 6 KNOWLEDGE CONCLAVE. SALIL KALLIANPUR NO FIRE? DON‘T HIRE! WILLIAM FERNANDEZ 11 ARE YOU SELLING DRUGS OR CREATING HEALTHCARE COMPANIES? 12 HANNO WOLFRAM INDUCTION: OPPORTUNITY TO LEARN BY SEEING 13 MedicinMan wishes all its readers Success and V. SRINIVASAN EMOTIONAL INTELLI- Happiness—both Personal and Professional GENCE - INSIGHT FOR BE- 14 this Festive Season ! GINNERS VIJAYA SHETTY
  • 2. Attention Medical Reps and Front-line Managers ! TM My Success is My Responsibiliti If you are Satisfied with your Career, then Congratulations, you needn’t read further; but if you believe that you could do more but don’t know how, then this program is just for you. A One-Day Power-Packed Program to Fast-track Your Pharma Sales Career based on the best-selling books Super- Vision for the SuperWiser Front-line Manager and HardKnocks for the GreenHorn A Career Development Program by: MedicinMan Academy Where: Bangalore When: January 2012 - 7th, 14th, 21st & 28th, (All Saturdays) Investment: ` 999/- per participant. Visit www.medicinman.net to register. First 25 to register will receive 1 Copy of SuperVision for the SuperWiser Front-line Manager and HardKnocks for the GreenHorn worth ` 1,398/- FREE! E: anupsoans@medicinman.net
  • 3. MedicinMan Vol.1. Iss.4. Is Indian Pharma too Steeped in Hot on Linked Past Tradition to Attract Gen Y? Gen Y, while talented, is also irreverent of traditions like addressing As seen on Indian Pharma Connection seniors as 'Sir'. What changes will Indian Pharma need to undergo? I don't think the Gen Y is irreverent. They are merely opinionated and have strong » viewpoints. They need to be heard. This is where Indian Pharma is lacking. They are treated as learners and trainees but they are definitely also a part of the target audience. They know how and where customers can be tapped. Devanshi Mayani Great ideas have not come from business schools but from the field. » Many times we seniors turn a deaf ear to suggestions from the field or turn down saying its impractical. That‘s the beginning of conflict and non-implementation of existing strategies. Every one needs to be heard. As we grow, we seniors should learn to be patient listeners. If you can listen to any rubbish from customers why not listen to suggestions from a junior? Sanjeev Deshpande You must also look at the status of an M.R. Till date they remain blue collared people (not even workmen). » A whole list of responsibilities, dodgy Doctors, skinning chemists/stockists, unhealthy work culture, indif- ferent/inexperienced bosses, package not justifying the efforts required. Has anyone bothered to compare the growth pattern, social security of a M.R. with that of any Class 4 employee? Talking of Big degrees like MBA (available at every nook and corner), expecting, them to be reverent, agree to illogical strategies, work ethics, seems funny. Remember, this industry has no value for experience. The number of years experience as an M.R. has no value in the job market when he/she ,seeks a job change at 45years of age. All the Pharma companies want to sell their products, without promoting. Shekhar Kumar Prasad I am not Gen-Y but Gen-Y takes many things for granted. Agreed, they have graduated with B.Pharm or » M.Pharm degrees but what is taught in classes and books is mere theory. Gen-O, (I am part of Gen-O) has hands-on knowledge plus that little thing called experience. Experience is not available in any book. And I do not see any reason why Gen-Y will not be respected; respect is not got but is earned. Please let not M.Pharms be on a high stool since what they are taught is only theory. Come with an open mind, absorb knowledge and rise in the field. Prem Goel Our Consultant, a brilliant person, who was a B. SC. then, (who went on to launch a pharma company lat- » er), had joined as MR in an MNC in early 1950s. He told that then a doctor had advised him once to quit the profession as it is not noble, guys smoke and take to drinks (a taboo then for a large part of the socie- ty). He also said that marriage proposals were difficult to come by. However, he had a passion for the field and was highly successful, working as consultant till age 78+. Later this very profession was to offer one of the finest salaries, chances of quicker growth (MR to VP/President or even MD). Why then has it turned almost a full circle? Definitely the Profession has lost zeal at MR level. Dr. Ulhas Ganu We should talk about MR only when the higher management is ready to take risks with new and innovative » strategies. This would motivate an MR by getting him out of the boredom. If MRs don‘t get respect (as they seem to think) it is because they are unable to get the attention of the customer. This is because they use mundane selling tactics with no innovation. Why is there no innovation? Several Reasons. It is difficult to get out of one‘s comfort zone to try something new It is a risky proposition. We believe we should give only what our customers demand (even though customers themselves are often unaware of where they stand). Imitating other com- panies. Belief that we shouldn‘t give "Gyan" to our doctors, and much more. Dr. Shalini Ratan Note: Comments have been paraphrased. Click on the commenters‘ name to see Linkedin Profile Visit Indian Pharma Connection on Linkedin for more such insightful discussions. 3 Join MedicinMan on Linkedin: http://linkd.in/medicinman
  • 4. HBR Study Review Article MedicinMan Vol.1. Iss.4. WHAT MAKES GREAT SALESPEOPLE? Indian Pharma generally selects sales- This should be very encouraging for salespeo- people like they select any other professional ple who are considered Introverts but who – on the basis of qualification and experience. have other traits like Conscientiousness, Achievement Orienta- Now an excel- lent, must-read Surprisingly, traits like tion, Curiosity and Lack of Discouragement. article by Steve Modesty and Lack of Martin of the While ‗naturals‘ will Gregariousness feature as have a head-start, most Harvard Busi- ness Review, traits of Top Salespeople. of the Personality Traits like Achievement Orien- talks about 7 tation, Lack of Discouragement, Lack of Self Personality Traits of Top Salespeople. Consciousness and Curiosity can be cultivated Surprisingly, traits like Modesty and Lack of through self-awareness and self-development, Gregariousness (not ‗loud‘ or too friendly) feedback and coaching to create a culture of feature as prominent traits of top salespeople. top performance. PERSONALITY TRAITS 1.Modesty. 2.Conscientiousness. OF TOP SALESPEOPLE 3.Achievement Orientation. 4.Curiosity. 6.Not Easily Discouraged. Professional Growth Special 5.Lack of Gregariousness. 7.No Self-Consciousness. 1.MODESTY: No inflated ego; propriety in dress, speech and 5.(Not) GREGARIOUS: Someone with ―loud‖ personality. Tends The Seven Personality Traits of Great Salesmen conduct. Does not take a know-it-all approach with to be pushy and aggressive in approach. The old sales para- Drs. Shows consideration for Dr‘s. personal space. digm emphasized a ―push‖ approach to selling—selling by overwhelming. The new paradigm demands that the 2.CONSCIENTIOUS: ethical, honest, just, morals, principled. MR pay close attention to the needs of the Dr. and Gives 100% to the job at hand. Believes in ethical his patients and deliver value in a calm, business- selling to Drs. Seeks to do all that is required of like manner. him/her, and to do it well. 6.Not Easily Discouraged: Not easily put down by failure or re- jection. Has his emotions firmly under control and looks for 3.ACHIEVEMENT ORIENTATION: Has a ―can-do‖ attitude and the opportunity in failure. MR is willing to persist with dif- will to get the job done regardless of circumstance. Takes ficult (or rude) customers. He is not discouraged by pride in meeting Company objectives and targets. negativity from colleagues and seniors. Is willing to go the extra mile if required. 4.CURIOSITY: desire to know; interest in others' concerns 7.No Self-Consciousness: A self-conscious person is ill-at-ease leading to inquiry and discovery. Loves prospecting for with himself and others. Lack of Self-Consciousness new leads. Has a desire to learn more about the comes from a healthy image of oneself. Even if one market and master the science behind the art of has a shy personality, with practice, one can ensure selling. that this is not a disadvantage. Editor‘s Note: Career development begins with awareness and progresses to self development, when an individual takes 4 on the responsibility of improving himself by imbibing the qualities that lead to becoming a great salesperson. Read the full article in the Harvard Business Review: http://bit.ly/qsvXKY
  • 5. 3 FACTORS IMPACT MR – DOCTOR INTERACTION IN THE CURRENT MARKET SCENARIO 1. SCARCITY OF ATTENTION ! 2. SCARCITY OF TIME ! 3. SCARCITY OF INTEREST ! ENHANCING PHARMA-DOCTOR-PATIENT ENGAGEMENT Medical Rep—Doctor interaction should address these 3 scarcities to be effective. Promedik Algorithms are based on current research and simplifies diagnosis and treatment. Promedik Algorithms are very effective in engaging the doctor‘s attention in the shortest possible time by conveying clinically relevant scientific research. Promedik Algorithms also make the task of a Medical Rep easier and interesting by giving him a clear picture of the disease management sequence and where his product fits in. Promedik Algorithms enhance the MR-Dr. interaction and takes it from the level of mere product detailing to the delivery of actionable research based Rx information. EVIDENCE-BASED MEDICAL ALGORITHMS CUSTOMIZED TO YOUR SCIENTIFIC COMMUNICATION NEEDS MedicinMan Creatives featured in: To find out more call: Dr. Vishal Bansal : +91 97172 18558 Rahul Mishra : +91 96118 76767
  • 6. MedicinMan Vol.1. Iss.4. Indian Pharma – The Future is Here. Highlights of the present as nothing with the same doctors? This means a sharp reduction in Pharma Future much had changed in access to doctors as they restrict the number of days Knowledge Conclave two dec- ades. The to see MRs and the number of MRs seen on those days. at the FOUR SEASONS pharma- ceutical How should pharma react? Should it adopt technology? HOTEL, MUMBAI industry in What role will technology play? Will companies reduce India is considered field forces as cost effective Salil Kallianpur a slow alternatives to technology? adopter of Will e-detailing and e- new tech- marketing replace MRs? Not nology, new quite it seemed. Access to media and the clinic is limited. Access – simply put - new ways of to mindshare is not. If com- ACCESS TO THE The future has al- doing things. panies demonstrate a will- ingness to work with doctors CLINIC IS LIMITED. ways bewildered »Emerging markets is a man. Inability to see the buzzword at global head- to improve patient out- ACCESS TO MIND- future forced us to learn quarters of every MNC. comes, then doctors are like- ly to accept companies as SHARE IS NOT. IF from history. The need to Yet, every ‗new‘ business know the future has given model looks and feels the partners and not view MRs COMPANIES rise to an entire industry same - Foray into branded as an infringement on their time and decision making. DEMONSTRATE A called Business Intelligence generics; Expand to rural (BI). For Pharma business markets and Expand sales »Doctors in India seldom WILLINGNESS TO leaders BI serves as a vital forces to increase reach. practice in groups. Every WORK WITH DOC- crutch. Hardly anything novel doctor, even when attached here; except that novelty to private hospitals, is an TORS TO IMPROVE »The global pharmaceuti- will lie in execution. Phar- independent consultant. cal industry has billions of PATIENT OUT- dollars at stake in India. ma Companies, when faced This increases the complexi- with the same environ- ties of the partnership equa- COMES, THEN DOC- Analysts estimate the mar- ment, challenges and op- tion as each doctor has ket size to be humongous TORS ARE LIKELY as various ailments threat- portunities chose to react unique needs and require- en human life with pain, in almost the same way. ments. Can pharma evolve TO ACCEPT COMPA- The actual execution of to a mass customization discomfort and death. In- NIES AS PARTNERS teresting insights emerged these plans will set the men model? If so, how quickly? at the ―Pharma Future apart from the boys. So, if »From its current focus on AND NOT VIEW field forces expand and Knowledge Conclave 2011‖ products and productivity, MRS AS AN IN- organized by Indegene companies bring in more the transition of the phar- Lifesystems. Disappoint- generic brands instead of maceutical business model FRINGEMENT ON novel products, will it not ingly, most executives be- to one that bundles products THEIR TIME AND lieved the future would not mean more Medical Reps with services, customizes discussing more brands 6 DECISION MAKING. be too different from the offerings to each individual
  • 7. MedicinMan Vol.1. Iss.4. Indian Pharma – The Future is Here. customer and leverages practices that have been diseases (CVD, diabetes, technology to reach out to adopted in India have al- smoking) there was little or THE CRITICAL many more customers, ready been tried and tested no discussion on how health DIFFERENCE opens up the need for vast in the West. Does this leaders will become agile amounts of data. How make India a wait-and- caretakers of interdependent IS BETWEEN much data is enough? Da- watch market? Should networks that grow smarter DATA AND IN- ta, sometimes, never seems iPads be used as detailing as they get to know and sup- enough. Most often data tools in India just because port individual patients. SIGHTS. WE that gets you to a ―yes-no‖ reps in the West use them? »The pharmaceutical indus- decision is enough. Can The point here is that tech- try can explore robust value MAY SOME- executives differentiate nology should be used only creation and revenue gener- when to ask for more and if it makes sense. There is ating opportunities in areas TIMES HAVE when to use what is availa- little to gain if we tweak that will help prevent onset AN OVERLOAD ble when business models existing and time-tested of chronic diseases move from be- or assist chronically OF DATA BUT ing product fo- What is happening to healthcare is no ill patients manage cused to becom- A DEFICIT OF different from other industries—the their disease in cost ing customer power of the individual is increasingly efficient ways. INSIGHTS. focused? The critical differ- influencing how healthcare is directed What is happening to healthcare is no KNOWLEDGE ence is between data and in- and delivered, enabled by the techno- different from oth- OF THE er industries—the sights. We may logical and the virtual world we live in. power of the indi- CUSTOMER sometimes have vidual is increas- an overload of data but a processes that continue to ingly influencing how REQUIRES deficit of i n s i g h t s . deliver results, just for the healthcare is directed and Knowledge of the customer heck of it. Technology is delivered, enabled by the FACE-TO- and insights derived from simply an enabler, not a technological and the virtual FACE INTER- that knowledge can never means in itself. Ask your- world we live in. This is by be substituted by business self how long the novelty of no means a Western phe- ACTION. intelligence tools, however detailing with an iPad will nomenon. This is the future sophisticated. In-depth last if the content remained of the pharmaceutical indus- TECHNOLOGY understanding of custom- stale. Now ask yourself how try in India: THEREFORE, ers can only happen from easy it is to quickly update increased face-to-face in- the latest clinical data on The Pharma Future. ▌ WILL AUG- teraction requiring human iPads of the sales force us- intervention. Technology ing technology. MENT THE Salil Kallianpur therefore, will augment the »The focus lay too much on is Marketing SALES FORCE sales force effort and not discussing the adoption of substitute it. technology rather than on Manager at EFFORT AND Medtronic. He »Yet, why is technology what new processes would is an influential NOT SUBSTI- adoption so poor in the evolve from path-breaking healthcare blogger at Indian pharmaceutical in- technology. Despite India salilkallianpur@word TUTE IT. dustry? Most business being the capital of chronic press.com 7
  • 8. MedicinMan Vol.1. Iss.4. Featured Thought Leader Success Story: Palajori to Dusseldorf by Amlesh Ranjan I sit today on the Palajori was important You are on the move and banks of river Rhine though, because our classic largely on your own as in the German city of brands of Hoechst were your manager can be with Dusseldorf, a tad ex- selling well. Over time, I you for only 2-3 days in a grew very fond of the tea month. You are among the hausted after three and samosas of Rohini tea very few whose day-to-day hectic but satisfying stall and always managed work can actually make a days as a Speaker and to hitch-hike till the high- difference to the health of Panelist at the Commercial way on the bicycle of the the country and its people. Excellence and SFE semi- local chemist to make my Amlesh Ranjan nar. I started as an MR in 1988, way back to town. Today was a high point in working mostly at Patna. I Becoming a Medical Repre- had the privilege of work- ―BECOMING A my career when, after my session on ―Co-creation of sentative was not an easy ing with very supportive decision for the son of a seniors, most of whom MEDICAL Value in Partnership with the Customer‖, Dr. Lean- Doctor, when all expected were ‗legends‘ in the phar- you also to either follow his ma circle. Therefore, I REPRESENTA- dra Herrero, well-known Change Management Guru footsteps or better still, be- learnt a lot at the very be- come a Civil Servant or a and Renowned Author ginning of my career. TIVE WAS NOT commented, ―Very insight- Bank Probationary Officer. My family members at my West Bengal, in 1996, was ful presentation: Co- AN EASY DECI- creation of value is a noble home town, Nawada, were my first area as a First Line actually upset with my de- Manager. Very soon, the goal.‖ SION FOR THE cision! realization dawned that As I sip my coffee at this My father was supportive Area Management is a SON OF A cozy café in this beautiful though, because I had got a complex and critical func- city, my thoughts travel break in a great company, tion in Pharma and possi- DOCTOR... back to the small tea stall Hoechst. But he also hoped bly a primer for General in Palajori (a village in the that I would change my Management. MY FAMILY tribal belts of eastern In- dia) where I would go reg- mind in a few months. West-Bengal was followed One more person was hap- by a year at Orissa and ularly for my doctor calls MEMBERS AT twenty years ago. py, our town‘s first MBA, then five very successful who was pleasantly sur- years in Andhra Pradesh. MY HOME Invariably, by the time I prised at my selection. In three years at Vizag, we would finish my call, the TOWN, NAWA- only public transport avail- Definitely, there was, and is, something unique about had managed to create the No.1 team in the country. able would have left. Thus, DA, WERE AC- going back to the Head- the Medical Representative profession—You are part of The Hyderabad stint gave quarters was out of ques- me the experience of es- a evolved sales & marketing TUALLY UPSET tion, proper food and water team which does scientific tablishing a concept from a distant dream because pre-marketing to launch to selling and the key custom- WITH MY there was no concept of a ers are doctors who are development. 8 DECISION!‖ hotel in places like Palajori. revered in the society.
  • 9. MedicinMan Vol.1. Iss.4. Featured Thought Leader Success Story: Palajori to Dusseldorf by Amlesh Ranjan The turning point in my Healthcare delivery will be The industry is full of suc- career was when I entered a critical sector for Phar- cess stories of people rising Corporate Head Quarters, ma‘s future aspirations in from the frontline sales Mumbai, as Team Head, India. It is a very dynamic roles to organization level Operational Effectiveness domain, with lots happen- leadership roles. It will be in 2005 and had the op- ing at an amazing pace. great to see more and more portunity to work under a Health systems & Hospitals bright youngsters join the Great Leader from whom I offer tremendous opportu- industry as Pharma truly learnt the art of finding nities in Market Access, deserves the best talent. Disease Management & Amlesh speaking at the Eyefor simple solutions to com- It has been a satisfying Pharma event in Germany plex problems. I then Key Account Marketing & journey for me and my moved into ‗Sales Force Partnership development. sincere gratitude to all who ―My growth and devel- Effectiveness and Analyt- For my success, I am grate- kept supporting me. The opment did follow a ics‘ and was part of the ful to my organization. backbone of my being has certain path. Sharing Business Excellence team Hoechst, HMR, Aventis, been my wife and my two headed by an amazing kids. My success can be my Success Mantra : Sanofi-aventis and now Strategist. Sanofi. My organization, attributed to my consistent (1) Stick to Ethics and In this period, I had the has an uncompromising desire to ‗add Value‘ by approach towards Values excelling at every responsi- stay with Basics privilege of having seniors, peers and team members, and emphasis on Learning bility assigned. (2) Keep Learning and who were consistently re- & Development. Nothing deterred me from help Develop defining the concepts and Despite being in the field, I taking the task ‗head on‘, re-stretching boundaries. built my conceptual under- whatever the job or the (3) Innovation, the key This helped me develop an standing by doing courses project. This coupled with imperative ability to be strategic in my on Business Management an insatiable appetite for thinking, and inculcated in learning, helped me opti- (4) Excellence, the on- and Pharma Marketing. me the courage to chal- This combined with my mize the opportunities that ly way lenge the status quo. rich contextual experience, came my way and also (5) Get going, NOW!‖ In 2007 October, I was helped me transition from gave me the strength and further elevated to the po- an Operational to a Strate- wisdom to cope with chal- sition of an Associate gic position. lenges and adversity. Director. My last two years Pharma is a great domain But above all, it has been ―THE VALUE have been in Public & Pri- to be in and a Medical Rep my unwavering adherence vate Healthcare Marketing or Scientific Sales Execu- to values that has helped me reach this position be- YOU ADD, & Operations. This posi- tive is a good way to start one‘s career. While the MR cause all along I have been tion has given me the op- portunity to work under position offers a great op- a firm believer that, ‗The COMES FROM Value you add, comes from two members of the Sanofi Senior Management. They portunity to develop cus- tomer and communication the Values, you hold‘. ▌ THE VALUES, have helped me gain an orientation, Area Manager understanding of the position lays the founda- Amlesh Ranjan is Assoc. Direc- tor at Sanofi. Send feedback to: YOU HOLD‖ Healthcare systems and policies in India. tion for General Manage- ment abilities. amlesh.ranjan@sanofi.com amleshranjan@gmail.com ~ 9
  • 10. Business Insight for Second-line Managers MedicinMan Vol.1. Iss.4. LinkedinSight Q. What are the Most Important KRAs for Second-line Managers in Pharma? I. Sales (a) Total Sales of Rs. Mn. and a growth of % over previ- ous year (b) Promoted Sales of Rs. Mn. and a growth of % over previous year (c) Mkt Sh% growth for the Total Region from % to % (d) Mkt Sh% growth on Priority portfolio (Regional) Insight shared by Keith Pinto on Linkedin Group Pharma Trainers Forum. from % to % Keith Pinto is Sr. GM—Training and (e) Volume growth of % over previous year Management Development at GSK. (f) New Product launches with Sales of Mn. in Year of Launch IV. Rx Objectives II. Profitability (a) Total Rx Volume Increase (a) Gross Profit Target of Rs. Mn. and GP Margin of % (b) Promoted Products Rx Increase to Sales (c) Avg. Total Rx Value Increase (b) Expenses at or under Rs. Mn and at % to Sales (d) Avg. Promoted Products Rx Value Increase (c) Regional Contribution target of Rs. Mn a Contrib. Margin of % to Sales V. Regional management (a) No Bad Debts in The Region III. Productivity (a) Average Total Productivity Increase of % VI. Field Force Metrics (b) Promoted Products Productivity Increase of % (a) % Reps on target (b) % FLSM‘s on Target (c) SLSM will move from Quadrant to Quadrant (c) Sales Calls per Day Average (d) Movement from Quadrant 1* FLSMs: Reps: (d) % Customer Reach vs. Target (e) Movement from Quadrant 2* FLSMs: Reps: (e) % Customer Coverage Frequency vs. target (f) Movement from Quadrant 3* FLSMs: Reps: (f) % SLSM time on the field *The 3 quadrants pertain to the 3 Pillars- Results/ Activi- (g) % FLSM time on the field ties/ Leadership Behaviors at each level in the hierarchy. (h) % Rep time out of the field Q. What are the 3 most important KRAs for second line managers in Healthcare? A. The three important KRAs for second line Sales Staff in Health Care are: 1) Managers must at least once develop first hand con- Insight shared by Dr. Dev Taneja on tact / coverage by Drs., Healthcare Facilities, Newer Linkedin group Indian Healthcare Industry. emerging HC trends / Facilities in his / her territory. Dr. Taneja is VP - Planning, Systems and Periodic, Personal contact with key referring Doctors/ Strategy at Seven Hills Hospital, Mumbai institutions as per his/her schedule calendar. 2) Periodic Mapping of Parent Hospital's Clinical Program Marketing share vis-à-vis main competitors in terms of revenues / volumes, Addition / Deletion of new Consultants, Addition / Deletion of technology and Addition / Deletion of additional space plus major partnerships and alliances. 3) Performance appraisal with respect to variance in business compared to target per clinical program assigned to Sales Manager by Dr., Areas, Corporate business, addition of new channel partners etc. 10 Join MedicinMan on Linkedin here: http://linkd.in/ Join MedicinMan on Linkedin here: http://linkd.in/medicinman
  • 11. MedicinMan Vol.1. Iss.4. NO FIRE? DON’T HIRE ! How Front-line Managers as Talent Scouts can Reduce the Impact of Attrition Vision of the Organiza- Step 3: India is made up of tion – If you want to lead, small towns. Here reading pay like a leader to attract English is more important the best talent. Mediocre than fluency in spoken Eng- companies attract mediocre lish. Fluency in Regional lan- people. guage is also important. To Goal of the Organization Sell You have to Spell, Pro- – Organizations focusing on nunciation part plays im- short term goals never both- portant part in Detailing. Therefore reading text of William Fernandes er about reducing attrition Visual Aid should be integral Sr. Training Manager and creating talent pool. part of Interview. Blue Cross Labs Investment in People – How much will you invest on Step 4: Education Back- ground – Pharma Selling The 7 Deadly Sins people development is im- portant as people stay on in involves scientific communi- of Recruitment cations. So preference -Performia Australia ―learning organizations‖. Attrition! Attrition! At- should be given to Pharmacy Interview Process - Every Making the job ad trition! People every- and Science graduates. Manager has to be ready for too good to be where are blaming attri- Street-smart Arts and Com- attrition. Front-line Manager true. tion for nonperfor- merce graduates with right must be a talent scout and mance. Attrition is prevalent attitude, skill and enthusi- have number of potential Focusing on asm also perform well. across industries including top candidates in mind in case of education, organizations like Infosys. vacancy. He should scout for Step 5: Using NDA formula ―experience‖ and Pharmaceutical Industry, espe- potential candidates while for final selection: other wastes of cially Sales and Marketing working in the field. Vacan- Need+Desire+Attitude. time. have been hit badly. Career cies in high potential territo- (NDA) formula should be oriented people are being of- ries should be carefully filled used for final selection as skills can be developed by Listening, but not fered choices by other indus- with right candidates. Wrong training. People with need, looking. tries like IT, Real Estate, Hos- selection will do more harm pitality, Banking and Retailing. than good. desire to succeed and right attitude will work better and Let‘s find some- We must accept the fact that The following are 5 Steps work for a longer time. one just like me! attrition is the order of the day to ensure ‗Right Fit‘: and it is not likely to reduce in Post Hiring Actions - Step 1: Physical Appearance future. We can only reduce the After Training and Induc- Making personali- – Person should be physical- impact of it by applying right tion, Feedback and Perfor- ty a priority. ly fit and presentable in ap- HR policies in the organiza- mance Appraisal are im- pearance with good attire tion. However Front-line Man- portant to develop and retain sense and enthusiasm as Not reference agers can also minimize the good performers. Regular MR‘s job involves lot of leg checking. impact of Attrition through and specific feedback is very work and meeting highly essential to develop new MR. Right Selection, Recruitment qualified people. Losing the right Scouting, recognizing and and Interview Process to en- Step 2: Family Background candidate by not nurturing a talent pool to sure ―Right Fit‖. Three im- is very important as a person acting fast meet the future needs by portant aspects must be con- with needy background will enough. FLMs will help reduce the sidered while making recruit- ment policies: be hardworking and more stable. impact of Attrition. ▌ Taken from Performia 11 Austrailia. Read more here
  • 12. Business Insight from Germany MedicinMan Vol.1. Iss.4. How Top Management can Help Medical Reps Overcome Rejection Are You No one knows more cial and market dynamics perous future. They would Selling about a disease than pharma companies are driving paradigm changes, pharma is yet to play and active role in healthcare. Drugs or with all their re- respond. Many companies There are the examples, in many countries are still like Janssen-Cilag (J&J) searchers in the bio- in drug selling mode. having set up an integrated Creating chemical, clinical and therapeutic field. Therefore doctors close their doors and reps are project to better detect and support the treatment of But research & devel- Healthcare opment brains ap- pear not be linked to confronted with rejection. The poor reputation of pharma is worsening, not schizophrenia in the north of Germany. They share Co’s ? their knowledge, being sub- marketing & sales even patients trust pharma ject matter experts on the people. In many cases and still: playing a more disease and are getting ac- they do not even know each active role in healthcare tively involved in other. The transfer of the appears far away for many healthcare. They do this vast know-how available companies. through a fully independent inside the industry is not Here it might be very help- service company, but at leveraged to create value to ful to create a picture of least they do it. those who deal with these ―playing an active role in Where are the other problems in their clinics or healthcare‖ to highlight experts? They call hospitals. what this could mean: Im- themselves research What if pharma started agine a population in Afri- based companies; know shaping their markets in- ca, suffering from the literally everything Hanno Wolfram is MD plague of the 21st century: about the specific dis- stead of complaining and at Innov8 GmbH and Co- HIV. There are a number of ease they are research- what if pharma would de- Founder at Pharmainstitut liver improved quality of companies who not only ing. They carry neces- Contact him at : life to those affected, in- know literally everything sary insights and still hanno@innov8.de stead of selling about HIV but as well have do not really share the- drugs? The ―history remedies to treat it. Imag- se competencies with of pharma‖ has seen ine that companies having those affected. Be it many changes in synergistic drugs would physicians not having company cultures, join forces and resources enough time during restrictive laws and and agree with govern- consultation or be it regulations imposed, ments to train physicians, patients with a real changes of approach nurses and teachers and need for information and Co‘s like Wyeth and Sanofi Pasteur have, in and style, but one deploy their joint forces assistance. Pharmaceutical collaboration with WHO and others, contributed thing has remained into many small HIV- companies not only have all significantly to polio immunization globally. –Ed clinics across such plagued knowledge, but they also unchanged even in 2011: it still is about geographies and help to have the economic power M ANY COMPANIES ―selling drugs‖. Whereas prevent, assist in educating and a number of other pre- many other industries offer the population and treat requisites, for example pro- ARE STILL IN something different today: those affected. Of course fessional project manage- this approach will create ment skills. Many of them DRUG SELLING the car industry provides are striving to improve the mobility, fashion industry revenue for the company, .T MODE HERE- offers desirability etc. paid by governments or sales model, too few are even the WHO. In this thinking about the business FORE DOCTORS Despite the fact that many case, a pharma company model of the future. If their companies claim to be would deliver support to understanding of Key Ac- CLOSE THEIR count Management would healthcare companies, those infected, assist the DOORS AND REPS their contribution is per- country or government to be the same as in other in- dustries, they will start to 12 ARE CONFRONTED ceived as nothing but providing (undoubtedly cure one big reason of pov- erty and the lack of per- offer solutions and no long- er drugs. ▌ WITH REJECTION. helpful!) drugs. While so- spective for a more pros- Business Insight from Germany
  • 13. MedicinMan Vol.1. Iss.4. Induction: Opportunity to Learn by Seeing All Companies, in- their job well and are able appreciate the new candi- ―INDUCTION MUST to perform and succeed in dates‘ strength and identify cluding MNCs, face BE MADE A HAPPY their job. It is very im- areas for improvement. shortage of field OCCASION BY PAY- portant to put new MRs on Front-line Managers must sales people and the right track to ensure make the first day of the ING ATTENTION TO are unable to have that they perform well and new candidate a happy oc- full complement of get the much needed confi- casion by 1. paying atten- SMALL DETAILS LIKE their planned field dence in their abilities. tion to small details like PROVIDING First impressions are the giving business cards on strength at any giv- BUSINESS CARDS best impressions and the the day of joining. 2. Mak- en time. ing a fully engaged team ON THE FIRST DAY induction process tends to Front-line Managers make or break new candi- member to share his induc- OF WORK.‖ should play an active role dates. The induction pro- tion experience and assure in filling up vacancies and cess must be made into a the new candidate of full ensure that new candidates pleasant experience, which support to create a sense of are inducted properly. should create trust in the belonging. If 30% of sanctioned company and put the new This sense of belonging will strength remains va- candidate at ease within ensure that the new candi- cant on an average, and the team. date will share his concerns the per month sales The confidence developed openly. Any disregard to turnover is Rs.10 during induction holds the their genuine concerns, crores with the full key to future performance. will end up driving them to complement of field Hence Front-line Man- some other company. force, then such com- agers must be specially Once a new candidate is panies tend to lose Rs.3 trained for this task inducted properly the crores per month. through Management Front-line Manager also This loss of revenue puts Development Pro- gains confidence in his undue pressure on other grams. MDPs must re- leadership capability and team members leading to inforce the importance this feel-good factor is key further attrition and in- of induction through to motivating MRs to per- creased pressure. Such is activities and experien- form to their fullest poten- the enormity of the situa- tial learning. Front-line tial. ▌ tion posed by unfilled va- Managers must have cancies. clear understanding of To break this cycle of attri- situational leadership so that they can direct, V. Srinivasan tion—pressure—attrition, coach, support and del- has a rich expe- Front-line Managers must egate depending on the rience in HR ensure that the induction skill level of the new and Sales Ad- of new candidates is happy team members. ministration in and satisfying by making Pharma Companies, with it an opportunity to Induction must be a two- over 200 published articles learn by seeing. way engagement process, to his credit in India and Front-line Managers must where Front-line Managers abroad. He can be contact- demonstrate field sales ac- must demonstrate active & ed at shridhar1956@ re- tivities clearly, so that new empathetic listening skills diffmail.com, to understand and candidates understand 13
  • 14. MedicinMan Vol.1. Iss.4. Emotional Intelligence - Insight for Beginners The greatest wealth one How do we ensure that As more and more people can have in life is good MRs are able to achieve accept that emotional intel- health….and we in the enhanced relationship as ligence is just as important AS MORE AND pharmaceutical industry well as prescription loyalty to professional success, as MORE PEOPLE are the ones who provide with doctors? technical ability, organiza- not only medicines but How can we empower MRs tions are increasingly hir- ACCEPT THAT healthcare solutions to the to work in these challeng- ing sales personnel based population through the ing times? We empower on their emotional intelli- EMOTIONAL doctors. them by making them gence. This is because stud- INTELLIGENCE Medical Reps are the in- emotionally intelligent. ies have revealed that emo- credible force who work, tional intelligence is twice IS JUST AS What is emotional intelli- come rain, shine or thun- as important in contrib- gence? By definition, Emo- uting to excellence as intel- IMPORTANT TO der to make the world a tional Intelligence (EI) is healthier place. Despite the lect alone. the capacity for effectively PROFESSIONAL paradigm shift in commu- recognizing and managing Thus to really succeed, nication, the value of face our own emotions and MRs must develop and ap- SUCCESS AS to face communication and those of others. ply their relational skills to TECHNICAL ABIL- interaction of Medical Reps According to Daniel help them connect with with the doctors continues doctors, recognize doctor ITY, ORGANIZA- to be of utmost significance Goleman, EI has 5 basic wants and needs, and build principles necessary to be- TIONS ARE in our industry. However, strong lasting relation- come a leader. They are self today the number of MRs ships. A representative who awareness, self regulation, INCREASINGLY has risen so much that it self motivation, (the ability can respond appropriately has placed a burden on the to the doctor‘s emotions HIRING SALES doctor‘s time. to recognize your emotions can have a positive influ- and to understand what PERSONNEL In such a scenario, how do ence on doctor satisfaction they are telling you), empa- we make our MRs stand and prescription genera- thy and nurturing relation- BASED ON THEIR out and make a mark? How tion. In fact emotionally ships (realize how emo- do we ensure that our MRs intelligent people are EMOTIONAL tions affect people around known to produce better go beyond technical skills you. When you understand INTELLIGENCE. and skills such as getting how they feel, this allows sales and higher productiv- appointments, detailing, ity. you to manage relation- and getting prescriptions? ships more effectively) – all Eventually they can emerge necessary ingredients to as stronger leaders and engage customers and better decision makers and maintain their loyalty. hence move to the next level in their career. Emo- According to Deepak Cho- tional Intelligence can thus pra, ―When people are be a key to success in life emotionally bonded to you, especially in your career. ▌ they want to have contact with you. They want to be of service and share in your Vijaya Shetty is a senior vision. Deep motivation consultant with Identity then develops. True, lasting Business Solutions Hub. loyalties are formed.‖ MRs She has 15 years work ex- who have a high level of perience in the Pharma 14 MRs must learn to use Emotions powerfully; like the Airtel ad where a grandson returns home & makes his father to re Emotional Intelligence can foster better relationships. Industry . -connect with grandfather after years of separation. —Ed.
  • 15. MedicinMan Vol.1. Iss.4. Career Development – Chance or Choice? The position of Medical Many people even change we are willing to reflect on movie ―Titanic‖, Leonardi Rep offers the maxi- their names because they the message and learn. Di Caprio, says that life is mum opportunities for are embarrassed with their Movies like ―Titanic‖ are like a game of cards, you career development for names like ‗Chironji Lal great because they speak cannot choose which cards those who are willing Khosla‗ in the movie about challenges and are dealt to you. But you and determined; even can choose how well you though field sales profes- will play the game with the sionals enter Pharma in- cards you have. In the dustry by chance rather same way you may have than choice. This is not become an MR by chance, bad in itself. Many im- but you need not leave your portant decisions about our career development to life have been made for us chance. In the past three and we did not have any issues of MedicinMan, choice in deciding key is- we have featured MRs sues like who our parents Chironji Lal Khosla (first from left), often felt helpless who entered the pro- were, what name we would about his place in life and society; this attitude changes fession by chance but carry, the place of our dramatically over the course of the movie. made it a choice to ex- birth, the color of our skin cel in their work. Every- and so many other things ―Khosla Ka Ghosla‖. Mov- choices that all of us have one can learn a lot from about which we wish we ies are great entertainers as to face and overcome in these role models of how to had a choice. well as teachers, provided career and life. In the turn chance into choice. ▌ Career Development Resources for Medical Reps and Front-line Managers “If you are willing to read HardKnocks for the GreenHorn, Rs. 599/- it means you are willing to do whatever it takes to build your career.” - K. Hariram, Managing Director, Galderma Rs. 799/- “SuperVision for the SuperWiser Manager is a must for front- line managers of every pharma company. It is tailor-made to transform Medical Reps to leadership positions.” Akshya Mahapatra, Head–Sales and Marketing, Glenmark Pharmaceuticals To place your orders or find out more about Career Development Programs : E: anupsoans@medicinman.net M: +91 934 2232 949
  • 16. EXECUTIVE TEAM Book Review: Using Information Value Additions to EDITOR Anup Soans Therapy to Put Patients First Our Editorial Board EXECUTIVE EDITOR ten book that seeks to put the Vardarajan S is GM Joshua Soans Patient First. - Strategy Mgt & Ops COO Excellence at Merck. According to Dr, Shalini Ratan, Arvind Nair another pioneer in putting pa- He began his career as tients first, It is estimated that a Medical Rep with ADVISORY BOARD over 70% patients leave the Searle and has a very doctor‘s cabin without fully distinguished career and varied Prof. Vivek understanding the treatment track record with Upjohn, Rhone Hattangadi leading to poor compliance. Poulenc, Pfizer and Novo Jolly Mathews Pharma companies would do Nordisk. Vardarajan‘s stint with well to widely circulate Using IMS has given him a deep insight EDITORIAL BOARD Information Therapy to into healthcare industry. Put Patients First instead of Shashin using devious ways of increas- Dr. Mandar Kubal Bodawala ing prescriptions. Informed M.D is a Fellow of In- patient is a compliant patient. fectious Diseases Soci- Salil Kallianpur Using Information Thera- ety of India and Amer- In an era when the focus is py to Put Patients First is a ican College of Chest Dr. Shalini Ratan shifting to delighting the Pa- must read for all pharma sales Physicians. He is the Chief of In- Prabhakar Shetty tient, it is surprising that there and marketing professionals to fectious Diseases at several hospi- are not many handy resources gain insight and develop empa- tals in Mumbai and is attached to to understand patient aspira- thy for patients leading to bet- renowned hospitals including CONSULTANTS tions and bridge the vital gap. ter quality interaction with Fortis. Dr. Kubal enjoys interact- Dr. Anirudha Malpani and his doctors. This is one Diwali gift ing with Medical Reps has done editor Rohan Pasricha have that will light up the world of Amit Shekhar interesting surveys on various done a brilliant job in bridging patient education with bright- aspects of a Medical Reps work. this gap with their well writ- ness that it rightly deserves. ▌ Our Editors Have Klout ! Send your queries, comments and feedback to: E: anupsoans@medicinman.net MedicinMan congratulates its Editorial Board member Salil Kalli- M: anpur for being nominated by John Mack on his list of Pharma +91 934 2232 949 Twitter Pioneers. Salil is ranked 21 out of 92 on Klout score http://bit.ly/rbXCYY). Follow Salil on Twitter: http://bit.ly/salilk E: arvindnair@medicinman.net M: Linkedin Poll: Which Issue is Most Detrimental to +91 987 020 1422 Success in Today’s Workplace? To receive the latest issue of MedicinMan every month in your mailbox, visit www.medicinman.net and enter your email ID in the ―Subscribe to MedicinMan‖ widget below the latest issue. Published and Printed for MedicinMan by Joshua Soans at 22 North Road, Cooke Town, Bangalore—84