Friday, October 29, 2010

Career Spotlight: Physician Assistant - The Clinical Side



If you have ever thought about making a transition over to the clinical side of healthcare to capitalize on your relationships and healthcare experience, then maybe becoming a Physician Assistant is an option for you.  Due to the current shortage of healthcare providers in Family Practice, Physician Assistants are in more demand then ever.  The good news is if you have a bachelors degree in a science related discipline you may not have to take many, if any, prerequisites.  The training to become a Physician Assistant is approximately 2 years and the average salary, according to Payscale.com, can range from $69,890 to $87, 926.  Of course, you can make more or less depending on experience and specialty.

According to the American Academy of Physician Assistants (www.aapa.org):

Physician assistants (PAs) are health professionals licensed to practice medicine with physician supervision. PAs perform a comprehensive range of medical duties, from basic primary care to high-technology specialty procedures. PAs often act as first or second assistants in major surgery and provide pre- and postoperative care.

In some rural areas where physicians are in short supply, PAs serve as the primary providers of health care, conferring with their supervising physicians and other medical professionals as needed and as required by law. PAs can be found in virtually every medical and surgical specialty.

The PA’s responsibilities depend on the type of practice, his or her experience, the working relationship with physicians and other health care providers, and state laws.
There are approximately 68,100 practicing PAs in the United States as of January 2009.


The average PA program takes 26.5 months to complete. The first year generally is composed of classroom studies — the essential medical sciences such as microbiology, anatomy, and physiology — followed by a year of clinical rotations in private practice and institutional settings.

1st Year of Study
Classroom Studies
Anatomy
Physiology
Pharmacology
Microbiology
Biochemistry
Pathology
Clinical Lab
Health Promotion
Clinical Medicine
Medical Ethics
2nd Year of Study
Clinical Rotations
Family Medicine
Internal Medicine
Emergency Medicine
Pediatrics
Geriatric Medicine
Obstetrics/gynecology
Surgery
Orthopedics
Psychiatry
Radiology


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Thursday, October 28, 2010

Your New Found Motivation has paralyzed your desire to work your territory



How exciting is it to know that you are well on your way to laying the ground work for getting out of Pharmaceuticals?  Now you are on such a high that the thought of getting out of the bed to work your  territory sounds depressing.   You have role played in your head what you would like to tell your manager once you officially submit your resignation.  The good news is that once you began a search for  alternative careers you started the process of freeing yourself from all of the pharmaceutical sales pressure to be 100% of plan, sleepless nights before manager ride-alongs and hours of time spent complaining and stressing.  WOW!  Who knew the "Golden Handcuffs" could tarnish so fast?  The operative word here is TARNISH.  If something is real gold it can not tarnish, but if it is gold plated it can.  That's Pharma!  We are lured in by the salaries, benefits, car, bonus potential and promise for upward mobility.  When in reality our salary only grows if we are our manager's favorite.  The drug you were promised to launch never came to market and you can't get a promotion to save your life because this god forsaken territory is filled with physicians that barely make it to a lunch.  So guess what, if you don't wise up and look after yourself you are going to be part of the next layoff with no options and a severance package to match those 24-karat gold plated handcuffs.  Beat them at their own game.  Here are a few tips on how to fly under the radar without really working any harder.  Stop trying to prove something to your manager on ride days and just tell him/her what he wants to hear.  Prior to your ride day send him a short list of the physicians you are targeting (they love this stuff).  Increase your call activity by 1 additional doctor per day.  Take the time to enter your calls in the field after each one is finished.  Sync your computer every evening.  Everything I just listed will keep your manager off your trail  because it demonstrates behavior that is proactive and consistent.  The beauty of this plan is that you did all this on Pharma's clock, and now you have more time to focus on your new career path without unecessary pressures at work.   Be passionate about getting out of Pharmaceutical sales and stop trying to force yourself to be passionate about a job that is full of empty promises. 

Please,
Get off the Pharm

Monday, October 25, 2010

Step 2: What Do You Want To Do Instead of Pharmaceutical Sales?

If you have decided that you are ready to "get off the pharm" and transition out of pharmaceutical sales, OR it has already been decided for you because you have been displaced, then it is time to explore your options and decide what else you may want to do.  I hope you noticed our Career Spotlight posted this past Friday, which will be used to highlight various career options, including entrepreneurial opportunities, every Friday.
It is important to know what your gifts/strengths are as you consider your next career move.  There are several ways to determine this information.  You can ask those closest to you, think back to what you enjoyed in your childhood/youth, look back at old performance reviews at your manager's comments or take an online assessment.  The good news is there are tons of FREE career assessment and aptitude tests on the World Wide Web.  If you decide to become a member of Get Off the Pharm we will provide you with a copy of the #1 Wall Street Journal and #1 BusinessWeek bestseller, StrengthsFinder 2.0.  All of these methods can give you some great insight into your strengths and gifts.  When people operate within their gifts and strengths they tend to be more successful, and as a result, happier and more fulfilled.
The main purpose of this blog is to provide solutions (not just information) for those who want to get out of pharmaceutical sales.  Once you decide what you want to do next, or let us help you figure it out, we can work with you to develop a plan of transition, as well as help you take the steps to make that transition a reality.  Please let us know how we can help.

Friday, October 22, 2010

Career Spotlight: Medical Device Sales - The Good, the Bad, the Ugly



Welcome to our Career Spotlight.  Each Friday you can look forward to us highlighting an alternative career option for you to explore further.  We would like to start with medical device sales since it seems to be the most feasible next career step for pharmaceutical sales reps…or so many think.  Here is a thorough comparison between pharmaceutical and medical device sales from pharmrepclinic.com:


Guest Column: Pharma Sales v. Device Sales

Copyright 2007 by Jane Chin, Ph.D.
Pharm Rep Clinic’s guest columnist Vincent Ma is the author of Non Sterile (www.nonsterile.com), a blog focused on medical device sales. Non Sterile is packed full of tips for device reps. In this article, Vincent describes similarities and differences between pharma sales and device sales, including questions you should ask yourself if you want to make a transition from pharmaceutical sales to medical device sales.
Pharma Sales v. Device Sales
The Similarities
There are several similarities between pharmaceutical sales and medical device sales. In both professions, we are trying to educate doctors and other medical staff that the features and benefits of the products that we represent are better than that of our competitors. Both types of sales representatives provide lunches, samples, marketing tchotchkes and other forms of entertainment.
Medical devices span several different categories. There are disposables, capital equipment, surgical, non-invasive and diagnostic to name a few. Disposables medical sales are similar to pharmaceutical sales in that there is a high likelihood of repeat business. For instance, if you represent a manufacturer of medical latex gloves and the purchasing manager is convinced that you have the best product (whether it is based on product feature or price), then they will most likely re-order from you again. Similarly, a physician will continue to write your drug if he or she believes it has the fewest side effects in the class.
Just as in pharmaceuticals, where you are concerned with formulary issues, many hospitals participate in buying groups. You need to check with the purchasing department to see if the hospital has pre-negotiated prices with a buying group such as Novation or Premier. In addition, MDR does an annual survey of medical device manufactures. Only hospitals that have purchased equipment are asked to participate in the survey. The survey covers equipment price, quality of the equipment, and the level of service and support. Many hospitals have access to this information and if you are involved in a competitive bid situation, the MDR rating will be used in the purchasing decision. Government agencies have their own contract and pricing.
If you are not part of a purchasing group, you are locked-out of those accounts. Just like when a physician goes off formulary and needs to document a prior authorization, a department director will have to do the same if they decide to purchase equipment that is not part of the buying group. Such justification can reach over 300 pages, and many directors believe it is not worth the fight. As a medical device representative, it is your job to differentiate your product enough with the decision makers so they will want to write the justification.
These are where similarities between pharma sales and device sales end.
The Differences
The goal in pharmaceutical sales is to increase the number of prescriptions (“scripts”) written by physicians in your assigned geographical area. In medical devices sales, the goal is get the purchase order. In pharmaceutical sales, the results of your efforts are rarely instantaneous; weeks may pass before you know if the lunch you provided increased the writing habits for your drug at that particular office. With medical devices sales, you know at the end of the day if you did a good job, because you either got the purchase order or you didn't. You don’t have to wait a month to see if your numbers go up.
Traditional salespeople that work in different industries will have more in common with medical device representatives than their pharmaceutical counterparts. A software sales person will have similar skills that a medical device representative will need. These selling skills include, but are not limited to prospecting, forecasting, negotiation and servicing.
Whereas pharmaceutical companies may provide their representatives with a targeted list of physicians, medical device representatives will spend much of their time prospecting for new hospitals, medical offices and clinics within their territory. With prospecting, there is a lot of cold calling. It is critical to network and ask for referrals in medical devices sales. The sales cycle is usually longer, and device representatives have to work harder to maintain relationships. Once a purchase is completed, a hospital may go five or ten years before they need to replace the equipment. This is especially true of capital equipment purchases. In pharmaceutical sales you follow a routing schedule and see many of the same physicians again and again. In device sales, you will usually cover a larger territory, but the bigger the territory, the greater the opportunity.
Forecasting is much more relevant in device sales and you have more power to influence your forecast. One of my best quarters when I was in pharmaceuticals sales was when I went away on vacation. It turned out that I was giving away too many samples, and when I was no longer there to provide free samples, physicians had to write my product and my numbers reflected this. As a medical device representative, your numbers will suffer unless you actively go out and close deals.
When the medical device that your represent is involved in a competitive bid situation, the department manager is not only looking at the features and benefits, but the price of each machine. If your equipment is not the least expensive, you will need to negotiate different areas of the contract to win the bid. One way to accomplish this is to monetize the value of the follow-up service and training. Back when I was carrying the bag in pharma sales, I was able to treat a physician to a round of golf or a nice dinner, but no more. With medical equipment, there seems to be fewer restrictions, though this is certain to change in the near future. You can’t offer a perk for every script that a physician writes; however, as a medical device representative, you are usually able to offer certain incentives to help close a deal. These incentives might include better payment terms, special financing, extra training or a bundled discount.
As a pharmaceutical sales representative the only follow-up that is absolutely required is to report any adverse events. As a device sales representative, your level of follow-up will depend on how good your company's technical support team is. Fortunately, I did not a good technical support team – I say “fortunately” because I became the front-line support for hospitals in my territory. This allowed me to develop a closer bond with the hospital staff and it helped me learn my product inside and out.
Should you switch?
Both positions will have their pros and cons. Pharmaceutical sales is more stable and routine. Device sales have longer selling cycles and less stability; I find this exciting and challenging.
Before considering a switch to medical devices sales, ask yourself a few simple questions:
Do you like cold calling?
Do you enjoy traveling a large territory?
Do you work well with long selling cycles?
Do you enjoy negotiating and closing deals?
Do you want to be in direct control of your success of failure?
If you answered “yes” to all of the above questions, then think about working with a recruiter to enter the device sales arena. There are some entry level device sales positions available, but they will require some work to find. Find time to practice your selling skills. Try getting a part-time job working at Nordstrom or other retail store. This will allow you to become more comfortable cold-calling and closing sales.

Check out the following website to learn about a great training option to prepare for a career in medical device sales: aimedsales.com

Wednesday, October 20, 2010

Step 1: Why Do You Really Want to Get Out of Pharmaceutical Sales?

As mentioned in the inaugural posting of this blog, it is important to know why you really want to get out of pharmaceutical sales.  The last thing you want to do is leave pharmaceutical sales and get into another position that has the same challenges and issues as your current position in pharmaceutical sales.  For instance, if you want to get out of pharmaceutical sales because you are tired of calling on doctors/other prescribers and "wooing" their staff, then it doesn't make sense to get into biotech, medical device, or assisted living/hospice sales because you will be doing the same thing.  

On the other hand, if you want to get out of pharmaceutical sales because you aren't challenged in your current role or feel that you are not truly having an impact with patients, then maybe you SHOULD consider biotech, medical device or assisted living/hospice sales.  This post is designed to get you thinking about WHY you really want to "get off the pharm" and to assess your true motives behind making a change.   Once you are clear on why you really want to make a change you will be in a better position to move to Step 2: Assess What Else You Might Want to Do.

Monday, October 18, 2010

So, You Wanna Get Off the Pharm...



Are you crazy?!?  You want to get out of pharmaceutical sales…the best job on earth.  Are you actually willing to leave behind a six-figure income, company car, awesome health benefits, laptop, cell phone, flexibility and autonomy…and the list goes on?  It is often referred to as the "golden handcuffs".  What about all the preparation and hard work required to break into the industry?  Think about your family (if you have one).  Will you ever be able to replace your income?  Think about all the people waiting in line to take your job if you leave it.  Or maybe the decision has already been made for you through a company-wie layoff or "restructuring".  Regardless of your circumstance, if you want to get out of pharmaceutical sales there are many things to consider.  First, you need to know why you want to get out of pharmaceutical sales.  Second, you need to assess what else you want to do (i.e. change careers, become an entrepreneur, become a stay-at-home parent, etc.).  Third, you need to develop a plan to achieve your goals.  Finally, you need to work your plan.  No matter where you are in the process of 'getting off the pharm' we are here to help.