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MEDICINMAN
February 2013 | www.medicinman.net
                                                               FIELD FORCE EXCELLENCE




CATCH THE DRIFT.                                                       MUMBAI, 2013



F
          ebruary is the shortest month, but a lot is happening at          and Renie McClay from United States of America
          MedicinMan. The Second Edition of Brand Drift is on the 9th       joining our newly-formed International Editorial
          of February and seats are filling up real fast. We look forward   Board. You can read their articles in this issue to know
          to a day of meaningful interactions with Brand Managers. We       their areas of expertise. We plan to bring these ex-
have lined up an outstanding faculty and some fantastic topics that will    perts to India in 2013 for the benefit of Indian Phar-
challenge the current thinking among Indian Pharma brand managers           ma. Welcome Hanno and Renie. I have had the privi-
and transform them from „gift managers‟ to „gifted managers‟ who can        lege of participating in Renie McClay‟s programs in
differentiate their products through innovative promotions and well-        India and she is a fantastic resource person with
trained team members - in an increasingly generic market.                   some outstanding books on Sales Training to her
MedicinMan has gained international visibility and recognition. This        credit. Hanno Wolfram is known to many of you as
month we have two eminent people - Hanno Wolfram from Germany               he has written several articles in MedicinMan.
Catch the Drift | Anup Soans



Both Hanno and Renie are great “Friends of India” and
we look forward to learning from them through their
books, articles and programs.                                    We are All Salesmen
I was privileged to be the keynote speaker at an exclu-
                                                                                                                    Book Review
sive Indian Pharma Leaders meeting organized by
Cambridge Consultants of U.K. at the Four Seasons                 Whether we‟re employees trying to convince colleagues
Hotel in Mumbai on the 16th and 17th January 2013.                about a new idea or parents and teachers cajoling children
Read my brief on the interaction on page 12.                      to study, we spend our days trying to move others to
We have launched a new initiative for young profession-           action. Like it or not, we‟re all in sales now.
als at MedicinMan: the “MedicinMan ChangeMakers                   To Sell Is Human offers a fresh look at the art and science
Board". Kumar Saurabh, a Key Account Manager from                 of selling. Daniel H. Pink draws on a rich trove of social
Strides Arcolabs, comes on board as the first                     science for his counterintuitive insights. He reveals the new
“MedicinMan ChangeMaker”. We plan to take up many
                                                                  ABCs of moving others (it‟s no longer “Always Be Clos-
activities that will give practical insights to bring about
                                                                  ing”), explains why extraverts don‟t make the best sales-
Field Force Excellence. We want more people who are
                                                                  people, and shows how giving people an “off-ramp” for
willing and able make a positive change in the industry
                                                                  their actions can matter more than actually changing their
to join us and contribute to fostering Field Force Excel-
lence in Indian Pharma and Devices.                               minds.

At MedicinMan, we believe that Key Account Manage-                Along the way, Pink describes the six successors to the
ment will emerge as a thrust area for pharma and we               elevator pitch, the three rules for understanding another‟s
have “KAM in Pharma: Another Success Story” by Tony               perspective, the five frames that can make your message
O‟Connor et al. For those of you interested in reading            clearer and more persuasive, and much more. The result is
the entire article, it is available for free download on          a perceptive and practical book – one that will change
www.medicinman.net                                                how you see the world and transform what you do at
We have some fantastic articles in this issue – please            work, at school, and at home. †
share MedicinMan widely with your friends and
colleagues. †




        Stay Connected with MedicinMan.
 Visit us at www.medicinman.net or connect on
      social media. Click on the icons below.

         Subscribe to MedicinMan for FREE:
                                                                   From the bestselling author
                http://eepurl/odg2X
                                                                        of A Whole New Mind
                                                                     comes a useful book that
                                                                  explores the power of selling
                                                                                   in our lives.




                                                   2| MedicinMan February 2013
Contents
                                           CLICK      TO   NAVIGATE.




6. Listening: Key to Field Force Excellence
   FFE simply means “customer orientation”. Striv-          6.
   ing to change perspective to look outside-in,
   involving the whole company(!) because that is
   what we enjoy being customers ourselves.

   Hanno Wolfram



9. Excellence Through Effectiveness
   In an increasingly generic market, Field Force
   Effectiveness becomes the Key Differentiator in

                                                            11.
   a company’s sales strategy.

   K. Hariram



12. India Driving World Pharma by 2030?
   A thought-provoking discussion facilitated by
   Cambridge Consultants at the Four Seasons
   Hotel, Mumbai.

   Anup Soans, Editor



15. Thirteen Sales Closings in 2013!
   Create an extra sales cycle in the year by                16.
   tweaking the start and close of each cycle.
   V. Srinivasan



16. Medical Rep of the Year!
   Nine simple steps to sales excellence and career
   success.

   Rachana Narayan




                                      3| MedicinMan February 2013
Contents
                                         CLICK    TO   NAVIGATE.




21. Leading Tomorrow, Today
   10 Steps to building successful teams of the         28.
   future.

   Renie McClay



25. HEOR: What is Systematic Review?
   Evidence-based healthcare made simple.

   Richa Goyal and Mahendra Rai



28. HOT on LINKEDIN: Brand Loyalty: A
                                                         MedicinMan Vol. 3 Issue 2
    Thing of the Past.
                                                         Editor and Publisher:
   What does pharma branding mean in the                 Anup Soans

   age of hyper generics and rapidly shifting            CEO:
                                                         Chayya S. Sankath
   loyalties.                                            COO:
                                                         Arvind Nair
   Sharad Virmani
                                                         Chief Mentor:
                                                         K. Hariram

                                                         Advisory Board:
31. MR Knowledge Series                                  Vivek Hattangadi; Jolly Mathews

                                                         Editorial Board:
   Clinical Trials made simple.
                                                         Salil Kallianpur; Dr. Shalini Ratan; Shashin Bodawala;

   Dr. Amit Dang                                         Prabhakar Shetty; Vardarajan S; Dr. Mandar Kubal;
                                                         Dr. Surinder Kumar

                                                         International Editorial Board:
                                                         Hanno Wolfram; Renie McClay
15. Preview: Key Account Management in
    Pharma: Another Success Story.                       Executive Editor:
                                                         Joshua Soans
   Ken Boyce, Ralph Boyce and Tony O’Connor

                                                         MedicinMan Academy:

                                                         Dr. S. Srinivasan, Dean, Medical Education

                                                         Prof. Vivek Hattangaadi, Dean, Professional Skills Development



                                                         MedicinMan ChangeMakers:
                                                         Saurabh Kumar
                                                                             Make a difference in Pharma. Join MedicinMan
                                                                             ChangeMakers. Write in to our editor to find out
                                                                             more:

                                                                             anupsoans@medicinman.net
Inspiration




                      Pharma’s Premier Branding Event


               BRAND
              DRIFT                    Info to
                                                 2013




              www.branddrift.com
                                       Insight
                          9 February 2013
                              Mumbai
Guest
                                                          Hanno Wolfram is MD at Innov8 GmbH, Germany. He is a
Editorial                                               thought-leader on Pharma Key Account Management and is
                                                                  the co-author of the only book on KAM in Pharma.
                                                                                                hanno@innov8.de




                                                                       “        Think about your own
                                                                              most remembered meet-
                                                                                 ing last week? What
                                                                               made it really different
                                                                               from others? The most
                                                                                  common distinction
                                                                               between a good and a
                                                                                poor face-to-face with
                                                                              anyone, private or busi-
                                                                                ness, is that someone


                                                                                                                         ”
                                                                                  listened to you and
                                                                                        meant it.




LISTENING: KEY TO FIELD FORCE EXCELLENCE

T
           The only objective for true Field Force       doors or restrict their availability and the time they want to share with
           excellence is to get more for the same        us. This is a very clear statement: field forces are not perceived as
           or the same for less.                         being excellent. Once we know how our target audience judges us as
           Pharma companies try hard to save             “excellent”, we will easily be able to meet their expectations and bring
their old sales model from being changed and             our field force to the next level.
seem to have forgotten that excellence is a judge-       The obstacles to achieve this are plenty and need to be considered by
ment not a new concept. Who judges if my ap-             every enterprise in their individual way. There is nothing like “one size
proach is excellent? It is the physician or the in-      fits all” or a “best practice” simply to be copied.
tended prescriber of my products.                        The very first obstacle to overcome is the current perspective: the
In the last few years we could see that Physicians       working truism is that pharma companies look inside out. Physicians
hardly see our efforts as excellent: they close their    are subjects to be promoted on and made to prescribe.




                                                6| MedicinMan February 2013
FFE: The Importance of Listening | Hanno Wolfram



“The less access you have, the poorer is your degree of excellence. There are pharma companies that have
   fully abandoned measuring the outcome of field force efforts and today measure „client satisfaction‟.”

Only few companies are trying to         marketing and sales efforts? Meas-      If we want our field force wants to
ask their targets (physicians) what      uring the degree of accessibility       become excellent and deliver value,
they would like and expect. Prod-        might be an interesting concept.        Medical Reps will have to listen. The
ucts are said to be sold to prescrib-    The less access you have, the poorer    traditional hard selling approach
ers. Most pharma companies are           is your degree of excellence. There     “You have to deliver this message
trying to push doctors and make          are pharma companies that have          n-times to each individual!” will not
them use the respective portfolio.       fully abandoned measuring the out-      be perceived as helpful or mean-
This mentality is contradictory to                                               ingful to any physician. This is what
                                         come of field force efforts and today
Field Force Excellence (FFE).                                                    they (physicians) let pharma know
                                         measure „client satisfaction‟.
What is currently measured has little                                            by closing doors.
                                         Beyond measuring facts and figures
to do with excellence. Most of us                                                You will find that FFE simply means
                                         and fighting the sentence: “we can-
still measure reach, frequency, cov-                                             “customer orientation”; striving to
                                         not measure client satisfaction!”,
erage and revenue achieved. If you                                               change perspective to look outside-
                                         there might be simple ideas and
want to go for FFE you need to ask                                               in, involving the whole company,
                                         concepts based on commonsense.
your target audience and find out                                                because that is what we enjoy -
what they perceive as excellent.         Think about your own most remem-        being customers ourselves. Why
What you derive from their answers,      bered meeting last week? What           should doctors see excellence
will become the center of your           made it really different from others?   differently? †
efforts to drive FFE.                    The most common distinction be-
                                         tween a good and a poor face-to-
A core question to support these
efforts is what you need to meas-
                                         face with anyone, private or busi-       You will find out that
                                         ness, is that someone listened to
ure. Which are the appropriate                                                      FFE simply means
                                         you and meant it.
metrics indicating excellence of our
                                                                                 “customer orientation”;
                                                                                    striving to change
                                                                                   perspective to look
                                                                                   outside-in, involving
                                                                                  the whole company,
                                                                                  because that is what
                                                                                  we enjoy - being cus-
                                                                                 tomers ourselves. Why
                                                                                   should doctors see
                                                                                  excellence differently?


                                         7| MedicinMan February 2013
Excitement




                     Pharma’s Premier Branding Event


              BRAND
             DRIFT                    Info to
                                                2013




             www.branddrift.com
                                      Insight
                         9 February 2013
                             Mumbai
FFE                                                           K. Hariram is the former MD (retd.) at Galderma India. He is
                                                                    Chief Mentor at MedicinMan and a regular contributor.
                                                                                                  khariram25@yahoo.com




“
   In an increasingly generic market, Field Force
   Effectiveness becomes the Key Differentiator
   in a company‟s sales strategy.




EXCELLENCE THROUGH EFFECTIVENESS.

T
           he Indian pharmaceutical market is on          a)   90% of Indian‟s Pharma market is branded generics
           the growth path, driven by:                    b) Differentiation is difficult
           a) Rising household income levels, and         c)   Every Pharma company is ramping up its field force
           hence affordability,                           d) Lack of talent and high rates of attrition
b) Increasing prevalence of lifestyle related diseas-     e)   The era of blockbusters is over.
es,                                                       f)   Innovation pipeline is weak
c) Improving healthcare infrastructure/delivery           From the marketing and selling side there is: a) Reduced access to
systems and                                               physicians, b) Increased number of competitors, c) Being a part of
4) Rising penetration in smaller towns and rural          huge clutter – the need to differentiate and stand out.
areas.                                                    To cope with the challenge of differentiation, marketing strategies
However, competitive pressures in the domestic            alone may be inadequate. Thus Field Force Effectiveness becomes
market are likely to sustain as MNCs become ag-           more relevant. It impacts the company‟s interface with the customer
gressive and domestic companies leverage on               and hence the manner in which the customer views the promotional
their expanded field force.                               strategies.
There are associated challenges to keep pace with         What is Field Force Effectiveness? It is all about improving Productivity,
the growth opportunities:                                 “A Strategic lever in Pharmaceutical Marketing.”



                                                  9| MedicinMan February 2013
Excellence Through Effectiveness | K. Hariram



       “What is Field Force Effectiveness? It is all about improving productivity”,
                    a strategic lever in pharmaceutical marketing.”


  It is the field force that interfaces
  with the customer day in and day              2/ Data & Tools
                                                         In order to ensure customer
                                                                                        4/ Sales Management
                                                                                                The sales management
  out. Ultimately they are the ones
                                                sizing, there has to be effective       process should include performance
  who generate revenues for the
                                                tools such as sales force automa-       management, rewards and recogni-
  organization. The typical Pharma
                                                tion which will help in data collec-    tion and the right balance between
  sales model involves three key ele-
                                                tion and converting it to meaning-      process and results.
  ments.
                                                ful information that is usable by the   According to Stephen Covey, FFE has
  1.   Target audience Customers /
                                                field force and the sales manage-       a lot to do with P/PC balance. P refers
       Influencers - “To whom are we
                                                ment in the market place.               to Producing unit of Field force and
       selling?”
                                                                                        PC refers to Producing Capability. A
  2.   Type of Interactions - “How do
                                                                                        fine example of this is the story of
       we interact with our target au-
       dience – customers and influ-
                                                3/ Talent Management
                                                        In today‟s context of com-
                                                                                        GOLDEN GOOSE and the FARMER in
                                                                                        AESOP‟s Fables.
       encers?”                                 petitive scenario, it is the PERSON
                                                                                        Introduction of technology and tools
  3.   Nature of the Offer - “What are          who makes the difference. Hence,
                                                                                        such as iPads are good enablers to
       we selling?”                             right people attraction, develop-
                                                                                        FFE. But they cannot substitute for
  The Field Force Effectiveness DRIV-           ment of people and retention be-
                                                                                        any of the above.
  ERS in the marketplace on a day-to            comes very important.
                                                                                        Peter Drucker defines EFFICIENCY as
  -day basis comprises of quantum
                                                                                        „doing things right‟ and EFFECTIVE-
  of calls made with effective delivery
  of the sales message and quantum
  of qualitative calls made.
                                                4/ Training & develop-
                                                   ment
                                                                                        NESS as „doing the right things‟. To-
                                                                                        gether, they lead to FIELD FORCE
                                                                                        EXCELLENCE. †
  If all these have to be done consist-         Talent can be managed only by
  ently, then the organization has to           having a proper structure to build
  operate in a proper frame work                competencies which are sustaina-
  that will drive FFE. This frame work          ble. Considering the geographical
  revolves around:                              spread of the field force, the struc-
                                                ture should encompass the reach

 1/ Customer sizing
          The universe of customers is
                                                and frequency along with right
                                                tools and methods.

  vast. Hence optimizing and build-
  ing effectiveness means proper
                                                     “Introduction of
  targeting, segmentation, under-                   technology and
  standing the customer needs and                  tools such as iPads
  proper customer relationship                     are good enablers.
  management.                                       But they cannot
                                                       substitute the
                                                          basics.”


                                            10| MedicinMan February 2013
Sharing




                  Pharma’s Premier Branding Event


           BRAND
          DRIFT                    Info to
                                             2013




          www.branddrift.com
                                   Insight
                      9 February 2013
                          Mumbai
Report                                              Anup Soans is Editor, MedicinMan. He is the author of three
                                                                            books for pharma sales professionals.
                                                                                   anupsoans@medicinman.net




INDIA
DRIVING
WORLD
PHARMA
BY 2030?
A thought-provoking discussion
facilitated by Cambridge Consultants
on 16th and 17th of January 2013 at the
Four Seasons Hotel, Mumbai.




C
            ambridge Consultants of U.K. did a       ¤   Would the current family owned structure be able to meet the
            splendid job of gathering 25 Indian          challenge of being global players?
            Pharma‟s best minds from R & D,          ¤   What regulatory environment could be expected?
            strategy, M & A, IP, business devel-     ¤   What governance and leadership changes need to be done?
opment, global branding, project management
                                                     ¤   What would be the Indian government‟s role and how can the
and clinical research to brainstorm possible sce-
                                                         Indian Pharma represent itself to policy makers?
narios of the future of Indian Pharma in the
                                                     ¤   Finally, what would an increasingly active consumer demand from
global arena.
                                                         Pharma and healthcare providers?
Cambridge Consultants put these professionals
                                                     The discussions were preceded by insights into these areas and expert-
into teams and facilitated some great discus-
                                                     ly facilitated by Cambridge Consultants team that had flown in from UK
sions on various topics like:
                                                     and the US. Tell us what you think about the above questions.
¤    How will companies change to meet the
                                                     Cambridge Consultants are in the process of putting together a report,
     challenges of dominating the global gener-
                                                     the highlights of which, we will share with our readers. So keep watch-
     ics business?
                                                     ing this space. More importantly write to us if you would like to be part
¤    Where would new growth opportunities
                                                     of such future meetings.
     arise?



                                             12| MedicinMan February 2013
India Driving World Pharma by 2030 | Anup Soans



“Cambridge Consultants is a 50-year old international technology development and consultancy company,
  providing outsourced Research and Development to clients - from start-ups to blue-chip multinationals -
             who need to develop innovative, technologically novel, breakthrough products.”

Cambridge Consultants is a 50-year        Their early work laid the founda-
old international technology develop-     tions for what is now known as the       Editor‟s Note: Indian consulting
ment and consultancy company,             Cambridge Phenomenon or Silicon          firms and academia would do
providing outsourced Research and         Fen.                                     well to emulate such initiatives
Development to clients - from start-      – Adapted from Wikipedia                 that play an important role in
ups to blue-chip multinationals - who                                              fostering networking and learn-
need to develop innovative, techno-                                                ing from peers. MedicinMan will
logically novel, breakthrough prod-                                                be glad to play the role of a fa-
ucts. The company also provides busi-                                              cilitator/catalyst. We already
ness consulting services in the areas                                              have forums like Brand Drift,
of innovation management, market                                                   Field Force Excellence and
                                                www.cambridgeconsultants.com
strategy and technical due diligence.                                              Breakfast for the Brain, where
Cambridge Consultants employs                                                      Pharma and related industry
about 300 engineers, scientists, math-                                             professionals meet regularly to
ematicians, consultants, analysts and                                              brainstorm and share ideas, ex-
support staff in both Cambridge, UK                                                pertise and learning. For more
                                            Companies represented at the
and Cambridge, USA                                                                 details visit:
                                            Discussion: Abbott; Asiatic Clinical
Founded in 1960 by two Cambridge                                                   www.medicinman.net
                                            Research, Cipla, Glenmark, Lupin,
graduates – Tim Eiloart and David
                                            Merck Serono, Nypro             Inc,
Southward – to "put the brains                                                     Send in your comments to:
                                            Ranbaxy, Sanofi, Taro Pharma-
of Cambridge University at disposal of
                                            ceutical Industries (Sun Group).       anupsoans@medicinman.net
the problems of British indus-
                                            Nationalities Present: Indian, PIO,
try. Cambridge Consultants was one
                                            US, UK, France, Israel, Belgium
of UK‟s first technology transfer busi-
nesses




                                          13| MedicinMan February 2013
Caring




                 Pharma’s Premier Branding Event


          BRAND
         DRIFT                    Info to
                                            2013




         www.branddrift.com
                                  Insight
                     9 February 2013
                         Mumbai
V. Srinivasan has headed Sales Administration & HR
 Sales                                                              functions in reputed Pharma Companies. He has to his
                                                                     credit over 325 published articles in India and abroad.
                                                                                             shridhar1956@rediffmail.com
                                                                                                       Mob: 8056168585




13 SALES CLOSINGS IN 2013!
         ormally Pharma Companies do the monthly sales clos-                 By saving a few days from every
N        ings at the end of every month, thus 12 sales closings in
         a year. However it is also possible to have 13 sales
closings in a year, as explained below:
                                                                             month, we can create an additional
                                                                             month or Cycle for the purposes of
Normally we will have 4 full weeks in any month, and in a few                our sales closings. In these days of
months, a few more days. On this basis, we can allocate 28 days
                                                                             extreme competition, one month‟s
(i.e. 4 full weeks) for every month or every Cycle, as per table
enclosed. By saving a few days from every month, we can create               additional sales would be most
an additional month or Cycle for the purposes of our sales clos-             welcome to all Pharma Companies.
ings. The sales closing will be done on the last day of each Cy-
cle. If that day happens to be a Sunday or a holiday, then sales
closing will happen on the previous working day, or the next                 close our sales on a different date, they will be more
working day. All promotional inputs, incentives, targeting, incen-           comfortable, can give us more time, better co-
tives, reporting systems should be adjusted to accommodate this              operation, and goods can be physically dispatched
arrangement.                                                                 faster.
                                                                             Since this is the time of the year when all companies
Benefits:                                                                    finalize their monthly budgets/targets for the coming
1) In these days of extreme competition, one month‟s additional              year, companies which may find this suggestion ap-
sales would be most welcome to all Pharma Companies.                         pealing, can experiment with the same this year, and
2) CFAs will be very busy during month end, because all Compa-               if it is better than the conventional one, they can con-
nies close their monthly sales at that time only. Hence, if we               tinue in coming years too! †

          S.No.                     From                           To                    Cycle No.                Sales Closing on
           01)                     1.1.13                     28.1.13                        1                        28th Jan
           02)                     29.1.13                    25.2.13                        2                        25th Feb
           03)                     26.2.13                    25.3.13                        3                        25th Mar
           04)                     26.3.13                    22.4.13                        4                        22nd Apr
           05)                     23.4.13                    20.5.13                        5                        20th May
           06)                     21.5.13                    17.6.13                        6                        17th June
           07)                     18.6.13                    15.7.13                        7                        15th July
           08)                     16.7.13                    12.8.13                        8                        12th Aug
           09)                     13.8.13                     9.9.13                        9                        9th Sept
           10)                     10.9.13                    7.10.13                        10                        7th Oct
           11)                     8.10.13                    4.11.13                        11                        4th Nov
           12)                     5.11.13                    2.12.13                        12                        2nd Dec
           13)                     3.12.13                   30.12.13                        13                       30th Dec


                                               15| MedicinMan February 2013
FIELD FORCE
SPECIAL                                                                 Rachana Narayan is a Trainer at Invida -
                                                                                       A Menarini Company.
                                                                             rachananarayan1011@gmail.com




“       What [Medical Reps] don‟t
        realize is that they are into
        the most dynamic profes-
        sion where rewards are
        transparent and directly pro-
        portional to the efforts. But
        cracking the code to get
        that reward is always a mys-
        tery to them. The problem is
        there is no written guideline
        which clearly specifies the
        dos and don‟ts to become
        the “Salesman of the year”.
        The solution is to practice
        good salesmanship and the
        rewards will follow.



                                     ”
MEDICAL REP OF THE YEAR!
T
          his should be the dream of all those       get that reward is always a mystery to them. The problem is there is no
          aspiring salesmen who wish to be in the    written guideline which clearly specifies the dos and don‟ts to become
          top 20% salesmen category bringing         the “Salesman of the year”. The solution is to practice good salesman-
          about 80% of the sales. But the ques-      ship and the rewards will follow.
tion is how many really dream this when they join    Even though Pharma sales strategies have undergone a rapid change,
this profession? Let‟s acknowledge the fact that     the characteristics of a good salesman remain unaltered. While only a
unlike other professions, pharma sales is not the    few are born salesmen, anyone can inculcate those qualities with prac-
chosen path for many. For most of them, it is ei-    tice provided they have the desire to learn and have tremendous pa-
ther a part-time job or a desperate remedy or        tience. Even the born salesman needs to sharpen his skills, display pa-
“give it a try” option. What they don‟t realize is   tience and remain updated about the changing dynamics of the mar-
that they are into the most dynamic profession       ket in order to do wonders. Here are some of the characteristics which
where rewards are transparent and directly pro-      if developed will help to achieve the golden dream of becoming “the
portional to the efforts. But cracking the code to   salesman of the year.”


                                            16| MedicinMan February 2013
The Medical Rep of the Year | Rachana Narayan



    “Confidence alone does not lead to sales. This explains why many fresher
 candidates initially brimming with confidence tend to lose it after few rejections
 and quit. They need to realize the fact that confidence is the facilitator but not
                               the key to success.”


                                                                                  module with different stories but

  1/        Confidence                     tors. A good salesman under-
                                           stands this fact well and uses his     ultimately same moral. Well-
            Confidence is the most         creativity to register his brand as    connected calls help the doctor to
 desirable and basic characteristic a      well as himself as a brand in the      remember the representative as
 salesman needs to possess but             minds of the doctor.                   well as his brand better than stand-
 confidence alone cannot cause                                                    alone calls.
 sale. This explains why many fresh-
 er candidates initially brimming
 with confidence tend to lose it after
 few rejections and quit. They need
                                            3/ Stays updated
                                                    Remaining updated is
                                           the thumb rule of this profession.
 to realize the fact that confidence is
                                           The more the better. The
 the facilitator but not the key to
                                           knowledge of medical representa-
 success. Confidence in self and
                                           tive may not be of importance to
 trust in the product helps a sales-
                                           his doctor but definitely enhances
 man yield a good presentation and
                                           his confidence in the clinic. He is
 convince the prospect. Without
                                           not only updated about his product
 confidence all other skills go wast-
                                           and company, but is also well in-
 ed. By-hearting the technical as-
                                           formed about the industry and
 pects will never yield results until it
                                           competitor. When he is aware of
 is presented well with confidence,
                                           the strengths and weaknesses of his
 persistence and passion.
                                           competitor‟s product, he becomes
                                           better equipped to position his


  2/ Differentiation
                                           product with competitive edge.

             As we all are created
 different, discovering that unique-
 ness and using it to differentiate
 oneself from competitors should be
                                            4/ Is organized
                                                      A good salesman is a
                                           great planner and organizes his
 an important strategy to attract the
                                           day, thoughts and actions with per-
 customers. One has to remember
                                           fection. He sets objective for each
 that all the iconic personalities are
                                           call based on his previous discus-
 remembered for their unique set of
                                           sion with the doctor and always
 characteristics which differentiated
                                           connects the last call with the pre-
 them from all their contemporaries.
                                           sent one. This makes all his call
 Don‟t we want variations in food,
                                           linked up to make a single call di-
 clothes, songs, movie-stars and all
                                           vided into small modules and each
 other things of life? So do the doc-



                                           17| MedicinMan February 2013
The Medical Rep of the Year | Rachana Narayan




 “A good salesman consistently challenges himself by setting lofty goals for him-
             self, achieving them and breaking his own records. “



5/       Listens &
         understands                    6/   Passionate
                                             about his
                                                                                      7/ Builds relation-
                                                                                         ship on values
Listening should be active and the      brands and loves                               The foundation of pharma sales is
                                                                                       based on converting customer into
salesman should have the capabil-
ity to „listen between the words‟. He
                                        his profession                                 a client. The fact that 80% of busi-
                                        The salesman has to have passion               ness comes only from 20% of the
should be empathetic towards the
                                        for his brands. If he cannot buy his           customer clearly demonstrates the
concerns raised by the doctor and
                                        own product for himself, he can                need for developing a strategic
should ask relevant questions to
                                        never convince others to buy it. So,           partnership with the customer. It
identify his needs. He should not
                                        he has to love his brands in order             requires long term commitment,
be impatient to fill the gap with
                                        to deliver compelling brand                    mutual respect, sincerity, honesty,
wrong products for mere selling
                                        presentations, deliver solutions in            punctuality and value-added ser-
instead he should share authentic
                                        terms of both features and benefits.           vice to create that partnership in
and correct data with the purpose
                                        Then automatically he is able to               the long run. Honesty in sales is so
of helping the customer. The mo-
                                        handle objections with confidence              important that it is almost impossi-
tive should be to provide apt solu-
                                        and present logical arguments.                 ble for this skill to be taught. When
tion to the problems identified
                                                                                       a salesman provides authentic facts
through questioning.
                                                                                       and consistently keeps his commit-
                                                                                       ments, he is already on the path of
  “The fact that 80% of business comes only from 20% of the
                                                                                       success.
   customer clearly demonstrates the need for developing a
            strategic partnership with the customer.”


                                        18| MedicinMan February 2013
The Medical Rep of the Year | Rachana Narayan




A salesperson without integrity will    achieving them and breaking his own
have many struggles which will of-      records. He constantly puts effort
                                                                                  “A good salesman is highly
ten include hopping from job to         towards self-improvement by coach-        professional in his dressing,
job. A feel-good factor created by      ing and learning from his own mis-          behavior, punctuality. He
providing continuous quality ser-       takes.                                     loves his own time as well
vice with responsibility keeps the
relationship alive. While Salespeo-
                                                                                           as others.”
                                        As I summarise, let me also add that
ple perceived as being pushy, un-
                                        these qualities are not only required
empathetic or dishonest are less
                                        to be a great salesperson. In fact,
successful in the long run.
                                        most of these are pre-requisites to
                                        be successful in any profession. How


8/      Is professional                 could anyone be successful without
                                        having knowledge of the work he is
         A good salesman is highly      doing, without passion, honesty,
professional in his dressing, behav-    sincerity, confidence and positive
ior, punctuality. He loves his own      attitude? Being organized, achieving
time as well as others. He does not     targets and building good rapport at
get involved in unnecessary politics    workplace is of utmost importance
and avoids any objectionable be-        for any professional to succeed in his
havior. Instead he is busy concen-      career. A person with good person-
trating on his targets, converting      ality, friendly, good communication
doctors and making his products         skills and a good listener is always a
available.                              winner no matter what profession he
                                        chooses. Mahatma Gandhi,


9/ Has Positive
                                        Rabindranath Tagore, Dhirubhai
                                        Ambani etc. were all great salesmen
   Attitude                             of their era who sold their ideas,
A salesman should develop tre-          vision to entire country. In present
mendous patience to accept con-         context, APJ Abdul Kalam, Narayan
sistent rejections without getting      Murthy, Amitabh Bachchan, Sachin
influenced by negative thoughts.        Tendulkar, Lata Mangeshkar etc. are
He makes things happen in spite of      all great sales personalities of their
problems and never complains. He        own field. They have created a brand
does not blame his luck, company        of themselves, have differentiated
or product rather brings about          from their peers, have their own
positive changes in himself that        unique characteristics and have
increases his closing ratio and im-     fought against all odds with their
proves his average. His enthusiasm      positive attitude.
is infectious and gets transferred to   So, I totally agree with J. C. Penny,
his customers. A good salesman          “Salesmanship is limitless. Our very
consistently challenges himself by      living is selling. We are all salespeo-
setting lofty goals for himself,        ple.” †




                                        19| MedicinMan February 2013
Challenge




        Pharma’s Premier Branding Event


 BRAND
DRIFT                    Info to
                                   2013




www.branddrift.com
                         Insight
            9 February 2013
                Mumbai
Renie McClay, MA, CPLP and Inspired Learning focuses on
                                                          helping companies to design and deliver solutions for
                                                        improved productivity. Renie is the author of the recent
Teams                                                      book, 10 Steps to Successful Teams, ASTD Press. She‟s
                                                         managed training departments for several Fortune 500
                                                                companies, including Kraft, Novartis, and Pactiv.
                                                                                    rmcclay@inspiredtolearn.net




  LEADING
  TOMORROW, TODAY.
                                                                      “
      10 Steps to building
      successful teams of
           the future.


                                                                                                                      ”

T
         witter, YouTube, Facebook, smart                 As I think about these questions and reflect back on this, I realize
        phones, iPods…customer-driven devel-              that most of my adult working life (and even before that in school
        opment, new products, downsizing, right           and growing up) has been spent working in or with teams. Working
        sizing… industrial age…knowledge work-            in the corporate world, I have been on and led sales teams, internal
er…Gen X, Gen Y, Boomers. Anyone who has                  ad hoc project teams, teams responsible for planning recognition
been awake for the past couple of years knows             events and a myriad of others. Outside of work, teams are just as
that things are changing in today‟s world – and           prevalent. I have been part of learning teams for graduate work,
fast – faster than ever before in our history. In-        local civic teams to help build the community, professional industry
formation is doubling at staggering rates; tech-          groups and sub teams to advance the learning and skills of profes-
nology is blazing ahead at lightning speeds; cus-         sionals, and the list seems to go on and on. My experience is not
tomers are directly driving product requirements.         unique in this regard.
Thinking about all of this change makes me won-           In today‟s dynamic business and economic environment, teams
der about two things: Will any elements of to-            have emerged as a requirement for business success. We‟ve all
day‟s environment serve us well in the future?            been part of a team before and many of you may have led teams.
And, how can we best position ourselves for the           Both roles (leaders and team members) are critical to the success of
changes to come?                                          the team.




                                               21| MedicinMan February 2013
Leading Tomorrow, Today | Renie McClay



                                                                                    “Clarify Roles – If team member roles are
                                                                                   not clear, one of two things will happen.
                                                                                   The team will be inefficient because time
                                                                                   will be wasted as more than one person
                                                                                   does the same thing. Or, the team will be
                                                                                   ineffective because something important
                                                                                              won‟t get done at all.”




Today‟s teams are expanding and            because something important                   tional tension will be weak and peo-
changing – crossing business units,        won‟t get done at all. Clarifying             ple can focus on the work to be
cultures and time zones. With all of       who is responsible for what is criti-         done.
these variables and the pressures of       cal up front.
                                                                                         Tip: Open communication and hon-
today‟s business climate, how do you       Tip: Spend time up front clarifying
                                                                                         esty build the base for trust among
build a successful team?                   and discussing the team roles. Lev-
                                                                                         team members. Be aware of what
Here are 10 steps that I have found        erage each individual‟s strengths on
                                                                                         you say and how you say it; deliver
are necessary to build successful          the team.
                                                                                         what you commit to and make your
teams:
                                           Step 3:         Encourage                     deadlines. These building blocks fos-
                                                           Communication                 ter trust and build strong relation-
Step 1:        Form the Team
               The team make up is         Healthy and effective communica-              ships.

                                           tion builds trust. Giving positive
                                                                                         Step 5: Follow Processes
perhaps the single most important
step of the process. If the team           and constructive feedback helps to                    and Track Progress
doesn‟t possess the right skills and       keep things on track and eliminates
                                                                                         Building processes and tracking pro-
drive to accomplish the goals, it will     errors. Managing conflict helps a
                                                                                         gress is necessary for many reasons.
be painful and often unsuccessful.         team to focus on the goal rather
                                                                                         It builds efficiencies and helps for
The right leader can either help or        than on interpersonal dynamics
                                                                                         replicable success. It also helps to
hinder the process.                        that can slow things down and de-
                                                                                         keep stakeholders informed and team
                                           teriorate the morale of the team.
Tip: Whatever role you play on the                                                       members current with what is hap-

team, be committed to the success of       Tip: Put aside personal agendas in            pening and what needs to happen
                                           favor of the team agenda.                     next.
your team from day one. Give it your
all to get the right players on the                                                      Tip: Processes are meant to make
team.                                      Step 4: Build Strong
                                                   Relationships                         things easier and run more smoothly.
                                                                                         Sometimes processes cease to be
Step 2:        Clarify Roles
                If team member roles
                                           People getting to know each other
                                           will be one of the most important             effective. When this happens, don‟t
                                           parts of building morale on the               be afraid to recognize that things are
are not clear, one of two things will
                                           team. The members are not robots              not working well, and change or
happen. The team will be inefficient
                                           and it will be helpful to get to know         adapt the process to better suit the
because time will be wasted as more
                                           each other as human beings.                   needs of the team.
than one person does the same
thing. Or, the team will be ineffective    When relationships are strong, rela-



                                          22| MedicinMan February 2013
Leading Tomorrow, Today | Renie McClay




    Step 6: Assess the Team
                   Ideally, everyone
                                               Step 8: Effective Virtual
                                                       Teams
                                                                                       Tip: Recognition is an important
                                                                                       reward for good performance, and it
    needs to be aware of his or her                                                    is a fantastic motivator for continued
                                               Working remotely and participating
    strengths and then support fellow                                                  team contributions. Anyone can rec-
                                               on a team virtually is often chal-
    team members‟ development areas.                                                   ognize and reward. Sometimes a
                                               lenging. Connecting with people
    A leader knowing who knows who                                                     positive comment from another team
                                               you may never have met can make
    needs support is a beautiful thing.                                                member carries more weight than
                                               it harder to build trust and learn to
    No one possesses every skill and                                                   recognition from leadership.
                                               rely on team members. Both tech-
    knowledge; so, self awareness is
                                               nology and working at the people        Times change, and we need to
    helpful for the team‟s progress and
                                               skills can help to smooth this out.     change with them. One element of
    ultimate growth and success.
                                                                                       success that has weathered the storm
                                               Tip: Make it a point to reach out
    Tip: Improvement begins by recog-                                                  of time and change is the concept of
                                               to other team members. Take the
    nizing what works and what could                                                   team. The structure and make up of
                                               initiative to get to know them bet-
    use some improvement. Be open to                                                   teams has changed over the years,
                                               ter. Developing relationships
    assessing the strengths and areas for                                              however the premise that collective
                                               across any team, but particularly a
    improvement for both yourself and                                                  knowledge, experience, skills and
                                               virtual team, builds trust and en-
    the team as a whole.                                                               talents of a team which make them
                                               hances productivity.
                                                                                       greater than the sum of its parts

    Step 7: and Innovation
                   Develop Creativity
                                               Step 9:        Solve Problems           (players), has not changed.


                                                                                       Conclusion
                                                              All teams face prob-
    A team can continue to do things the       lems. Perhaps the single most im-
    way they have always done them, but        portant quality of a team is to see     Teamwork is essential for competing
    it is pretty energizing to develop cre-    how they work through problems.         in today's global workplace and mar-
    ative solutions. Creativity and inno-                                              ketplace. Teams are the norm rather
                                               Tip: Address conflicts or problems
    vation can save time and money.                                                    than the exception. There are many
                                               immediately – don‟t let them build.
    Teams can be innovative about the                                                  different kinds of teams: top manage-
                                               When working thru problems, offer
    end product or about how the team                                                  ment teams, focused task forces, self-
                                               suggestions and solutions rather
    operates. A mix of left and right                                                  directed teams, product/service de-
                                               than complaints.
    brain thinking can also be very pow-                                               velopment teams, virtual teams, and

                                               Step 10: Reward and
    erful in the team environment.                                                     so on. The kind of team is not as im-

    Tip: Foster a team spirit that is open              Celebrate                      portant as being part of the team.
                                                                                       Working together to collectively and
    to new ideas and creativity. Use new        Many teams do not celebrate vic-
                                                                                       creatively leverage talents, improve
    techniques to conduct meetings and         tories. Many organizations do not
                                                                                       skills and solve business problems is
    gather ideas. Translate these new          properly reward team successes.
                                                                                       what matters most. This (team) asso-
    ideas into action – that‟s innovation!     There are ways to reward teams
                                                                                       ciation and the growth it achieves are


“
                                               that do not cost much and even
    A team can continue to do things                                                   what will remain constant regardless
                                          some that cost nothing.
    the way they have always done                                                      of the technology, economic environ-
    them, but it is pretty energizing to develop creative solutions.                   ment or business challenges we face.




                                                                      ”
    Creativity and innovation can save time and money.                                 Successful teams position us for the
                                                                                       future – whatever that may bring. †


                                              23| MedicinMan February 2013
Pharma’s Premier Branding Event



Question    BRAND
           DRIFT                    Info to
                                              2013




           www.branddrift.com
                                    Insight
                       9 February 2013
                           Mumbai
Mahendra Rai is Senior Consultant, HEOR.                        Richa Goyal is Consultant, HEOR.
                        Mahendra has a Master‟s degree in Pharma-                       Richa has done Masters in Pharma-
     HEOR               cy from the University of Delhi, India. He has                     cy in Pharmacology from Panjab
                            worked on a range of HEOR and Market                            University, Chandigarh. She has
                         Access projects including value demonstra-                     more than 5 years of experience in
                                  tion and medical communications.                                 pharmaceutical research.




                                                                              “

                                                                                                                                  ”
HEOR: WHAT IS SYSTEMATIC REVIEW?

I
       n the current scenario, there is an increas-                 2)   Essential component of health technology assessment (HTA)
       ing need to build and maintain the skills for                     process for multiple technology appraisals (MTA) and single
       using the wide variety of electronic media                        technology appraisals (STA).
       that allow access to large amounts of infor-
                                                                    3)   Propose a future research guideline, clinical trial design; identify
mation. For clinicians, nurses, therapists,
                                                                         unmet needs or evidence gaps.
healthcare managers, policy makers and consum-
ers there are wide-ranging information needs                        4)   Required by authors for substantial grant funding for primary
pertaining to good quality information on the                            healthcare research
effectiveness, meaningfulness, feasibility and ap-
                                                                    Defining a Systematic Review:
propriateness of a large number of healthcare
interventions.                                                      A systematic review comprises of a scientific summary of the evi-

In view of this, systematic literature reviews are                  dence in a structured, reproducible method where bias is mini-
required to:                                                        mized resulting in eligible evidence. A systematic review requires

1)   Serve as single source of information for high                 involvement of three reviewers. Two of them individually review a
     quality recent research in a specific disease                  study and a third reviewer is required to resolve conflicts, if any.
     area.



                                                   25| MedicinMan February 2013
HEOR: What is Systematic Review | Richa Goyal & Mahendra Rai




     Steps involved in a                  3/ Assessing the studies:
                                                  The assessment process in a
                                                                                     If required, a meta-analysis is done
                                                                                     to generate homogenous quantita-
     systematic review:                                                              tive evidence clinical effectiveness.
                                          systematic review is as follows:
                                                                                     Narrative summaries are used if
                                          a) Each study should be assessed
                                                                                     quantitative data are not homoge-
 1/     Defining appropriate
        question:
                                             for eligibility against inclusion
                                             criteria mainly by reviewing the
                                                                                     nous.

 It is very essential to define the
 clear objectives of the review, in-
                                             abstracts

                                          b) Full text papers should be re-
                                                                                     5/ Reporting the data:
                                                                                             findings from the aggregation
                                                                                                                          The


 cluding intervention or phenomena                                                   of the studies are discussed to put
                                             trieved for those studies meet-
 of interest, relevant patient groups                                                into a concise report. Apart from
                                             ing the inclusion criteria.
 to be included, and types of studies                                                discussing the results obtained for
 required. These will help in the se-     c) After sourcing of full texts, the       the study question the report should
 lection of the studies to be included       studies should be assessed for          also discuss the quality and hetero-
 in the review.                              methodological quality using a          geneity of the included studies, the
                                             critical appraisal framework.           impact of bias, as well as the chance
 2/     Searching the literature:
        Published as well as un-
                                             Poor quality studies should be
                                             excluded.
                                                                                     and the applicability of the findings.

 published literature is searched                                                    Location of already published
 pertaining to requirement of the         d) From the remaining studies,
                                                                                     systematic reviews:
 review. To avoid bias, non-English          reported findings/outcomes are

 literature should also be searched.         extracted into a data extraction        High quality systematic reviews are
 Some of the commonly searched               form. Two independent review-           published in many of the leading
 databases include Medline                   ers should ideally conduct the          journals and electronic databases. In
 (through PubMed), Embase and                assessment and conflicts, if any,       addition, electronic publication by
 the Cochrane Library. The types of          should be resolved by a thirds          the Cochrane Collaboration, the NHS
 databases searched largely depend           reviewer.                               Centre for Reviews and Dissemina-
 upon the types of studies required.                                                 tion and other organizations provide
 In addition, the grey literature         4/       Summarizing the data:
                                                   Findings from the individual
                                                                                     access to these as well. †
 (material that is not formally pub-      studies are then aggregated for              Location of systematic Reviews:
 lished, such as institutional or tech-   evidence synthesis to generate clin-
 nical reports, working papers, con-                                                   The Cochrane Library www.cochrane.org
                                          ical effectiveness, feasibility, useful-     The Centre for Evidence-Based Medicine
 ference proceedings, or other doc-       ness, and meaningfulness of the              www.cebm.net
 uments not normally subject to           intervention or activity.                    The NHS Centre for Reviews and Dissemina-
 editorial control or peer review)                                                     tion www.york.ac.uk/inst/crd
 should also be searched. After
                                                                                       PubMed Clinical Queries: Find Systematic
 identifying all the possible studies,                                                 Reviews
 the abstracts are downloaded and                                                      www.ncbi.nlm.nih.gov/entrez/query/static/
 duplicates are removed.                                                               clinical.shtml


                                          26| MedicinMan February 2013
And lots of conversation!
                          Pharma’s Premier Branding Event


                   BRAND
                  DRIFT                    Info to
                                                     2013




                  www.branddrift.com
                                           Insight
                              9 February 2013
                                  Mumbai
Hot on                              Sharad Virmani is Vice President, Marketing and Sales at

Linked                                             Comed Chemicals and Pharmaceuticals.
                                                                        virmanis@gmail.com




                                               “

                                                                                                ”

BRAND LOYALTY: A
THING OF THE PAST.
 “Pharma marketing has changed drastically where no standard formulas
   apply now. With alternatives to everything available, it is the value
  addition to the customer which primarily drives the business, rest is all
                           supportive therapy.“

                          28| MedicinMan February 2013
Brand Loyalty: A Thing of the Past | Sharad Virmani




I
       n the evolving pharma market,        “the key to your success will be in shifting your customer from
       brand loyalty, which was the        one brand to another every quarter with better value addition to
       mainstay of the Pharma              entice him and ensure his continued loyalty to the organization.”
       business, is slowly but surely
becoming a thing of the past.                Whatever little loyalty in Rx's that     existing brands for two quarters in a
                                             you are seeing today is only in the      year and give him new products in
Till now the entire industry was de-                                                  the next two quarters or you could
                                             territories where you have Reps
pendent on Brand Loyalty. Over a                                                      keep rotating your current targeted
                                             who started working before 2003-
period of time the customer has be-                                                   portfolio with him. This will test your
                                             2004. They have been able to sus-
come much smarter than the pharma                                                     marketing team‟s skills and their
                                             tain some loyalty in their Rx be-
companies and 100% loyalty factor to                                                  grasp of ground realities.
                                             cause of old time‟s sake and the
a single brand is a thing of the past.
                                             value-added support of the parent        The most important thing today is “to
Rx habits are not permanent in to-                                                    retain the customer” irrespective of
                                             organization, but that too is not
day's time                                                                            what he writes for you because it is
                                             100%. If you survey the market of
To avoid dependence on single com-           people who joined after 2004, you        very difficult to bring in new custom-
pany and to meet their commercial or         will find the Rx loyalty factor is ex-   ers to your fold.
Medical needs, most modern day cus-          tremely low.                             With the 348 Drugs NLEM list com-
tomers now prefer to divide their pre-                                                ing into effect, generic competition
                                             Time has come for the Indian Phar-
scriptions of a particular generic                                                    will increase.
                                             ma market to quickly shift gears.
among 3 - 4 companies and they                                                        There will be no price advantage –
keep rotating it depending on the            Forget about brand loyalty; the
                                                                                      on which several companies were
value addition and the involvement,          important thing is to focus on
                                                                                      thriving.
innovation and aggression of the             “Continued Customer Loyalty” irre-
                                                                                      Volumes of key players will dip –
company and its representatives.             spective of what brands the Doctor
                                                                                      therefore more pressure will be ex-
                                             writes for you.
So Rx habits today are dependent on                                                   erted in the market on customers to
various parameters unlike earlier times      With the competitors latching on         compensate those volumes, hence
when Company, Quality and Commit-            fast to your customer for the same       there will be a “ customer crunch” .
ment was the driving factor.                 generic, with better value addition,
                                                                                      Profits will come down – new innova-
                                             the key to your success will be in       tive business approaches will be
There is a big difference between
                                             shifting your customer from one          adopted to acquire customers.
AC-room strategy and market reality,
                                             brand to another every quarter
which needs to be addressed aggres-                                                   This also means – no Annual Product
                                             with better value addition to entice
sively for driving business in current                                                Plans will work. Product strategies,
                                             him and ensure his continued loy-
environment.                                                                          number of targeted customers per
                                             alty to the organization.
                                                                                      brand and targets will have to be
Pharma marketing has changed dras-                                                    revisited and fine-tuned every quar-
                                             This brings in a bigger challenge.
tically where no standard formulas                                                    ter - the Annual Total Business Vol-
                                             Do we shift the customer every
apply now.                                                                            ume Plan remaining intact.
                                             quarter on existing brands or give
With alternatives available for every-       him new brands to prescribe.             Retaining customers with “Innovative
thing, it is value addition to customer,                                              Value Addition” will be the key factor
                                             For that you will have to asses your
which primarily drives business, rest is     own Marketing Strength and Capa-         and then rotating brands with them
all supportive therapy.                      bilities. You could rotate him on        successfully will ensure continued
                                                                                      business. †


                                             29| MedicinMan February 2013
CATCH THE DRIFT
                AT PHARMA’S MOST AWAITED
                    EVENT OF THE YEAR
                                            9 February 2013


                      BRAND
                     DRIFT                     Info to
                                                           2013




                                               Insight
                                Mumbai


                                                                                  www.branddrift.com




        Limited Seats, Register Now.
Contact: Arvind Nair | +91 98702 01422 | arvind@branddrift.com | www.branddrift.com
MR Knowledge Series
                                                                    Dr. Amit Dang is Director at Geronimo Healthcare Pvt. Ltd.,
                                                                                                     dramit_gmc@rediffmail.com



                                                                                 munity, it is essential that the researchers adhere to
CLINICAL TRIALS                                                                  the globally accepted guidelines. For safety purposes,
                                                                                 clinical trials start with small groups of patients to find
                                                                                 out whether a new approach causes any harm. In later

C
        linical trials are research studies that evaluate whether a
        medical treatment or device is safe and effective for hu-                phases of clinical trials, researchers learn more about
        mans. If the clinical trial is involving drugs, it aims to ac-           the new approach's risks and benefits.
quire information about the pharmacokinetic and pharmacody-                      Usually, clinical trials compare a new product or thera-
namic properties of a potential drug. Carefully conducted clini-                 py with an already known or standard treatment for a
cal trials are the safest and fastest way to find treatments which               particular condition e.g. comparison of vildagliptin
may help in diagnosis or treatment of people.                                    (new drug) with pioglitazone (known or established
Essentially, the clinical trials are an integral part of drug develop-           drug) for its use among patients of diabetes mellitus.
ment. Clinical trials are one of the final stages of a long and care-            Clinical trials are also done for other reasons e.g.:
ful research process. Research starts with the identification of the             To compare the existing treatments to determine
drug molecule or the device which is to be investigated. After                   which is better.
selection of a molecule, the pre-clinical or animal testing is done.
                                                                                 To evaluate the different doses or different routes of
This pre-clinical phase is also conducted in steps like studying the
                                                                                 drug in a given condition. E.g. comparison of IV iron
efficacy, short-term toxicity and long-term toxicity (tendency to
                                                                                 sucrose versus oral iron therapy in management of
be carcinogenic or mutagenic) of the drug. After a green signal
                                                                                 anemia.
from the regulatory authorities [like Drugs Controller General of
India (DCGI) in India] the molecule or the potential drug is then                Evaluation of an already known drug for a new indica-

tested in clinical trials.                                                       tion e.g. use of bupropion for nicotine de-addiction
                                                                                 [bupropion (an antidepressant) vs placebo]. A placebo
According to these regulatory bodies, the clinical trials of devel-
                                                                                 is a product with no therapeutic action, but it looks
opment phase should be conducted in different phases so as to
                                                                                 like the test product.
establish the efficacy and safety of the drug before it becomes
available in market and also for some tenure after its approval.                 To evaluate the effect of a drug in a different popula-

The clinical trials are conducted in different phases (Phase I-IV)               tion group study e.g. among elderly patients. †

(Table 1). As the results of the clinical trials can benefit the com-
                                                                                         Table 1: Characteristics of different phases of clinical trials

 Phases             Phase I                             Phase II                  Phase III                       Phase IV
                    First in human                      First in patient          Multi-site trial                Post-marketing surveil-
                                                                                                                  lance
 Number of          10-100                              50-500                     A few hundred to a             Many thousands
 participants                                                                     few thousand
 Who are the        Usually healthy volunteers;         Patient-subjects re-      Patients- Subjects              Patients in treatment with
 participants       occasionally with patients with     ceiving experimental      receiving experi-               approved drug.
                    advanced or rare disease            drug                      mental drug
 What is test-      Safety and tolerability             Efficacy and dose-        Confirm efficacy in             Adverse events, compli-
 ed                                                     ranging                   larger population               ance, drug-drug interac-
                                                                                                                  tions
 Duration           Months to years                     1-2 years                 3-5 years                       No fixed duration


                                                  31| MedicinMan February 2013
Does your work often feel like this?
Boss is again at his action-oriented program to motivate
underperforming PSRs




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KAM

                                                            Ken Boyce, Ralph Boyce and Tony O‟Connor - Directors of Pharma MI.
                                                                                                              © Pharma MI February 2009




KEY ACCOUNT
                                                             sub-optimal implementation; to quote Professor Brian Smith from
                                                             the Open University and Cranfield Business School: „Implementation
                                                             - the Graveyard of Strategy‟.




MANAGEMENT
                                                             Pharma MI have been in the fortunate position of being able to
                                                             work closely with a top 5 Pharma companies in the UK for many
                                                             years, guiding and supporting a multi-team KAM implementation.
                                                             This anonymous case study reflects the real outcome that has re-




 IN PHARMA
                                                             sulted from our combined focus on a commitment to implement
                                                             KAM effectively.

                                                             From the outset, the company Divisional Director was committed to
                                                             making KAM a success within his division and had a stated aim of
  ANOTHER SUCCESS STORY                                      becoming world class in their implementation of KAM. He was not
                                                             expecting a quick win and as a member of the senior management
                                                             team was prepared to see this through to a conclusion, whatever
                                                             that conclusion may be: success or failure. He was prepared to back




K
             ey Account Management is believed               this level of commitment for several years and was not eyeing his
             by many to be the miracle cure for              next step up on the Corporate ladder in two years‟ time, leaving the
             the currently ailing Pharma industry,           KAM project for someone else to manage/pick up the pieces, when
             however the debate surrounding its              he had moved on to new pastures.
effectiveness ebbs and flows between „it‟s the               The product where the KAM approach has been most successful is
answer‟ and „it‟s the latest version of the emper-           a mature/well established Brand, in an existing Secondary care mar-
or‟s new clothes‟.                                           ket with recent new higher price entrants, which were supported by
Many of the views expressed on the effectiveness             significant sales and marketing efforts and also less expensive alter-
of KAM in a Pharma setting are based on the                  natives. The company product value proposition was refined over a
theoretical application of a new approach in an              period of time with the relevant stakeholders to be attractive and
unfamiliar setting. The critics of KAM are often             valuable to both parties (the Company and the accounts/ custom-
those who nod wisely knowing that „the Pharma                ers) but there was no significant Advertising or Non- Face to Face
market place is different‟ to every other market             promotion other than the members of the KAM/Sales teams. The
and „it‟s not like that in my country‟ as it is differ-      product value proposition had both convincing clinical and cost
ent to all the others. The advocates of KAM point            effectiveness elements and had an appeal to the multiple stake-
to the theoretical, if logical, benefits of KAM in           holders with an account.
the current Healthcare environment but there are
relatively few case studies to support either view
point. This is not an isolated occurrence in the               Read the rest of the article on www.medicinman.net
Pharma industry, as many a valid approaches
have fallen by the wayside over the years through




                                                  33| MedicinMan February 2013
THE
              HALF-TIME COACH
                      A Psychometric Assessment-based Feedback and
                     Feed-forward Program for Pharma FLMs and SLMs




If Half-Time is of such great importance in a game of football
 that lasts only 90 minutes, how much more in a career that
                        lasts a life-time?




Designed for Maximum Impact, based on the principles
of adult learning:

     Management Games

           Relearning by Reflection,

           Feedback by Observation
   2. Case Studies
   3. Movie Clippings
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   5. Completely customizable modules based on
      learning needs



                The Half-Time Coach is delivered by Anup Soans,
               Editor MedicinMan & Author of SuperVision for the
               SuperWiser Front-line Manager, HardKnocks for the
                           GreenHorn and RepeatRx

                                        See Anup’s profile
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   anupsoans@gmail.com                                       Ph. +91 93422 32949

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MEDICINMAN FIELD FORCE EXCELLENCE ISSUE

  • 1. TM MEDICINMAN February 2013 | www.medicinman.net FIELD FORCE EXCELLENCE CATCH THE DRIFT. MUMBAI, 2013 F ebruary is the shortest month, but a lot is happening at and Renie McClay from United States of America MedicinMan. The Second Edition of Brand Drift is on the 9th joining our newly-formed International Editorial of February and seats are filling up real fast. We look forward Board. You can read their articles in this issue to know to a day of meaningful interactions with Brand Managers. We their areas of expertise. We plan to bring these ex- have lined up an outstanding faculty and some fantastic topics that will perts to India in 2013 for the benefit of Indian Phar- challenge the current thinking among Indian Pharma brand managers ma. Welcome Hanno and Renie. I have had the privi- and transform them from „gift managers‟ to „gifted managers‟ who can lege of participating in Renie McClay‟s programs in differentiate their products through innovative promotions and well- India and she is a fantastic resource person with trained team members - in an increasingly generic market. some outstanding books on Sales Training to her MedicinMan has gained international visibility and recognition. This credit. Hanno Wolfram is known to many of you as month we have two eminent people - Hanno Wolfram from Germany he has written several articles in MedicinMan.
  • 2. Catch the Drift | Anup Soans Both Hanno and Renie are great “Friends of India” and we look forward to learning from them through their books, articles and programs. We are All Salesmen I was privileged to be the keynote speaker at an exclu- Book Review sive Indian Pharma Leaders meeting organized by Cambridge Consultants of U.K. at the Four Seasons Whether we‟re employees trying to convince colleagues Hotel in Mumbai on the 16th and 17th January 2013. about a new idea or parents and teachers cajoling children Read my brief on the interaction on page 12. to study, we spend our days trying to move others to We have launched a new initiative for young profession- action. Like it or not, we‟re all in sales now. als at MedicinMan: the “MedicinMan ChangeMakers To Sell Is Human offers a fresh look at the art and science Board". Kumar Saurabh, a Key Account Manager from of selling. Daniel H. Pink draws on a rich trove of social Strides Arcolabs, comes on board as the first science for his counterintuitive insights. He reveals the new “MedicinMan ChangeMaker”. We plan to take up many ABCs of moving others (it‟s no longer “Always Be Clos- activities that will give practical insights to bring about ing”), explains why extraverts don‟t make the best sales- Field Force Excellence. We want more people who are people, and shows how giving people an “off-ramp” for willing and able make a positive change in the industry their actions can matter more than actually changing their to join us and contribute to fostering Field Force Excel- lence in Indian Pharma and Devices. minds. At MedicinMan, we believe that Key Account Manage- Along the way, Pink describes the six successors to the ment will emerge as a thrust area for pharma and we elevator pitch, the three rules for understanding another‟s have “KAM in Pharma: Another Success Story” by Tony perspective, the five frames that can make your message O‟Connor et al. For those of you interested in reading clearer and more persuasive, and much more. The result is the entire article, it is available for free download on a perceptive and practical book – one that will change www.medicinman.net how you see the world and transform what you do at We have some fantastic articles in this issue – please work, at school, and at home. † share MedicinMan widely with your friends and colleagues. † Stay Connected with MedicinMan. Visit us at www.medicinman.net or connect on social media. Click on the icons below. Subscribe to MedicinMan for FREE: From the bestselling author http://eepurl/odg2X of A Whole New Mind comes a useful book that explores the power of selling in our lives. 2| MedicinMan February 2013
  • 3. Contents CLICK TO NAVIGATE. 6. Listening: Key to Field Force Excellence FFE simply means “customer orientation”. Striv- 6. ing to change perspective to look outside-in, involving the whole company(!) because that is what we enjoy being customers ourselves. Hanno Wolfram 9. Excellence Through Effectiveness In an increasingly generic market, Field Force Effectiveness becomes the Key Differentiator in 11. a company’s sales strategy. K. Hariram 12. India Driving World Pharma by 2030? A thought-provoking discussion facilitated by Cambridge Consultants at the Four Seasons Hotel, Mumbai. Anup Soans, Editor 15. Thirteen Sales Closings in 2013! Create an extra sales cycle in the year by 16. tweaking the start and close of each cycle. V. Srinivasan 16. Medical Rep of the Year! Nine simple steps to sales excellence and career success. Rachana Narayan 3| MedicinMan February 2013
  • 4. Contents CLICK TO NAVIGATE. 21. Leading Tomorrow, Today 10 Steps to building successful teams of the 28. future. Renie McClay 25. HEOR: What is Systematic Review? Evidence-based healthcare made simple. Richa Goyal and Mahendra Rai 28. HOT on LINKEDIN: Brand Loyalty: A MedicinMan Vol. 3 Issue 2 Thing of the Past. Editor and Publisher: What does pharma branding mean in the Anup Soans age of hyper generics and rapidly shifting CEO: Chayya S. Sankath loyalties. COO: Arvind Nair Sharad Virmani Chief Mentor: K. Hariram Advisory Board: 31. MR Knowledge Series Vivek Hattangadi; Jolly Mathews Editorial Board: Clinical Trials made simple. Salil Kallianpur; Dr. Shalini Ratan; Shashin Bodawala; Dr. Amit Dang Prabhakar Shetty; Vardarajan S; Dr. Mandar Kubal; Dr. Surinder Kumar International Editorial Board: Hanno Wolfram; Renie McClay 15. Preview: Key Account Management in Pharma: Another Success Story. Executive Editor: Joshua Soans Ken Boyce, Ralph Boyce and Tony O’Connor MedicinMan Academy: Dr. S. Srinivasan, Dean, Medical Education Prof. Vivek Hattangaadi, Dean, Professional Skills Development MedicinMan ChangeMakers: Saurabh Kumar Make a difference in Pharma. Join MedicinMan ChangeMakers. Write in to our editor to find out more: anupsoans@medicinman.net
  • 5. Inspiration Pharma’s Premier Branding Event BRAND DRIFT Info to 2013 www.branddrift.com Insight 9 February 2013 Mumbai
  • 6. Guest Hanno Wolfram is MD at Innov8 GmbH, Germany. He is a Editorial thought-leader on Pharma Key Account Management and is the co-author of the only book on KAM in Pharma. hanno@innov8.de “ Think about your own most remembered meet- ing last week? What made it really different from others? The most common distinction between a good and a poor face-to-face with anyone, private or busi- ness, is that someone ” listened to you and meant it. LISTENING: KEY TO FIELD FORCE EXCELLENCE T The only objective for true Field Force doors or restrict their availability and the time they want to share with excellence is to get more for the same us. This is a very clear statement: field forces are not perceived as or the same for less. being excellent. Once we know how our target audience judges us as Pharma companies try hard to save “excellent”, we will easily be able to meet their expectations and bring their old sales model from being changed and our field force to the next level. seem to have forgotten that excellence is a judge- The obstacles to achieve this are plenty and need to be considered by ment not a new concept. Who judges if my ap- every enterprise in their individual way. There is nothing like “one size proach is excellent? It is the physician or the in- fits all” or a “best practice” simply to be copied. tended prescriber of my products. The very first obstacle to overcome is the current perspective: the In the last few years we could see that Physicians working truism is that pharma companies look inside out. Physicians hardly see our efforts as excellent: they close their are subjects to be promoted on and made to prescribe. 6| MedicinMan February 2013
  • 7. FFE: The Importance of Listening | Hanno Wolfram “The less access you have, the poorer is your degree of excellence. There are pharma companies that have fully abandoned measuring the outcome of field force efforts and today measure „client satisfaction‟.” Only few companies are trying to marketing and sales efforts? Meas- If we want our field force wants to ask their targets (physicians) what uring the degree of accessibility become excellent and deliver value, they would like and expect. Prod- might be an interesting concept. Medical Reps will have to listen. The ucts are said to be sold to prescrib- The less access you have, the poorer traditional hard selling approach ers. Most pharma companies are is your degree of excellence. There “You have to deliver this message trying to push doctors and make are pharma companies that have n-times to each individual!” will not them use the respective portfolio. fully abandoned measuring the out- be perceived as helpful or mean- This mentality is contradictory to ingful to any physician. This is what come of field force efforts and today Field Force Excellence (FFE). they (physicians) let pharma know measure „client satisfaction‟. What is currently measured has little by closing doors. Beyond measuring facts and figures to do with excellence. Most of us You will find that FFE simply means and fighting the sentence: “we can- still measure reach, frequency, cov- “customer orientation”; striving to not measure client satisfaction!”, erage and revenue achieved. If you change perspective to look outside- there might be simple ideas and want to go for FFE you need to ask in, involving the whole company, concepts based on commonsense. your target audience and find out because that is what we enjoy - what they perceive as excellent. Think about your own most remem- being customers ourselves. Why What you derive from their answers, bered meeting last week? What should doctors see excellence will become the center of your made it really different from others? differently? † efforts to drive FFE. The most common distinction be- tween a good and a poor face-to- A core question to support these efforts is what you need to meas- face with anyone, private or busi- You will find out that ness, is that someone listened to ure. Which are the appropriate FFE simply means you and meant it. metrics indicating excellence of our “customer orientation”; striving to change perspective to look outside-in, involving the whole company, because that is what we enjoy - being cus- tomers ourselves. Why should doctors see excellence differently? 7| MedicinMan February 2013
  • 8. Excitement Pharma’s Premier Branding Event BRAND DRIFT Info to 2013 www.branddrift.com Insight 9 February 2013 Mumbai
  • 9. FFE K. Hariram is the former MD (retd.) at Galderma India. He is Chief Mentor at MedicinMan and a regular contributor. khariram25@yahoo.com “ In an increasingly generic market, Field Force Effectiveness becomes the Key Differentiator in a company‟s sales strategy. EXCELLENCE THROUGH EFFECTIVENESS. T he Indian pharmaceutical market is on a) 90% of Indian‟s Pharma market is branded generics the growth path, driven by: b) Differentiation is difficult a) Rising household income levels, and c) Every Pharma company is ramping up its field force hence affordability, d) Lack of talent and high rates of attrition b) Increasing prevalence of lifestyle related diseas- e) The era of blockbusters is over. es, f) Innovation pipeline is weak c) Improving healthcare infrastructure/delivery From the marketing and selling side there is: a) Reduced access to systems and physicians, b) Increased number of competitors, c) Being a part of 4) Rising penetration in smaller towns and rural huge clutter – the need to differentiate and stand out. areas. To cope with the challenge of differentiation, marketing strategies However, competitive pressures in the domestic alone may be inadequate. Thus Field Force Effectiveness becomes market are likely to sustain as MNCs become ag- more relevant. It impacts the company‟s interface with the customer gressive and domestic companies leverage on and hence the manner in which the customer views the promotional their expanded field force. strategies. There are associated challenges to keep pace with What is Field Force Effectiveness? It is all about improving Productivity, the growth opportunities: “A Strategic lever in Pharmaceutical Marketing.” 9| MedicinMan February 2013
  • 10. Excellence Through Effectiveness | K. Hariram “What is Field Force Effectiveness? It is all about improving productivity”, a strategic lever in pharmaceutical marketing.” It is the field force that interfaces with the customer day in and day 2/ Data & Tools In order to ensure customer 4/ Sales Management The sales management out. Ultimately they are the ones sizing, there has to be effective process should include performance who generate revenues for the tools such as sales force automa- management, rewards and recogni- organization. The typical Pharma tion which will help in data collec- tion and the right balance between sales model involves three key ele- tion and converting it to meaning- process and results. ments. ful information that is usable by the According to Stephen Covey, FFE has 1. Target audience Customers / field force and the sales manage- a lot to do with P/PC balance. P refers Influencers - “To whom are we ment in the market place. to Producing unit of Field force and selling?” PC refers to Producing Capability. A 2. Type of Interactions - “How do fine example of this is the story of we interact with our target au- dience – customers and influ- 3/ Talent Management In today‟s context of com- GOLDEN GOOSE and the FARMER in AESOP‟s Fables. encers?” petitive scenario, it is the PERSON Introduction of technology and tools 3. Nature of the Offer - “What are who makes the difference. Hence, such as iPads are good enablers to we selling?” right people attraction, develop- FFE. But they cannot substitute for The Field Force Effectiveness DRIV- ment of people and retention be- any of the above. ERS in the marketplace on a day-to comes very important. Peter Drucker defines EFFICIENCY as -day basis comprises of quantum „doing things right‟ and EFFECTIVE- of calls made with effective delivery of the sales message and quantum of qualitative calls made. 4/ Training & develop- ment NESS as „doing the right things‟. To- gether, they lead to FIELD FORCE EXCELLENCE. † If all these have to be done consist- Talent can be managed only by ently, then the organization has to having a proper structure to build operate in a proper frame work competencies which are sustaina- that will drive FFE. This frame work ble. Considering the geographical revolves around: spread of the field force, the struc- ture should encompass the reach 1/ Customer sizing The universe of customers is and frequency along with right tools and methods. vast. Hence optimizing and build- ing effectiveness means proper “Introduction of targeting, segmentation, under- technology and standing the customer needs and tools such as iPads proper customer relationship are good enablers. management. But they cannot substitute the basics.” 10| MedicinMan February 2013
  • 11. Sharing Pharma’s Premier Branding Event BRAND DRIFT Info to 2013 www.branddrift.com Insight 9 February 2013 Mumbai
  • 12. Report Anup Soans is Editor, MedicinMan. He is the author of three books for pharma sales professionals. anupsoans@medicinman.net INDIA DRIVING WORLD PHARMA BY 2030? A thought-provoking discussion facilitated by Cambridge Consultants on 16th and 17th of January 2013 at the Four Seasons Hotel, Mumbai. C ambridge Consultants of U.K. did a ¤ Would the current family owned structure be able to meet the splendid job of gathering 25 Indian challenge of being global players? Pharma‟s best minds from R & D, ¤ What regulatory environment could be expected? strategy, M & A, IP, business devel- ¤ What governance and leadership changes need to be done? opment, global branding, project management ¤ What would be the Indian government‟s role and how can the and clinical research to brainstorm possible sce- Indian Pharma represent itself to policy makers? narios of the future of Indian Pharma in the ¤ Finally, what would an increasingly active consumer demand from global arena. Pharma and healthcare providers? Cambridge Consultants put these professionals The discussions were preceded by insights into these areas and expert- into teams and facilitated some great discus- ly facilitated by Cambridge Consultants team that had flown in from UK sions on various topics like: and the US. Tell us what you think about the above questions. ¤ How will companies change to meet the Cambridge Consultants are in the process of putting together a report, challenges of dominating the global gener- the highlights of which, we will share with our readers. So keep watch- ics business? ing this space. More importantly write to us if you would like to be part ¤ Where would new growth opportunities of such future meetings. arise? 12| MedicinMan February 2013
  • 13. India Driving World Pharma by 2030 | Anup Soans “Cambridge Consultants is a 50-year old international technology development and consultancy company, providing outsourced Research and Development to clients - from start-ups to blue-chip multinationals - who need to develop innovative, technologically novel, breakthrough products.” Cambridge Consultants is a 50-year Their early work laid the founda- old international technology develop- tions for what is now known as the Editor‟s Note: Indian consulting ment and consultancy company, Cambridge Phenomenon or Silicon firms and academia would do providing outsourced Research and Fen. well to emulate such initiatives Development to clients - from start- – Adapted from Wikipedia that play an important role in ups to blue-chip multinationals - who fostering networking and learn- need to develop innovative, techno- ing from peers. MedicinMan will logically novel, breakthrough prod- be glad to play the role of a fa- ucts. The company also provides busi- cilitator/catalyst. We already ness consulting services in the areas have forums like Brand Drift, of innovation management, market Field Force Excellence and www.cambridgeconsultants.com strategy and technical due diligence. Breakfast for the Brain, where Cambridge Consultants employs Pharma and related industry about 300 engineers, scientists, math- professionals meet regularly to ematicians, consultants, analysts and brainstorm and share ideas, ex- support staff in both Cambridge, UK pertise and learning. For more Companies represented at the and Cambridge, USA details visit: Discussion: Abbott; Asiatic Clinical Founded in 1960 by two Cambridge www.medicinman.net Research, Cipla, Glenmark, Lupin, graduates – Tim Eiloart and David Merck Serono, Nypro Inc, Southward – to "put the brains Send in your comments to: Ranbaxy, Sanofi, Taro Pharma- of Cambridge University at disposal of ceutical Industries (Sun Group). anupsoans@medicinman.net the problems of British indus- Nationalities Present: Indian, PIO, try. Cambridge Consultants was one US, UK, France, Israel, Belgium of UK‟s first technology transfer busi- nesses 13| MedicinMan February 2013
  • 14. Caring Pharma’s Premier Branding Event BRAND DRIFT Info to 2013 www.branddrift.com Insight 9 February 2013 Mumbai
  • 15. V. Srinivasan has headed Sales Administration & HR Sales functions in reputed Pharma Companies. He has to his credit over 325 published articles in India and abroad. shridhar1956@rediffmail.com Mob: 8056168585 13 SALES CLOSINGS IN 2013! ormally Pharma Companies do the monthly sales clos- By saving a few days from every N ings at the end of every month, thus 12 sales closings in a year. However it is also possible to have 13 sales closings in a year, as explained below: month, we can create an additional month or Cycle for the purposes of Normally we will have 4 full weeks in any month, and in a few our sales closings. In these days of months, a few more days. On this basis, we can allocate 28 days extreme competition, one month‟s (i.e. 4 full weeks) for every month or every Cycle, as per table enclosed. By saving a few days from every month, we can create additional sales would be most an additional month or Cycle for the purposes of our sales clos- welcome to all Pharma Companies. ings. The sales closing will be done on the last day of each Cy- cle. If that day happens to be a Sunday or a holiday, then sales closing will happen on the previous working day, or the next close our sales on a different date, they will be more working day. All promotional inputs, incentives, targeting, incen- comfortable, can give us more time, better co- tives, reporting systems should be adjusted to accommodate this operation, and goods can be physically dispatched arrangement. faster. Since this is the time of the year when all companies Benefits: finalize their monthly budgets/targets for the coming 1) In these days of extreme competition, one month‟s additional year, companies which may find this suggestion ap- sales would be most welcome to all Pharma Companies. pealing, can experiment with the same this year, and 2) CFAs will be very busy during month end, because all Compa- if it is better than the conventional one, they can con- nies close their monthly sales at that time only. Hence, if we tinue in coming years too! † S.No. From To Cycle No. Sales Closing on 01) 1.1.13 28.1.13 1 28th Jan 02) 29.1.13 25.2.13 2 25th Feb 03) 26.2.13 25.3.13 3 25th Mar 04) 26.3.13 22.4.13 4 22nd Apr 05) 23.4.13 20.5.13 5 20th May 06) 21.5.13 17.6.13 6 17th June 07) 18.6.13 15.7.13 7 15th July 08) 16.7.13 12.8.13 8 12th Aug 09) 13.8.13 9.9.13 9 9th Sept 10) 10.9.13 7.10.13 10 7th Oct 11) 8.10.13 4.11.13 11 4th Nov 12) 5.11.13 2.12.13 12 2nd Dec 13) 3.12.13 30.12.13 13 30th Dec 15| MedicinMan February 2013
  • 16. FIELD FORCE SPECIAL Rachana Narayan is a Trainer at Invida - A Menarini Company. rachananarayan1011@gmail.com “ What [Medical Reps] don‟t realize is that they are into the most dynamic profes- sion where rewards are transparent and directly pro- portional to the efforts. But cracking the code to get that reward is always a mys- tery to them. The problem is there is no written guideline which clearly specifies the dos and don‟ts to become the “Salesman of the year”. The solution is to practice good salesmanship and the rewards will follow. ” MEDICAL REP OF THE YEAR! T his should be the dream of all those get that reward is always a mystery to them. The problem is there is no aspiring salesmen who wish to be in the written guideline which clearly specifies the dos and don‟ts to become top 20% salesmen category bringing the “Salesman of the year”. The solution is to practice good salesman- about 80% of the sales. But the ques- ship and the rewards will follow. tion is how many really dream this when they join Even though Pharma sales strategies have undergone a rapid change, this profession? Let‟s acknowledge the fact that the characteristics of a good salesman remain unaltered. While only a unlike other professions, pharma sales is not the few are born salesmen, anyone can inculcate those qualities with prac- chosen path for many. For most of them, it is ei- tice provided they have the desire to learn and have tremendous pa- ther a part-time job or a desperate remedy or tience. Even the born salesman needs to sharpen his skills, display pa- “give it a try” option. What they don‟t realize is tience and remain updated about the changing dynamics of the mar- that they are into the most dynamic profession ket in order to do wonders. Here are some of the characteristics which where rewards are transparent and directly pro- if developed will help to achieve the golden dream of becoming “the portional to the efforts. But cracking the code to salesman of the year.” 16| MedicinMan February 2013
  • 17. The Medical Rep of the Year | Rachana Narayan “Confidence alone does not lead to sales. This explains why many fresher candidates initially brimming with confidence tend to lose it after few rejections and quit. They need to realize the fact that confidence is the facilitator but not the key to success.” module with different stories but 1/ Confidence tors. A good salesman under- stands this fact well and uses his ultimately same moral. Well- Confidence is the most creativity to register his brand as connected calls help the doctor to desirable and basic characteristic a well as himself as a brand in the remember the representative as salesman needs to possess but minds of the doctor. well as his brand better than stand- confidence alone cannot cause alone calls. sale. This explains why many fresh- er candidates initially brimming with confidence tend to lose it after few rejections and quit. They need 3/ Stays updated Remaining updated is the thumb rule of this profession. to realize the fact that confidence is The more the better. The the facilitator but not the key to knowledge of medical representa- success. Confidence in self and tive may not be of importance to trust in the product helps a sales- his doctor but definitely enhances man yield a good presentation and his confidence in the clinic. He is convince the prospect. Without not only updated about his product confidence all other skills go wast- and company, but is also well in- ed. By-hearting the technical as- formed about the industry and pects will never yield results until it competitor. When he is aware of is presented well with confidence, the strengths and weaknesses of his persistence and passion. competitor‟s product, he becomes better equipped to position his 2/ Differentiation product with competitive edge. As we all are created different, discovering that unique- ness and using it to differentiate oneself from competitors should be 4/ Is organized A good salesman is a great planner and organizes his an important strategy to attract the day, thoughts and actions with per- customers. One has to remember fection. He sets objective for each that all the iconic personalities are call based on his previous discus- remembered for their unique set of sion with the doctor and always characteristics which differentiated connects the last call with the pre- them from all their contemporaries. sent one. This makes all his call Don‟t we want variations in food, linked up to make a single call di- clothes, songs, movie-stars and all vided into small modules and each other things of life? So do the doc- 17| MedicinMan February 2013
  • 18. The Medical Rep of the Year | Rachana Narayan “A good salesman consistently challenges himself by setting lofty goals for him- self, achieving them and breaking his own records. “ 5/ Listens & understands 6/ Passionate about his 7/ Builds relation- ship on values Listening should be active and the brands and loves The foundation of pharma sales is based on converting customer into salesman should have the capabil- ity to „listen between the words‟. He his profession a client. The fact that 80% of busi- The salesman has to have passion ness comes only from 20% of the should be empathetic towards the for his brands. If he cannot buy his customer clearly demonstrates the concerns raised by the doctor and own product for himself, he can need for developing a strategic should ask relevant questions to never convince others to buy it. So, partnership with the customer. It identify his needs. He should not he has to love his brands in order requires long term commitment, be impatient to fill the gap with to deliver compelling brand mutual respect, sincerity, honesty, wrong products for mere selling presentations, deliver solutions in punctuality and value-added ser- instead he should share authentic terms of both features and benefits. vice to create that partnership in and correct data with the purpose Then automatically he is able to the long run. Honesty in sales is so of helping the customer. The mo- handle objections with confidence important that it is almost impossi- tive should be to provide apt solu- and present logical arguments. ble for this skill to be taught. When tion to the problems identified a salesman provides authentic facts through questioning. and consistently keeps his commit- ments, he is already on the path of “The fact that 80% of business comes only from 20% of the success. customer clearly demonstrates the need for developing a strategic partnership with the customer.” 18| MedicinMan February 2013
  • 19. The Medical Rep of the Year | Rachana Narayan A salesperson without integrity will achieving them and breaking his own have many struggles which will of- records. He constantly puts effort “A good salesman is highly ten include hopping from job to towards self-improvement by coach- professional in his dressing, job. A feel-good factor created by ing and learning from his own mis- behavior, punctuality. He providing continuous quality ser- takes. loves his own time as well vice with responsibility keeps the relationship alive. While Salespeo- as others.” As I summarise, let me also add that ple perceived as being pushy, un- these qualities are not only required empathetic or dishonest are less to be a great salesperson. In fact, successful in the long run. most of these are pre-requisites to be successful in any profession. How 8/ Is professional could anyone be successful without having knowledge of the work he is A good salesman is highly doing, without passion, honesty, professional in his dressing, behav- sincerity, confidence and positive ior, punctuality. He loves his own attitude? Being organized, achieving time as well as others. He does not targets and building good rapport at get involved in unnecessary politics workplace is of utmost importance and avoids any objectionable be- for any professional to succeed in his havior. Instead he is busy concen- career. A person with good person- trating on his targets, converting ality, friendly, good communication doctors and making his products skills and a good listener is always a available. winner no matter what profession he chooses. Mahatma Gandhi, 9/ Has Positive Rabindranath Tagore, Dhirubhai Ambani etc. were all great salesmen Attitude of their era who sold their ideas, A salesman should develop tre- vision to entire country. In present mendous patience to accept con- context, APJ Abdul Kalam, Narayan sistent rejections without getting Murthy, Amitabh Bachchan, Sachin influenced by negative thoughts. Tendulkar, Lata Mangeshkar etc. are He makes things happen in spite of all great sales personalities of their problems and never complains. He own field. They have created a brand does not blame his luck, company of themselves, have differentiated or product rather brings about from their peers, have their own positive changes in himself that unique characteristics and have increases his closing ratio and im- fought against all odds with their proves his average. His enthusiasm positive attitude. is infectious and gets transferred to So, I totally agree with J. C. Penny, his customers. A good salesman “Salesmanship is limitless. Our very consistently challenges himself by living is selling. We are all salespeo- setting lofty goals for himself, ple.” † 19| MedicinMan February 2013
  • 20. Challenge Pharma’s Premier Branding Event BRAND DRIFT Info to 2013 www.branddrift.com Insight 9 February 2013 Mumbai
  • 21. Renie McClay, MA, CPLP and Inspired Learning focuses on helping companies to design and deliver solutions for improved productivity. Renie is the author of the recent Teams book, 10 Steps to Successful Teams, ASTD Press. She‟s managed training departments for several Fortune 500 companies, including Kraft, Novartis, and Pactiv. rmcclay@inspiredtolearn.net LEADING TOMORROW, TODAY. “ 10 Steps to building successful teams of the future. ” T witter, YouTube, Facebook, smart As I think about these questions and reflect back on this, I realize phones, iPods…customer-driven devel- that most of my adult working life (and even before that in school opment, new products, downsizing, right and growing up) has been spent working in or with teams. Working sizing… industrial age…knowledge work- in the corporate world, I have been on and led sales teams, internal er…Gen X, Gen Y, Boomers. Anyone who has ad hoc project teams, teams responsible for planning recognition been awake for the past couple of years knows events and a myriad of others. Outside of work, teams are just as that things are changing in today‟s world – and prevalent. I have been part of learning teams for graduate work, fast – faster than ever before in our history. In- local civic teams to help build the community, professional industry formation is doubling at staggering rates; tech- groups and sub teams to advance the learning and skills of profes- nology is blazing ahead at lightning speeds; cus- sionals, and the list seems to go on and on. My experience is not tomers are directly driving product requirements. unique in this regard. Thinking about all of this change makes me won- In today‟s dynamic business and economic environment, teams der about two things: Will any elements of to- have emerged as a requirement for business success. We‟ve all day‟s environment serve us well in the future? been part of a team before and many of you may have led teams. And, how can we best position ourselves for the Both roles (leaders and team members) are critical to the success of changes to come? the team. 21| MedicinMan February 2013
  • 22. Leading Tomorrow, Today | Renie McClay “Clarify Roles – If team member roles are not clear, one of two things will happen. The team will be inefficient because time will be wasted as more than one person does the same thing. Or, the team will be ineffective because something important won‟t get done at all.” Today‟s teams are expanding and because something important tional tension will be weak and peo- changing – crossing business units, won‟t get done at all. Clarifying ple can focus on the work to be cultures and time zones. With all of who is responsible for what is criti- done. these variables and the pressures of cal up front. Tip: Open communication and hon- today‟s business climate, how do you Tip: Spend time up front clarifying esty build the base for trust among build a successful team? and discussing the team roles. Lev- team members. Be aware of what Here are 10 steps that I have found erage each individual‟s strengths on you say and how you say it; deliver are necessary to build successful the team. what you commit to and make your teams: Step 3: Encourage deadlines. These building blocks fos- Communication ter trust and build strong relation- Step 1: Form the Team The team make up is Healthy and effective communica- ships. tion builds trust. Giving positive Step 5: Follow Processes perhaps the single most important step of the process. If the team and constructive feedback helps to and Track Progress doesn‟t possess the right skills and keep things on track and eliminates Building processes and tracking pro- drive to accomplish the goals, it will errors. Managing conflict helps a gress is necessary for many reasons. be painful and often unsuccessful. team to focus on the goal rather It builds efficiencies and helps for The right leader can either help or than on interpersonal dynamics replicable success. It also helps to hinder the process. that can slow things down and de- keep stakeholders informed and team teriorate the morale of the team. Tip: Whatever role you play on the members current with what is hap- team, be committed to the success of Tip: Put aside personal agendas in pening and what needs to happen favor of the team agenda. next. your team from day one. Give it your all to get the right players on the Tip: Processes are meant to make team. Step 4: Build Strong Relationships things easier and run more smoothly. Sometimes processes cease to be Step 2: Clarify Roles If team member roles People getting to know each other will be one of the most important effective. When this happens, don‟t parts of building morale on the be afraid to recognize that things are are not clear, one of two things will team. The members are not robots not working well, and change or happen. The team will be inefficient and it will be helpful to get to know adapt the process to better suit the because time will be wasted as more each other as human beings. needs of the team. than one person does the same thing. Or, the team will be ineffective When relationships are strong, rela- 22| MedicinMan February 2013
  • 23. Leading Tomorrow, Today | Renie McClay Step 6: Assess the Team Ideally, everyone Step 8: Effective Virtual Teams Tip: Recognition is an important reward for good performance, and it needs to be aware of his or her is a fantastic motivator for continued Working remotely and participating strengths and then support fellow team contributions. Anyone can rec- on a team virtually is often chal- team members‟ development areas. ognize and reward. Sometimes a lenging. Connecting with people A leader knowing who knows who positive comment from another team you may never have met can make needs support is a beautiful thing. member carries more weight than it harder to build trust and learn to No one possesses every skill and recognition from leadership. rely on team members. Both tech- knowledge; so, self awareness is nology and working at the people Times change, and we need to helpful for the team‟s progress and skills can help to smooth this out. change with them. One element of ultimate growth and success. success that has weathered the storm Tip: Make it a point to reach out Tip: Improvement begins by recog- of time and change is the concept of to other team members. Take the nizing what works and what could team. The structure and make up of initiative to get to know them bet- use some improvement. Be open to teams has changed over the years, ter. Developing relationships assessing the strengths and areas for however the premise that collective across any team, but particularly a improvement for both yourself and knowledge, experience, skills and virtual team, builds trust and en- the team as a whole. talents of a team which make them hances productivity. greater than the sum of its parts Step 7: and Innovation Develop Creativity Step 9: Solve Problems (players), has not changed. Conclusion All teams face prob- A team can continue to do things the lems. Perhaps the single most im- way they have always done them, but portant quality of a team is to see Teamwork is essential for competing it is pretty energizing to develop cre- how they work through problems. in today's global workplace and mar- ative solutions. Creativity and inno- ketplace. Teams are the norm rather Tip: Address conflicts or problems vation can save time and money. than the exception. There are many immediately – don‟t let them build. Teams can be innovative about the different kinds of teams: top manage- When working thru problems, offer end product or about how the team ment teams, focused task forces, self- suggestions and solutions rather operates. A mix of left and right directed teams, product/service de- than complaints. brain thinking can also be very pow- velopment teams, virtual teams, and Step 10: Reward and erful in the team environment. so on. The kind of team is not as im- Tip: Foster a team spirit that is open Celebrate portant as being part of the team. Working together to collectively and to new ideas and creativity. Use new Many teams do not celebrate vic- creatively leverage talents, improve techniques to conduct meetings and tories. Many organizations do not skills and solve business problems is gather ideas. Translate these new properly reward team successes. what matters most. This (team) asso- ideas into action – that‟s innovation! There are ways to reward teams ciation and the growth it achieves are “ that do not cost much and even A team can continue to do things what will remain constant regardless some that cost nothing. the way they have always done of the technology, economic environ- them, but it is pretty energizing to develop creative solutions. ment or business challenges we face. ” Creativity and innovation can save time and money. Successful teams position us for the future – whatever that may bring. † 23| MedicinMan February 2013
  • 24. Pharma’s Premier Branding Event Question BRAND DRIFT Info to 2013 www.branddrift.com Insight 9 February 2013 Mumbai
  • 25. Mahendra Rai is Senior Consultant, HEOR. Richa Goyal is Consultant, HEOR. Mahendra has a Master‟s degree in Pharma- Richa has done Masters in Pharma- HEOR cy from the University of Delhi, India. He has cy in Pharmacology from Panjab worked on a range of HEOR and Market University, Chandigarh. She has Access projects including value demonstra- more than 5 years of experience in tion and medical communications. pharmaceutical research. “ ” HEOR: WHAT IS SYSTEMATIC REVIEW? I n the current scenario, there is an increas- 2) Essential component of health technology assessment (HTA) ing need to build and maintain the skills for process for multiple technology appraisals (MTA) and single using the wide variety of electronic media technology appraisals (STA). that allow access to large amounts of infor- 3) Propose a future research guideline, clinical trial design; identify mation. For clinicians, nurses, therapists, unmet needs or evidence gaps. healthcare managers, policy makers and consum- ers there are wide-ranging information needs 4) Required by authors for substantial grant funding for primary pertaining to good quality information on the healthcare research effectiveness, meaningfulness, feasibility and ap- Defining a Systematic Review: propriateness of a large number of healthcare interventions. A systematic review comprises of a scientific summary of the evi- In view of this, systematic literature reviews are dence in a structured, reproducible method where bias is mini- required to: mized resulting in eligible evidence. A systematic review requires 1) Serve as single source of information for high involvement of three reviewers. Two of them individually review a quality recent research in a specific disease study and a third reviewer is required to resolve conflicts, if any. area. 25| MedicinMan February 2013
  • 26. HEOR: What is Systematic Review | Richa Goyal & Mahendra Rai Steps involved in a 3/ Assessing the studies: The assessment process in a If required, a meta-analysis is done to generate homogenous quantita- systematic review: tive evidence clinical effectiveness. systematic review is as follows: Narrative summaries are used if a) Each study should be assessed quantitative data are not homoge- 1/ Defining appropriate question: for eligibility against inclusion criteria mainly by reviewing the nous. It is very essential to define the clear objectives of the review, in- abstracts b) Full text papers should be re- 5/ Reporting the data: findings from the aggregation The cluding intervention or phenomena of the studies are discussed to put trieved for those studies meet- of interest, relevant patient groups into a concise report. Apart from ing the inclusion criteria. to be included, and types of studies discussing the results obtained for required. These will help in the se- c) After sourcing of full texts, the the study question the report should lection of the studies to be included studies should be assessed for also discuss the quality and hetero- in the review. methodological quality using a geneity of the included studies, the critical appraisal framework. impact of bias, as well as the chance 2/ Searching the literature: Published as well as un- Poor quality studies should be excluded. and the applicability of the findings. published literature is searched Location of already published pertaining to requirement of the d) From the remaining studies, systematic reviews: review. To avoid bias, non-English reported findings/outcomes are literature should also be searched. extracted into a data extraction High quality systematic reviews are Some of the commonly searched form. Two independent review- published in many of the leading databases include Medline ers should ideally conduct the journals and electronic databases. In (through PubMed), Embase and assessment and conflicts, if any, addition, electronic publication by the Cochrane Library. The types of should be resolved by a thirds the Cochrane Collaboration, the NHS databases searched largely depend reviewer. Centre for Reviews and Dissemina- upon the types of studies required. tion and other organizations provide In addition, the grey literature 4/ Summarizing the data: Findings from the individual access to these as well. † (material that is not formally pub- studies are then aggregated for Location of systematic Reviews: lished, such as institutional or tech- evidence synthesis to generate clin- nical reports, working papers, con- The Cochrane Library www.cochrane.org ical effectiveness, feasibility, useful- The Centre for Evidence-Based Medicine ference proceedings, or other doc- ness, and meaningfulness of the www.cebm.net uments not normally subject to intervention or activity. The NHS Centre for Reviews and Dissemina- editorial control or peer review) tion www.york.ac.uk/inst/crd should also be searched. After PubMed Clinical Queries: Find Systematic identifying all the possible studies, Reviews the abstracts are downloaded and www.ncbi.nlm.nih.gov/entrez/query/static/ duplicates are removed. clinical.shtml 26| MedicinMan February 2013
  • 27. And lots of conversation! Pharma’s Premier Branding Event BRAND DRIFT Info to 2013 www.branddrift.com Insight 9 February 2013 Mumbai
  • 28. Hot on Sharad Virmani is Vice President, Marketing and Sales at Linked Comed Chemicals and Pharmaceuticals. virmanis@gmail.com “ ” BRAND LOYALTY: A THING OF THE PAST. “Pharma marketing has changed drastically where no standard formulas apply now. With alternatives to everything available, it is the value addition to the customer which primarily drives the business, rest is all supportive therapy.“ 28| MedicinMan February 2013
  • 29. Brand Loyalty: A Thing of the Past | Sharad Virmani I n the evolving pharma market, “the key to your success will be in shifting your customer from brand loyalty, which was the one brand to another every quarter with better value addition to mainstay of the Pharma entice him and ensure his continued loyalty to the organization.” business, is slowly but surely becoming a thing of the past. Whatever little loyalty in Rx's that existing brands for two quarters in a you are seeing today is only in the year and give him new products in Till now the entire industry was de- the next two quarters or you could territories where you have Reps pendent on Brand Loyalty. Over a keep rotating your current targeted who started working before 2003- period of time the customer has be- portfolio with him. This will test your 2004. They have been able to sus- come much smarter than the pharma marketing team‟s skills and their tain some loyalty in their Rx be- companies and 100% loyalty factor to grasp of ground realities. cause of old time‟s sake and the a single brand is a thing of the past. value-added support of the parent The most important thing today is “to Rx habits are not permanent in to- retain the customer” irrespective of organization, but that too is not day's time what he writes for you because it is 100%. If you survey the market of To avoid dependence on single com- people who joined after 2004, you very difficult to bring in new custom- pany and to meet their commercial or will find the Rx loyalty factor is ex- ers to your fold. Medical needs, most modern day cus- tremely low. With the 348 Drugs NLEM list com- tomers now prefer to divide their pre- ing into effect, generic competition Time has come for the Indian Phar- scriptions of a particular generic will increase. ma market to quickly shift gears. among 3 - 4 companies and they There will be no price advantage – keep rotating it depending on the Forget about brand loyalty; the on which several companies were value addition and the involvement, important thing is to focus on thriving. innovation and aggression of the “Continued Customer Loyalty” irre- Volumes of key players will dip – company and its representatives. spective of what brands the Doctor therefore more pressure will be ex- writes for you. So Rx habits today are dependent on erted in the market on customers to various parameters unlike earlier times With the competitors latching on compensate those volumes, hence when Company, Quality and Commit- fast to your customer for the same there will be a “ customer crunch” . ment was the driving factor. generic, with better value addition, Profits will come down – new innova- the key to your success will be in tive business approaches will be There is a big difference between shifting your customer from one adopted to acquire customers. AC-room strategy and market reality, brand to another every quarter which needs to be addressed aggres- This also means – no Annual Product with better value addition to entice sively for driving business in current Plans will work. Product strategies, him and ensure his continued loy- environment. number of targeted customers per alty to the organization. brand and targets will have to be Pharma marketing has changed dras- revisited and fine-tuned every quar- This brings in a bigger challenge. tically where no standard formulas ter - the Annual Total Business Vol- Do we shift the customer every apply now. ume Plan remaining intact. quarter on existing brands or give With alternatives available for every- him new brands to prescribe. Retaining customers with “Innovative thing, it is value addition to customer, Value Addition” will be the key factor For that you will have to asses your which primarily drives business, rest is own Marketing Strength and Capa- and then rotating brands with them all supportive therapy. bilities. You could rotate him on successfully will ensure continued business. † 29| MedicinMan February 2013
  • 30. CATCH THE DRIFT AT PHARMA’S MOST AWAITED EVENT OF THE YEAR 9 February 2013 BRAND DRIFT Info to 2013 Insight Mumbai www.branddrift.com Limited Seats, Register Now. Contact: Arvind Nair | +91 98702 01422 | arvind@branddrift.com | www.branddrift.com
  • 31. MR Knowledge Series Dr. Amit Dang is Director at Geronimo Healthcare Pvt. Ltd., dramit_gmc@rediffmail.com munity, it is essential that the researchers adhere to CLINICAL TRIALS the globally accepted guidelines. For safety purposes, clinical trials start with small groups of patients to find out whether a new approach causes any harm. In later C linical trials are research studies that evaluate whether a medical treatment or device is safe and effective for hu- phases of clinical trials, researchers learn more about mans. If the clinical trial is involving drugs, it aims to ac- the new approach's risks and benefits. quire information about the pharmacokinetic and pharmacody- Usually, clinical trials compare a new product or thera- namic properties of a potential drug. Carefully conducted clini- py with an already known or standard treatment for a cal trials are the safest and fastest way to find treatments which particular condition e.g. comparison of vildagliptin may help in diagnosis or treatment of people. (new drug) with pioglitazone (known or established Essentially, the clinical trials are an integral part of drug develop- drug) for its use among patients of diabetes mellitus. ment. Clinical trials are one of the final stages of a long and care- Clinical trials are also done for other reasons e.g.: ful research process. Research starts with the identification of the To compare the existing treatments to determine drug molecule or the device which is to be investigated. After which is better. selection of a molecule, the pre-clinical or animal testing is done. To evaluate the different doses or different routes of This pre-clinical phase is also conducted in steps like studying the drug in a given condition. E.g. comparison of IV iron efficacy, short-term toxicity and long-term toxicity (tendency to sucrose versus oral iron therapy in management of be carcinogenic or mutagenic) of the drug. After a green signal anemia. from the regulatory authorities [like Drugs Controller General of India (DCGI) in India] the molecule or the potential drug is then Evaluation of an already known drug for a new indica- tested in clinical trials. tion e.g. use of bupropion for nicotine de-addiction [bupropion (an antidepressant) vs placebo]. A placebo According to these regulatory bodies, the clinical trials of devel- is a product with no therapeutic action, but it looks opment phase should be conducted in different phases so as to like the test product. establish the efficacy and safety of the drug before it becomes available in market and also for some tenure after its approval. To evaluate the effect of a drug in a different popula- The clinical trials are conducted in different phases (Phase I-IV) tion group study e.g. among elderly patients. † (Table 1). As the results of the clinical trials can benefit the com- Table 1: Characteristics of different phases of clinical trials Phases Phase I Phase II Phase III Phase IV First in human First in patient Multi-site trial Post-marketing surveil- lance Number of 10-100 50-500 A few hundred to a Many thousands participants few thousand Who are the Usually healthy volunteers; Patient-subjects re- Patients- Subjects Patients in treatment with participants occasionally with patients with ceiving experimental receiving experi- approved drug. advanced or rare disease drug mental drug What is test- Safety and tolerability Efficacy and dose- Confirm efficacy in Adverse events, compli- ed ranging larger population ance, drug-drug interac- tions Duration Months to years 1-2 years 3-5 years No fixed duration 31| MedicinMan February 2013
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  • 33. KAM Ken Boyce, Ralph Boyce and Tony O‟Connor - Directors of Pharma MI. © Pharma MI February 2009 KEY ACCOUNT sub-optimal implementation; to quote Professor Brian Smith from the Open University and Cranfield Business School: „Implementation - the Graveyard of Strategy‟. MANAGEMENT Pharma MI have been in the fortunate position of being able to work closely with a top 5 Pharma companies in the UK for many years, guiding and supporting a multi-team KAM implementation. This anonymous case study reflects the real outcome that has re- IN PHARMA sulted from our combined focus on a commitment to implement KAM effectively. From the outset, the company Divisional Director was committed to making KAM a success within his division and had a stated aim of ANOTHER SUCCESS STORY becoming world class in their implementation of KAM. He was not expecting a quick win and as a member of the senior management team was prepared to see this through to a conclusion, whatever that conclusion may be: success or failure. He was prepared to back K ey Account Management is believed this level of commitment for several years and was not eyeing his by many to be the miracle cure for next step up on the Corporate ladder in two years‟ time, leaving the the currently ailing Pharma industry, KAM project for someone else to manage/pick up the pieces, when however the debate surrounding its he had moved on to new pastures. effectiveness ebbs and flows between „it‟s the The product where the KAM approach has been most successful is answer‟ and „it‟s the latest version of the emper- a mature/well established Brand, in an existing Secondary care mar- or‟s new clothes‟. ket with recent new higher price entrants, which were supported by Many of the views expressed on the effectiveness significant sales and marketing efforts and also less expensive alter- of KAM in a Pharma setting are based on the natives. The company product value proposition was refined over a theoretical application of a new approach in an period of time with the relevant stakeholders to be attractive and unfamiliar setting. The critics of KAM are often valuable to both parties (the Company and the accounts/ custom- those who nod wisely knowing that „the Pharma ers) but there was no significant Advertising or Non- Face to Face market place is different‟ to every other market promotion other than the members of the KAM/Sales teams. The and „it‟s not like that in my country‟ as it is differ- product value proposition had both convincing clinical and cost ent to all the others. The advocates of KAM point effectiveness elements and had an appeal to the multiple stake- to the theoretical, if logical, benefits of KAM in holders with an account. the current Healthcare environment but there are relatively few case studies to support either view point. This is not an isolated occurrence in the Read the rest of the article on www.medicinman.net Pharma industry, as many a valid approaches have fallen by the wayside over the years through 33| MedicinMan February 2013
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