I finished my week long ride-along last week. My best friend is my RD. He tells me everything (I think) and even he is somewhat in the dark. He called me and was apologetic bc he had received a 12 page report from my ride-along which included among other things fucking sound bites from my fucking conversations with doctors. I guess he recorded with his I pad. Anyway every call was broken down into sentences and then each one had a category. For example by call with Dr. Smith was 94 sentences long, 2 sentences were off-lable, 4 were questionable, 31 where status-quo and medically related, 50 were non medically related, etc. The two sentences (off label) were attached as a sound bite, 3 of the 4 questionable ones were there as well, I guess 1 of them was inaudible. It was broken down by the percentage I spent on each drug, how many probing questions (I guess you can't get away with being safe and generic with these guys). There was a category on what I opened with, what I closed with, did it match, etc. Did I use "absolutes", did the PI's left match the number of sample left. Anyway hopefully you get the point.
He told me the off label (they were BARELY) and/or the questionable sentences were turned into compliance. He had told me that the he had heard a rumor (only a rumor) that the cost ratios were to high with Forest salaries, the company doesn't want to have layoffs (looks bad to the market and internal moral), but can do a good amount of purging by catching reps on just about anything possible. They want to get rid of 25% then rehire reps that are young with little experience (can be molded) and will accept lower salaries. You can save 20-40k per rep and when you add up 25% of the sales force you can save a pretty penny. This is all being done by an outside company that is hired for various profit strategies. With pharma companies this is one of the ways they do it since reps can easily screw up in 1000 different ways on any given call. Well I guess I just spilled the beans. Oh well, I wish you can see the care on my face.