First call point is not the med onc. First call point is surgeon then pathology to get the tissue. That's what matters at this company - management pushes specimen-in-the-door and then worries about the med oncs later. If the med onc catches on, they usually shut it down or come back to the surgeon wondering why he is sending this. Good reps are proactive about the med onc but even after, the med oncs are usually not positive about the technology. Job is huge with relationships in pathology, surgery first. You can only get away with having the surgeon send specimens/lure them in with clinical trials/play games in certain territories until they begin to notice and get enough feedback that they come back on you. You don't want to create negative impressions with powerful surgeons through this company if you are looking to stay in this arena long term. It will put a very bad taste in their mouths and have heard this time and time again. Reps are known for taking tissue without consent and even cutting tissue in up to 6 pieces in order to make their numbers. That is how stressful it is. People leave because of many factors but mainly because of the uneeded pressure of a company that is desperate. This, all while serious micromanaging and expectations continue at an astronomical rate. Right now the company is struggling. They are losing the best reps, fact. They are losing managers who were also great previous reps, fact. They are losing in house folks who are MD's, fact. The management is one of the most unprofessional in the business and such a business model will eventually cease to appease the investors. Many surgeons complain they simply want more and oncology to be on board, the product and lackof professional leadership is becoming apparant even to their clients. Close to 10 reps leaving in 2 months, all top performers, many going to President's Club and then taking off. There are other companies out there that want to help patients. Specimens in the door is not a main concern when a patient is in need. Take what others on here are saying very seriously.