They serve no purpose at all, other than getting in the way of the rep & Dr. while in the office. They're a big SUCK of money for the company and do nothing for the bottom line! Every rep could submit their expense report into home office for approval, thus saving $, and to make sure reps are on the up and up with their messaging, Novartis could have regionals do ride alongs with reps every few months. When will Novartis learn that eliminating these useless positions (KAMS/BRMS's included), would put more money into their pockets??? I've been around the block longer than the majority of these KAMS/BRMs and can tell you that Novartis is WASTING THEIR MONEY! A sales rep could do what they're doing at half the cost!