As a former IHR & Specialty rep (& TSR, DSR, SHR or whatever they call us now), I know certain accounts require a light touch but a consistency WRT relationships with whomever is calling on the decision makers. Having said that, I also understand that the rise of large integrated hospital systems, national accounts, VISNS, etc have left some reps with NOTHING to do in some accounts. You can only play so much golf, and we can't even do that anymore as a legitimate expense. I had an good, friend who was assigned several accounts in Florida that were essentially "no see" ( they were my accounts too). At the time I was in Specialty and my friend was an IHR, so I at least had some office-based docs to keep me busy. My friend could only work 2-3 days a month, tops. He was a great rep, but not worth spending $125k/yr for less than 1 day a week actively engaged with customers.
On the bright side, he became a scratch golfer before Pfizer wised up...