In addition to the dysfunctional and incompetent field medical leaders, there are also a bunch of incompetent internal medical teams in Medical Affairs, especially the recent hires the past couple of years in oncology...Bunch of inexperienced losers who just know how to ass kiss and talk a big game to climb up the chain or get into the doors....why give them the bloated titles of MSDs or group MDs when they don't even know how to be 'strategic' or just do the basics? I won't give out names because I know they will just cry, but we all know who they are....So disappointing.... I've been at Genentech for many years and have seen good leaders leave, and are now left with bunch of young, unqualified in house people to run the show.... a change is definitely needed in Medical if the company ever want to be respected again..