As the industry continues it's decline (pharma sales continues to go the way of the dinosaur as the industry moves to a digital marketing business model), here are some of the major factors that have negatively impacted the job, and experience, of the typical pharma rep (reps may have experienced some of this in years past, but it is much worse today): 1. Poor access to providers (your customers don't want to see you and have created policies that make seeing them very difficult or impossible), 2. Micromanagement (monitored, tracked, busy work/reports, etc. - lack of autonomy), 3. Bad management and/or negative company culture (pervasive in an industry where sociopathy is often rewarded and celebrated - many managers and many of your colleagues exhibit sociopathic personality traits), 4. Stress (refer to factors previously stated, plus unrealistic sales goals), 5. Lack of respect (pharma reps often get no respect from the general public, providers, and office staff), 6. No job stability (the average rep will be changing jobs once every two years on average - contracts end abruptly and often sooner than expected, layoffs occur frequently with manufacturers, and bad managers frequently target reps in their districts/regions to put on PIPs, make miserable, and force out). Once out, it typically takes months to land another gig that is likely to only last 12-24 months, and if you're over the age of 45 it may take longer or become impossible.
Regarding contract reps (reps with CSO's), expect the much of the above to apply even more so than if you're a rep employed by a manufacturer. Job insecurity is built into the contract model, and contract reps are still considered low-status in the industry, a reputation that is not deserved as many contract reps are hard-working, intelligent, driven people who have worked for manufacturers in the past, are experienced, and have achieved excellent results. Also, contract reps tend to receive lower compensation vs their manufacturer counterparts and generally no severance when the contract ends - another insult to the contract rep. There are still newbies who are hungry to work in the industry, and there are more displaced experienced reps than ever who want to continue to ride the roller-coaster of Pharma, so CSO's and Manufacturers have no problem finding candidates willing to volunteer for the often painful employment opportunities they offer. In summary, yes, things have changed and this isn't the industry of the 1990s or the early-mid 2000's. This is the typical reality of Pharma sales in 2022. I do not recommend this career choice.