Depends on what implantable device you are talking about and what oncologic you are talking about. I've sold implantable oncologics for glioblastoma and scrubbed in on most cases. Not sure I received any more or any less training than the other chemos I've sold. Also I don't think most doctors regardless of the therapeutic area have a standard they hold any of us to. They really don't care as much about us as you think they do. I started my med career selling stents which is technically an implantable device and I can tell you it was a promotion to go from that to oncology and the oncology training was far more intense clinically. My brother "sells" pacemakers but he went to school for special training for that and it is more applications drive than selling. Not sure what 'real sales gig means'. My guess is anyone in medical sales (Pharma device, equipment etc) would not be overly attractive in industries out side of medical. Why would a software company hire a Pharma or Device rep over someone with software sales experience? Apply that same logic to any other industry, financial services, industrial chemicals, you name. Experience in the specific field usually trumps experience outside of the field. Lastly real sales should not be defined by what the day to day is but rather what you earn. A good Onc rep at a good biotech will make over $200k a year with base and bonus add all the other perks in and that is very real money to a lot if people. Couple that with a few stock buyouts and you have a lot of 40 year olds who are multi millionaires.