DSR here. Call on 106 physicians. 9 are PCP overlaps to support PHRs. PHRs also overlap on 10 of my specialists where I need their share of voice.
While there are some really good PHRs who in the future will be promoted, most new reps or long tenured PHRs either do not want the added responsibilities of other duties delegated to DSRs by management, (guest training, regional office training, reports, etc etc) or simply have not displayed the skill sets management is looking for promotion. That's not to say that they are not good in front of their customers or do not meet their sales numbers. Today's rep job is way more than what it used to be back in the day. You've got iCUE, ADAM, TCL, OVERLAP and a dozen other reports that you have to sift through on a weekly basis. (I'm not even going to mention the other reports that DBMs have to go through) The managed care world has also changed. You can't just show up, rattle off a 30-sec message and expect to see the scripts pouring in like in the old days. 30-50% of the scripts your physicians write are switched to generics due to coverage restrictions.
I believe there is going to be some big shake up in the A-Side this Thursday. The bulk of the A-Side DSR $ revenue was coming from the cardiologists or internist/cardiologist. You take that out of the picture and most territories will be reduced in optimal call and dollar volume from anywhere between 50 to 75%. These promoted reps may be shifted down to calling on the bulk of the PCPs with a mix of the pulmonologists (spiriva, chantix), urologists, (viagra, detrol, toviaz). The Psych TSR may also be integrated into Primary Care to promote Pristiq and Geodon as well as assist on PCPs. The B-side will also see reductions if there are significant overlaps such as 2 DSRS in the same territory or a DSR/PHR that overlap the entire TCL. Some B-Side reps will also move to the other side along with Pristiq if the territory requires it. Performance, geography, experience on certain products will all play factors in the decision making process.
Anyways, good luck to all of you DSRs/TSRs/PHRs/L-King and L-Wyeth. Remember, if you are a hard worker and bring value to your employer, there will always be a job. When one door closes, another opens.