Field rides are just another contributing factor to the steep decline in HCP office access.
Imagine for a moment you aren't in Pharma. Now think of how incredible and how lucky we are that even ONE of us is allowed back into a Doctors office where patients are talking to staff, getting weighed, having vitals taken, etc. Most patients don't know who we are, but if they did many would surely object to our presence.
Now consider the outrageousness of a Manager following the rep into an office just to observe the Salesperson. One of my docs put it perfectly. When I asked him why he won't let Managers in his office he said, "Why should I allow my office to be used a setting for rep training? We're treating patients here! Take that shit somewhere else!"
In a great many of major metro/ suburban markets field rides, heavy-handed closes, mandated weekly visits, mandated snacks, etc.. have reduced access to a tiny number of independent private offices. And yet Pharma hasn't changed expectations or behaviors one bit.