Novartis is the GESTAPO of the pharma industry. If you don't believe Big Brother is watching then come to work for Novartis. I have over 30 years of pharma experience some as a district manager, trainer, and temporary Regional Director. To progress with this company- it is simple-produce sales and kiss ass. Only agree with ideas from sales leadership and never push back. This is no different than any other major company. It is not what you know aor do, more o it is who you blow or screw or screwover. To be a manager, you have to exemplify the tought minded mindset. Manage by position power, intimidate those you can and bullshit those you can't. Promise promotions or leveling, then stall and say "Well based on performance, I really can't justify recommending you for this or that. Inspect what you expect-Also called Theory X management. Everyone below your level is a lazy demotivated person that needs a regular kick in the ass. Create lots of spread sheets and have those below you fill in all the data and send to you. That makes you look good to your manager. Check to see when reps put their first call in the computer. Check to see when the last call is entered into the computer. Check every item on an expense report and ask your underlings to explain anything that is not itemized. Although the IRS only requires receipts for items over $25, as a manager you can require receipts for everything. Wow! Can you feel the power surging thru your veins. On field trips, be a detective before you work with them. Find out what they are doing wrong befoe the trip. Then you can just bullshit on the field visit and then write them up for all the things they do wrong and develop an improvement plan. That is the job of management to eliminate the positive and accentuate the negative. Then as the all knowibng powerful manager, you can create the action plans to turn the other persons performance around. Now fully expect the manager/director/vice-president above you to apply the same principles to you.