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Merck does not even have the real tools anymore to measure true performance so we've gone back to touchy feely bullshit that places the best reps in the hands of the managers who even have less of a feel for the customers! When we talk about what our customers want and need this company is so out of touch that we'll make ourselves more irrevelant every day! In most cases we're still trying to make this more complicated than it is! I suspect that in places like Minnesota and Arizona we QCS'd ourselves right out of an office..most of the exercise of getting inside a docs head and practice should never have been done in that manner!  All summed up by one customer, "If your little partner asks me one more question about my practice I'm going to kick her out of the office and never let her back in again." "She asked me tons of useless questions that she already should have known and never answered what I asked about the product."