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MEDICINMAN
April 2013 | www.medicinman.net
                                                 Field Force Excellence




                                   TARGETS                         Vs.

                                  TRAINING

                        Is your training as
                        ambitious as the targets
                        you set for your teams?
                                                - EDITORIAL




                                  1 | MedicinMan April 2013
EDITORIAL: Target Vs. Training | Anup Soans, Editor



Pharma companies are great at setting ambitious sales targets but not so great

when it comes to training people who are responsible for achieving those targets.


I
  f the only tool you have is a            The power of training can be             What is useful is a demonstration
  hammer, every problem looks like         illustrated vividly through the          of how knowledge can make
  a nail.”                                 terrorist attack on Mumbai in            difference to improving
                                           2008. Ten well-trained and highly        performance. For this, the initial
Corollary: if pressure on people
                                           motivated terrorists held the            classroom training must be
is the only strategy you have
                                           city to ransom as they struck            followed up on the field regularly
to achieve sales target, then                                                       by the FLM and SLM – this rarely
                                           at will killing policemen and
stress and attrition are the only                                                   happens. As a result behaviour
                                           civilians. There were over 30,000
permanent outcomes your sales                                                       remains same and the hapless
                                           policemen in Mumbai when the
team will produce.                                                                  FLM transfers the pressure with
                                           attack occurred. There was little
Pharma companies are great in              they could do to take back the           a force multiplier to MRs. The
setting ambitious sales targets            city, except cordon off the areas        only people who gain from this
                                                                                    approach are the hundreds of
but not so great when it comes             under attack. In contrast the NSG
                                                                                    placement agencies that have
to training people who are                 commandos took the task head-
                                                                                    mushroomed to enable pharma
responsible for achieving those            on and completed their mission
                                                                                    companies put feet-on-street as
targets.                                   successfully.
                                                                                    quickly as possible.
I recently met the VP Sales of a           The main difference between              The current industry trend
well established company with              the Mumbai police and the NSG            is to hire ONLY experienced
a good mix of me-too and niche             commandos is the importance              candidates. The assumption
products in global markets. They           they give to training and                being that they have the right
had an enviable track record of            preparedness. Many of the                experience and are likely to stay
over 25 years and a turnover of            policemen had not fired a single         for at least a year given that
nearly Rs. 1000 crores. They had           round of ammunition for years. In        they are offered a reasonable
recently entered the domestic              contrast, NSG commandos are              increase, which is not easy to
market and wanted to know how              trained intensely and regularly          match. This will compound the
                                           in all areas of professional             pipeline problems as salespeople
their field force could be trained
                                                                                    will become scarcer few years
to work in a professional manner.          competence.
                                                                                    down the line. To address these
They wanted to replicate what              The difference in performance            issues, MedicinMan will be
they had done in the international         is the result of difference in           conducting the second Field
markets. After discussions for             training. Tougher the task,              Force Excellence (FFE 2013)
over an hour, I had an uneasy              greater the need for training. The       conference on June 8th at
feeling that this meeting was not          Indian Pharma Market is fiercely         Mumbai.
going to make much headway.                competitive – too many MRs               At FFE 2013, CEOs and senior
Reason? They had set very                  chasing too few CORE doctors!            managers of Indian Pharma will
aggressive sales targets but very          Aggressive sales targets must be         gather for a day’s deliberations to
little resources were allocated to         matched by aggressive training           explore new ways of enhancing
train and develop their field force.       interventions.                           Field Force Productivity. To
Most companies in the Indian                                                        know more about how you can
                                           For most companies, product
                                                                                    benefit from FFE 2013, write to
Pharma Market set very                     training takes the front-seat and        anupsoans@gmail.com or visit
aggressive sales targets, which            it becomes an exercise in ‘what’         www.medicinman.net/ffe2013.§
is good in itself. But it must be          knowledge rather than ‘how’
backed by aggressive training              knowledge and ‘why’ knowledge.
and development programs that




                                                                                FFE 2013
                                           It is a fill-the-bucket approach
build skills and confidence of the
                                                                                x
                                           that dumps information in
field force.                               elephant doses, which is rarely
                                           effective.
                                                                                    5   10       15       20      25         30      35      35      40      45       50   55

Connect with Anup Soans on LinkedIn | Facebook | Twitter                                     Date: Saturday, 8th June 2013        Place: Courtyard Marriott, Mumbai
                                                                                                                                                                            y


                                                                                                      Theme: FIELD FORCE PRODUCTIVITY

                                               2 | MedicinMan April 2013
field force excellence
tools at special Price !




                      MRP Rs. 799/-                                        MRP Rs. 599/-


    For Individuals*
    Buy SuperVision for the SuperWiser Front-line Manager and Get HardKnocks for the
    GreenHorn FREE.

    For Corporates*
    INR 500/- for a set of SuperVision for the SuperWiser Front-line Manager (1 copy)
    and HardKnocks for the GreenHorn (1 copy) for purchase of 50 sets and above.
    *Inclusive of Shipping to One Location.

Please pay through bank transfer to SB account no. *07141000006761* of “Anup Soans” HDFC Bank, Mosque Road, Frazer
Town Branch, Bangalore – 560005. RTGS/NEFT IFSC: HDFC0000714 and inform by email and SMS - anupsoans@gmail.
com | +91-93422-32949.

Or you can send a cheque favoring “Anup Soans” to:
Anup Soans
101 - North Forte Apts;
22, North Road,
Cooke Town,
St. Thomas Town P.O.
Bangalore - 560084
Contents                            (click to navigate)




1. BRAND DRIFT 2013 - A Milestone for
Pharma..................................................................6      11
The Conference Director tells us what drives
pharma’s most loved annual branding event.
Arvind Nair
                                 Field Force Excellence

2. Five Simple Equations for Sales
Excellence..............................................................8
Tried and tested means to achieve Field Force
Excellence, condensed in FIVE simple equations.

K. Satya Mahesh

3. Field Force Excellence - The Need for role
                                                                               20
Clarity...................................................................11
A sales organization cannot achieve excellence
unless there is a clear-cut definition and
understanding of roles and responsibilities,
K. Hariram

                                                  Counterpoint

4. Employee Loyalty - At What Cost?................14
The era of employees being loyal to a single
organization has passed - the upsides to this are
surprisingly plentiful.
Sharad Virmani

                                           Personal Success                    25

5. Munshiji ki Panch Tantra for Professional
Growth ................................................................17
The Chief General Manager for Sales and
Marketing at Tablets India shares the Five
Ingredients of his Professional Success Story.
Sanjay Munshi
Contents                          (click to navigate)
                                                                             MedicinMan Volume 3 Issue 4 | April 2013

                                                                             Editor and Publisher
                                                                             Anup Soans

                             Product Management                              CEO
                                                                             Chhaya Sankath

6. What PMT Proposes, Field Force                                            COO
Disposes..............................................................20     Arvind Nair

A Brand Strategy that does not demonstrate                                   Chief Mentor
a concrete understanding of ground reality is                                K. Hariram

bound to fail - first in the minds of your Reps and                          Advisory Board
then on the field itself.                                                    Vivek Hattangadi; Jolly Mathews

Mala Raj                                                                     Editorial Board
                                                                             Salil Kallianpur; Dr. Shalini Ratan; Shashin
                                                      Coaching               Bodawala; Prabhakar Shetty; Vardarajan S;
                                                                             Dr. Mandar Kubal; Dr. Surinder Kumar

7. You Think You are Coaching; Do They?........24                            International Editorial Board
How do you know if your inputs to your reps are                              Hanno Wolfram; Renie McClay
really adding value?
                                                                             Executive Editor
K. Hariram                                                                   Joshua Soans


           Medical Rep Knowledge Series                                      MedicinMan Academy:
                                                                             Prof. Vivek Hattangaadi, Dean, Professional
                                                                             Skills Development

8. Decision Analysis............................................25           MedicinMan ChangeMakers
A scientific approach to complex decisions                                   Saurabh Kumar
involving healthcare interventions and                                       Make a difference in Pharma. Join MedicinMan
treatments.                                                                  ChangeMakers. Write in to our editor to find out
                                                                             more:
Mahendra Rai, Richa Goyal and Pinaki                                         anupsoans@medicinman.net

Ghosh                                                                        Letters to the Editor: anupsoans@medicinman.net


9. Emerging Areas in Healthcare: HTA.............28
Health Technology Assessment (HTA) is an
emerging discipline for assessing the implications
of choosing a particular technology in treating
patients.
Javed Shaikh and Shafaq Shaikh


                                               Book Reviews
10. “Pharma First Line Leader to CEO - The
Roadmap to Success” by Vivek Hattangadi....29
Reviewed by Subba Rao Chaganti

11. “Interactive and Engaging Training - A
Practical Guide”........................................................29
Reviewed by Anup Soans
me
Ho


         BRAND DRIFT 2013 – Another Milestone for Pharma
                                                   come together to interact, share           change things. They push the human
                                                   best practices, gain insights              race forward. And while some may see
                                                   and go back refreshed and                  them as the crazy ones, we see genius.
                                                   better equipped to take on the             Because the people who are crazy
                                                   challenges of pharma branding              enough to think they can change the
                                                   effectively. At Knowledge Media            world, are the ones who do.” – Steve
                                                   Venturz, we want to be a catalyst
                                                                                              Jobs. 1955-2011
                                                   in this process. The full benefit of
                                                   Brand Drift will only be realized          Knowledge Media Venturz is a
                                                   when the Indian Pharma industry            team of seasoned professionals
                                                   takes ownership of Brand Drift for         who are passionate about
                                                   the benefit of its brand managers          shunning mediocrity and creating
                                                   through regular interactions and           interactive media that fosters
                                                   active participation.                      excellence in Indian Pharma.§
                                                   The first two editions of Brand
                                                   Drift held in 2012 and 2013 were           Gallery - BRAND DRIFT 2013
            Arvind Nair, Conference Director,      very well attended with over a 100
                    Brand Drift 2013               delegates participating in each.
                                                   Brand Drift saw thought leaders




  “ K
               ick-start your brain. New ideas     and achievers from within and
               come from watching something,       outside the pharma industry come
               talking to people, experimenting,   and deliberate on challenges
        asking questions and getting out of the    faced by practicing pharma
        office!”                                   marketing professionals in today’s
        – Steve Jobs
                                                   challenging times. (Visit www.
        Pharma brand management is                 branddrift.com for details)
        one of the most challenging tasks,
                                                   Future editions of Brand Drift
        given the stringent regulations
                                                   will see the addition of BRAND
        when it comes to marketing a
                                                   DRIFT AWARDS for marketing
        pharma brand. And that, without
                                                   and branding excellence in Indian
        the benefit of marketing channels
                                                   Pharma. It will be an exclusive
        available to other marketers.
                                                   platform to recognize and
        Managing the expectations
                                                   celebrate the achievements of
        of multiple stakeholders who
                                                   Indian pharma brand managers.
        influence the marketing plan - the
        strategists, marketing gurus, sales        The future is exciting and we
        teams, regulatory and medical              at Brand Drift promise to make
        advisors requires political skills as      the journey invigorating through
        well - all this without losing sight       regular meaningful interactions.
        of top and bottom lines; surely a          Get the Drift?
        pharma brand manager’s job is              “Here’s to the crazy ones. The misfits.
        not easy. A forum to hear what             The rebels. The troublemakers. The
        other pharma brand managers                round pegs in the square holes. The
        experienced, discovered and                ones who see things differently. They’re
        learnt was the need of the hour.           not fond of rules. And they have no
        Brand Drift was conceived to               respect for the status quo. You can
        bridge this learning gap and               quote them, disagree with them, glorify
        create a platform where Indian             or vilify them. About the only thing you     View the full gallery here:
        pharma brand managers could                can’t do is ignore them. Because they        http://medicinman.net/2013/03/349/


                                                    6 | MedicinMan April 2013
Glimpses of FFE 2012




                                  FFE 2013
                     x
Theme: Field Force Productivity




                                  5   10      15       20      25      30      35       35     40      45   50   55
                                                                                                                  y
                                      Date: Saturday, 8th June 2013     Place: Courtyard Marriott, Mumbai
                                                            7 | MedicinMan April 2013
me
Ho


        FFE 2013
        x




                                                                        K. Satya Mahesh is Sr. Manager, Systems and Projects at Sanofi.
            5   10   15    20   25   30   35   35   40   45   50   55
                                                                    y   He worked on different facets of Sales Force Effectiveness (SFE),
                          SPECIAL REPORT                                            Integrated Business Analytics and Digital Initiatives.




            Five Simple Equations
            for Sales Excellence.


        Tried and tested means to achieve Sales Excellence, condensed in FIVE simple equations.




        C
                 hange is cliché. Well, I will                             The equations may be simple                        Equation #2:
                 not ask you to ‘change’                                   and easy to comprehend but                    25% ≠ 25% ≠ 25 ≠ 25%
                 to excel in sales. All I ask                              if the actions do not follow the
        is that you pay attention to well-                                 understanding, it’s guaranteed that
        known, time-tested basics. Revisit                                 one’s luck will end soon.               Simply put, all customer segments
        them. Understand them. Ensure                                                                              are not equal. Let us see why they
                                                                           Here are these five equations
        that your thoughts, words and                                                                              are not equal!
        actions become coherent with this                                  These equations work for
        basic ethos.                                                       individuals, team leaders and also      If you consider your business as
                                                                           organizations.                          100%, you will observe that 25%
        World over, many organizations
        are struggling to grow or sustain                                                                          of your business is contributed by
        growth while the competition                                                  Equation #1:                 approximately 5% of customers.
        grows at a geometric rate.                                              Results = Data x Action            The next 25% of the business is
        The surge in competition often
                                                                                                                   contributed by approximately 10%
        undermines the work of the sales
                                                                                                                   of customers.
        force.                                                             Today, there is no dearth of data
        Even in the fastest growing                                        but data itself does not guarantee      The next 25% of the business is
        organizations, only 50-60 percent                                  growth. Mature markets - where          contributed by approximately 25%
        of the sales force performs                                        data is abundant - grow by single       of customers
        to expectations. The rest are                                      digit numbers. Whereas emerging         And the remaining 25 % of the
        surviving by sheer luck. In this
                                                                           markets - where there is little or no   business is contributed by a
        milieu, needless to say, everyone
                                                                           data - are growing in leaps and         whooping 60% of customers.
        is in search of actions that can
        bring sales excellence.                                            bounds.
                                                                                                                   Now, do you realize why 25% ≠
        Can sales excellence be simplified                                 Organizations are said to be data
                                                                                                                   25% ≠ 25% ≠ 25% ?
        to five equations? The answer                                      driven! But it is what you do with
                                                                                                                   Can you write down the split
        is both “Yes” and “No”. In fact, it                                data that is more important. Data
                                                                                                                   of sales and the efforts and
        is not the equations - what you                                    gives you powerful insights that
        do with them determines Sales                                      are useless unless you act on           expenditure using the simple table
        Excellence.                                                        them.                                   given below as an illustration?


                                                                               8 | MedicinMan April 2013
Five Simple Equations for Field Force Excellence | K. Satya Mahesh


 Sales Vs. Resources                 Top 25% Sales          Next 25% Sales       Next 25% Sales                       Last 25% Sales

 Sales                                   25%                     25%                   25%                                     25%
 % Customers giving sales                 5%                     10%                   25%                                     60%
 Advertising and Promo Spend             25%                     30%                   25%                                     20%

 Man Hours Spent                         15%                     25%                   30%                                     30%


 Does the table above ring a bell?          value as you have no control over        Conclusion
 If it does, then check sales               competition intensity.                   To summarize, you can achieve
 vis-à-vis efforts and resource             Most of the times, you will have         Sales Excellence through five
 allocation.                                lesser resources compared to             simple equations that translate in
 Remember: similar is not same.             competition. This is the time            to five actions:
 Allocate resources differentially          you need to invest in your only
 to different customer segments             reliable resource – ‘Emotional            The Equations                 The Actions

 based on their contribution to             Fixed Deposits’. You need to find         Results = Data x Do Act now.
 business.                                  means to emphatically use your            Action
                                            own deposits from emotional
                                                                                      25% ≠ 25% ≠                   Allocate
                                            bank accounts created in the
                                                                                      25% ≠ 25%                     Resources
             Equation #3                    hearts of your customers. World                                         Proportionately
   Share of Mind = Market Share             over, emotions score over rational
                                            factors when customers choose             Share of Mind                 Simple, Sticky
                                            products.                                 = Market Share                and Consistent
 You can afford to lose battles in
 the marketplace but you must win                                                     Equity =                      Build Emotional
 the war in the minds of customers.                      Equation #5                  Perceived value               fixed Deposits
                                                                                      ÷ Competition
 To win the war, your message                        Strategy = Execution             Intensity
 must be: Simple, Sticky and
 Consistent. Quite often, as a sales                                                  Strategy =                    Do Execute
                                            Strategy is said to be “the
 man you get bored with Simple,             obvious choice”. Once strategy            Execution
 Sticky and Consistent message.             is formulated after innumerable
 However keep reminding yourself:           debates and discussions, the             These five equations encompass
 Simple, Sticky and Consistent.             “actions” needed will be clear.          all the theories advocated by
 That’s how you gain a share of             Once clarity on actions is gained,       innumerable business gurus to
 mind. Share of mind is market              never revisit strategy. Neither          attain sales excellence. They are
 share. Check out any brand                 before nor during execution.             tried and tested.
 anywhere in the world: share of                                                     You will be able to comprehend
                                            Constantly try to achieve
 mind reflects in market share.                                                      how accelerated performance
                                            excellence in the process of
                                                                                     can be achieved in competition
                                            execution.
                                                                                     intensive markets by embedding
             Equation #4                    When execution fails, do not             these equations in rationally
     Equity = Perceived value ÷             question strategy. Repeatedly            emotional thoughts and
                                            question the process and                 emotionally rational actions.
       Competition Intensity
                                            implementation.
                                                                                     These equations are interwoven in
                                            Results will prove whether “The          the DNA of every performer.
 You may have created value and
                                            Strategy” is right or wrong.
 equity. But when competition is                                                     I merely have identified them,
                                            Mumbai ‘Dabbawallas’ are Six             named them and penned them.§
 intense, it erodes your equity
                                            Sigma certified! This means only
 by reducing the value you have                                                    The views expressed in this message are made in an individual
                                            1 error in 1,000,000 tiffin box        capacity and do not necessarily reflect those of the company, Sanofi
 created. You have no option but            deliveries. That’s the excellence      (the “company”) or any of its affiliates. Neither the company nor
                                                                                   any of its affiliates assumes any responsibility or liability of any use
 to constantly add to the perceived         they have achieved.                    which may be made of any views expressed here in this article.



                                               9 | MedicinMan April 2013
field force excellence
tools at special Price !




                      MRP Rs. 799/-                                        MRP Rs. 599/-


    For Individuals*
    Buy SuperVision for the SuperWiser Front-line Manager and Get HardKnocks for the
    GreenHorn FREE.

    For Corporates*
    INR 500/- for a set of SuperVision for the SuperWiser Front-line Manager (1 copy)
    and HardKnocks for the GreenHorn (1 copy) for purchase of 50 sets and above.
    *Inclusive of Shipping to One Location.

Please pay through bank transfer to SB account no. *07141000006761* of “Anup Soans” HDFC Bank, Mosque Road, Frazer
Town Branch, Bangalore – 560005. RTGS/NEFT IFSC: HDFC0000714 and inform by email and SMS - anupsoans@gmail.
com | +91-93422-32949.

Or you can send a cheque favoring “Anup Soans” to:
Anup Soans
101 - North Forte Apts;
22, North Road,
Cooke Town,
St. Thomas Town P.O.
Bangalore - 560084
me
Ho

              FFE 2013
             x



                                                                                       K. Hariram is the former MD (retd.) at Galderma India. He
                 5   10   15    20   25   30   35   35   40   45   50   55
                                                                                         is Chief Mentor at MedicinMan and a regular contributor.
                                                                         y

                               SPECIAL REPORT                                                                            khariram25@yahoo.com



        Field Force Excellence

                                                                        The Need for Role Clarity


        T
                he Indian pharmaceutical                                     The sales force management              For example, calling on
                industry is on a good growth                                 should be based on three pillars:       physicians including KOLs,
                path and is likely to be in                                                                          joint working with sales people,
                                                                             1. Attracting, hiring, developing and
        the top 10 global markets by value                                                                           stockists management are day
                                                                             retaining the right sales people in
        by 2020. High burden of disease,                                                                             to day functions in which there is
                                                                             terms of attitude, skills, knowledge
        good economic growth leading                                                                                 overlapping and duplication with
                                                                             and activities
        to higher disposable incomes,                                                                                no clear cut responsibility. This is
        improvements in healthcare                                           2. Defining and executing a             also due to poorly defined sales
        infrastructure and improved                                          successful management style with        processes leading to fire fighting
        healthcare financing are driving                                     regular personalized coaching,          during month end sales closing.
        growth in the domestic market.                                       feedback and evaluations, clear         So the process is forgotten or
                                                                             roles and responsibilities, and         compromised and the month
        However, in order to sustain growth
                                                                             workload versus potential analysis.     end becomes an end by itself till
        in the long run, companies will
                                                                             3. Organizing and defining              the next month end. This leads
        need to modify their business
                                                                             processes, underpinned by using         to erosion of ‘efficiency’ and
        models and connect with their
                                                                             the appropriate technology and          ‘effectiveness’. And ‘excellence’
        customers faster and work on
                                                                             performance measurement.                remains an unreachable dream.
        innovative ideas to serve them
        better.                                                              Peter Drucker defines EFFICIENCY        The starting point is clarity
                                                                             as “doing things right” and             in defining the role and the
        Field Force continues to be the
                                                                             EFFECTIVENESS as “doing the             responsibility at each level of sales
        vital link between the customer
                                                                             right things”.                          management. Stephen Covey,
        and the organization. Hence, the
                                                                                                                     the author of ‘The Seven Habits of
        performance of the field force                                       Achieving Field Force Excellence
                                                                                                                     Highly Effective People’ defines
        will determine to a high degree                                      requires intelligent combination
                                                                                                                     “role” (both in personal and
        the sustained success of any                                         of both. If this excellence has to
                                                                                                                     professional life) which relates to
        organization.                                                        be achieved and sustained, the
                                                                                                                     three areas:
        Although sales force automation                                      role clarity and the associated
                                                                             responsibilities have to be clear       1. Responsibility,
        and measurement have become
        increasingly common business                                         with regard to sales management         2. Area of Relationship, and
        practices, the true success of                                       including the line functions.
                                                                                                                     3. Area of Contribution.
        the Field Force is based on the                                      Today, there is still a tremendous
        correct alignment of the sales force                                 amount of confusion and there           The responsibility to achieve
        management with the company                                          are many situations where there is      Planned Revenue Generation
        strategy to accomplish its mission                                   duplication or substitution of the      rests at all levels of hierarchy
        and thus drive value.                                                effort areas.                           in a commercial organization,


                                                                               11 | MedicinMan April 2013
Field Force Excellence: The Need for Role Clarity | K. Hariram


whether direct or indirect. But the differentiation between roles is to be found in the relationship areas and the area of
contribution.
Let me illustrate this through an inverted organogram.



                                                  The Customer
        Everyone’s cheque is ultimately signed by the Customer. The Customer allows us to stay in business.
              So he belongs to the top. In Pharma the Doctor and Chemists ring forms the Customer
                                           The Revenue Generating Team
                     This is made of the Pharma sales team ably supported by marketing team.
                               The Revenue Generating Team works for the Customer.
                                                The People Building Team
                             They are the front-line managerial team. Their responsibility is to
                                 coach, direct and guide the revenue generating team.
                                                The Leadership Team
                                They are the second-line Sales and Marketing Managers.
                                 They lead and direct the company in their region/zone
                                     brand management. They work for the people
                                                     building team


The above organogram very
clearly defines the role respon-
sibility of each level. While one
level may help or support the
other level of function, the real
                                      The Development Team/Corporate Managers
                                         For long-range planning &Development.
                                           They work for the leadership team.
                                                          The MD
                                                 Gives Vision and Direction
                                                 to the Company. He works
                                                                                             Product and service differentiation
                                                                                             is going to become increasingly
                                                                                             difficult to achieve in the era of
                                                                                                                                   “
concern is duplication of efforts,                          for all                          globalization. Sales management
lack of clear direction and more
                                                                                             will continue to face growing
importantly, the absence of
coaching, guiding and directing                                                              pressures to reduce field sales
as part of the area of contribu-
                                                                                             investments and to produce’ more
tion.
So communications at all levels
                                                                                             with less’. Faced with increasing
remain more often on a transac-                                                              resource constraints, sales leaders
tional level and seldom lead to
transformation. Hence, the cha-
                                                                                             need to complement their internal
os, fire fighting and blame-fixing,                                                          sales force effectiveness measures
resulting in gaps at all levels.          effectiveness measures through role
This is also one of the major fac-        clarity through well defined respon-               through role clarity through well
tors contributing to sales force          sibility, area of relationship and                 defined responsibility, area of re-
attrition.                                area of contribution leading to Field
                                          Force Excellence.§                                 lationship and area of contribution
I strongly opine that product and
service differentiation is going          “Excellence endures and sustains. It               leading to Field Force Excellence.
to become increasingly difficult          goes beyond motivation into realms
to achieve in the era of glo-             of inspiration. I have found that ex-




                                                                                     FFE 2013
balization. Sales management              cellence is not so much of a battle        x


will continue to face growing             you fight with others, but a battle
pressures to reduce field sales           you fight with yourself, by constant-
investments and to produce’               ly raising the bar and stretching
                                                                                         5    10       15       20      25         30      35      35      40      45       50   55
more with less‘. Faced with               yourself and your team. This is the                                                                                                     y

increasing resource constraints,          best and the most satisfying and
                                                                                                   Date: Saturday, 8th June 2013        Place: Courtyard Marriott, Mumbai

                                                                                                            THEME: FIELD FORCE PRODUCTIVITY
sales leaders need to comple-             challenging part about excellence.”
ment their internal sales force           – Azim Premji

                                               12 | MedicinMan April 2013
FFE 2013
                        x
   Theme: Field Force Productivity




                                         5       10      15       20       25         30        35    35       40       45        50       55
                                                                                                                                              y
                                                 Date: Saturday, 8th June 2013         Place: Courtyard Marriott, Mumbai



                                                  THEME: FIELD FORCE PRODUCTIVITY
                                                         Networking Breakfast

                                                         Session 1: Keynote Address: Shakti Chakraborty, President, Lupin
                                     MORNING




                                                         Session 2: CEO Roundtable: “Field Force Productivity: Opportunities and Challenges”
                                                                                  --Panel Members Confirmations Awaited--

                                                         Session 3: Panel Discussion: “Business Intelligence for Field Force Productivity.”
                                                         Moderator: Vikas Dandekar, India Bureau Chief, Elsevier Business Intelligence
                                                         Panelists: Salil Kallianpur, Commercial Head - Classic Brands Center of Excellence, GSK


                                                         Lunch


                                                        Session 4: Panel Discussion: “Transactional to Transformational: the Changing Role of HR
                                     AFTERNOON




                                                        in enhancing Field Force Productivity.”
                                                        Moderator: Anup Soans - Editor, MedicinMan --Panel Members Confirmations Awaited--

                                                        Session 5: Amlesh Ranjan, Associate Director, Sanofi: “New Pharma Sales Model for
                                                        Healthcare Opportunity”

                                                        Session 6: K. Hariram, Chief Mentor at MedicinMan, Former (Retd) Managing Director at
                                                        Galderma India: “Role Clarity for Field Sales Managers to enhance Field Force Productivity.”




Delegate Registration
                                                                                                                      Register Now!
Pharma Delegates: INR 8,500/-
Non-Pharma Delegates/ Service Providers: INR 9,500/-                                                                   Click here or go to
                                                                                                                    www.medicinman.net/ffe13
Early Bird Discount (for full payment before 30 April 2013): INR 1,000/-


                                                                                                                                 ) +91-93422-32949
 22 North Road, Cooke Town, Bangalore - 575084                                   www.medicinman.net                      * anupsoans@medicinman.net
me
Ho
                                                                     Sharad Virmani is Vice President Marketing and

        Counterpoint                                                   Sales at Comed Chemicals and Pharmaceuticals.
                                                                                                virmanis@gmail.com




        “        People who travel from
                 one organization to
                 another carry many good
                 practices and learning
                 compared to people who
                 are stuck with same
                 organization for years
                 and have not seen and
                 refuse to see the world
                 changing around them.

                                                        ”
       Employee Loyalty                                                                        - at What Cost?

        E
              verybody expects loyalty.         What are the disadvantages of            ¤¤ Controlled turnover statistics.
              Whether internal or               courting loyalty?                        ¤¤ Controlled training costs.
              external customers – every        Loyalty generally means sticking         ¤¤ Face familiarity with external
        entrepreneur expects loyalty from       around for longer times. It can lead        customers and above all
        them.                                   to the propogation of:
                                                                                         ¤¤ A pseudo-feeling of being
        Loyalty is a two-way process: it        ¤¤ Same, stale ideas.                       an employer of choice with
        must be rewarded to develop and         ¤¤ Same, mundane approach.                  “superior HR practices.”
        grow. That’s where executives err
                                                ¤¤ Limited drives.                       Inferences can be drawn out of
        a lot.
                                                ¤¤ Business driven with                  both situations depending upon
        While most industries have come                                                  the organization’s own outlook.
                                                   calculated risks.
        of age on the loyalty issue, pharma
                                                ¤¤ Focus on sustaining /                 Does loyalty help or hinder growth
        still banks heavily on internal
                                                   retaining the job and earning         of the organization?
        customer loyalty.
                                                   reasonable increments and             In my opinion, it hinders growth
        Frequent short-term changes by
                                                   management, courtesy                  because people get settled, they
        Pharma employees are viewed
                                                   promotions.                           loose drive, they work for retaining
        negatively, while in other industries
                                                The only advantages of employee          their jobs and increments and that
        such changes have come to be
                                                loyalty are:                             “Push” which the organization
        accepted.
                                                                                         needs goes for a toss.


                                                   14 | MedicinMan April 2013
Employee Loyalty - at what cost? | Sharad Virmani



 On the contrary “new arrivals”           They get themselves assessed            or portfolio shift, they ensure that
 every 2 - 3 years in the company         in the market regularly and the         their area’s actual potential is
 bring in:                                moment they get the right price,        never utilized by the organization.
                                          the right position and right valuer     They grow as per their fixed
 ¤¤ New ideas
                                          of their potential and talent, they     plan, ensuring that their jobs safe
 ¤¤ New energy                                                                    guarded year after year.
                                          move.
 ¤¤ Momentum to the current                                                       Organizations fail to recognize
                                          There is nothing wrong in it.
    business                                                                      these factors and some who do
                                          No employer gives a lifelong
 ¤¤ A look at new opportunities                                                   realize are reluctant to push these
                                          guarantee. So why expect a
    and risk-taking                                                               individuals just for the sake of
                                          lifelong commitment from the
                                                                                  “loyalty”. Over a period of time the
 ¤¤ Drive the organization towards        employee.
                                                                                  competition sets a firm foot hold
    it’s goals                            The employee should have the            in these areas and by the time
 The big question is - why is loyalty     equal freedom of moving to              realization sets in, the organization
 in pharma diminishing?                   another employer of his choice          looses its edge in those areas.
                                          who pays and gives him a role as        Time has come to look beyond
 The answer is simple.
                                          per his perceived and assessed          mere loyalty.
 Reason No. 1:                            market potential. The employers
                                                                                  People who travel from one
 When it comes to rewarding and           do the same while replacing an
                                                                                  organization to another carry
 recognizing internal customers,          existing employee.
                                                                                  many good practices and learning
 the organization looks at internal       But the Pharma industry behaves         compared to people who are stuck
 factors.                                 differently.                            with same organization for years
 The age-old saying comes true            While it appreciates long-term          and have not seen and refuse to
 here “ghar ki murgi dal barabar”.        commitment from its employees           see the world changing around
 Employees change because they            with minimal rewards and                them.
 realize that they are not being          recognition for talent, it looks down   Short bursts of rejuvination with
 rewarded as per their “Market            on people who change frequently.        new ideas propelling growth are
 Value”.                                  The fear is always that these short-    better than long term loyalty with
 While organizations underrate            term employees disturb the rhythm       stagnation.
 their existing employees when            of their organization to which they     The message is simple:
 rewarding, the same employers            are well tuned. The myth is also        Loyalty is a diminishing virtue –
 hire similar-level new talent at a       that all short term employees           employers have to learn to live with
 higher price, justifying that he         who move from organizations to          it.
 deserves that cost.                      organization are devoid of talent
                                                                                  Loyalty does not ensure new ideas
 These dual-standards are eroding         and keep moving because they do
                                                                                  and rapid growth. It only ensures
 employee loyalty. Loyal employees        not have much to offer.
                                                                                  stagnated growth.
 feel cheated and either go into a        Probably a deeper insight into
                                                                                  All short-term employees are not
 shell because of job insecurity or       employees mindset will change
                                                                                  worthless - look closely at their
 move out if they have confidence         this thinking.
                                                                                  career path, their achievements
 in their talent.                         Believing that people sticking over     and their talents. Forget about the
 Reason No. 2                             for a long time in the organization     loyalty - look at their contribution.
 People join organizations with           have higher commitments,                Short-term employees bring drive,
 growth aspirations – both Financial      involvement and talent is a wrong       new ideas, rejuvenation and a new
 and Hierarchical.                        notion.                                 culture – propelling organizations
                                          Infact these so-called “loyal           to new levels
 With the changing pace of time,
 competition and outlook towards          employees” sometimes are the            The old era of life-long contractual
                                          biggest impediments to the              labour is over.
 life, everyone wants to be where
 he or she should be as per his           organization’s growth. With a           The newer breed of employees
 or her potential at the earliest         clear plan to spend several years       believe in short-term beneficial
 possible. Nobody has patience or         in the same organization, at the        and growth oriented contracts
                                          same H.Q., at the same post with        with changing canvas every short
 the time to wait.
                                          minimal growth and no locational        while.§


                                             15 | MedicinMan April 2013
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me
Ho

                                           Sanjay Munshi is Chief General Manager-
         Personal Success                  Sales and Marketing at Tablets (India) Ltd.




          Munshiji ki Panch Tantra for
       My success
                                Professional Growth
       story was never
                                 A
                                         new financial year is        plan about how to sell my ideas
                                         a time when most of          and manage organizational
       planned; it was built             us evaluate our career       objectives to create a distinct

       by sheer passion and
                                 aspirations and make new             go to person identity.
                                 decisions. Youngsters in the         Are you a recognizable brand

       hard work though I did    pharma industry must think
                                 carefully about what it will
                                                                      or just another face? Getting


       make conscious efforts
                                                                      recognised is harder than
                                 take for them to advance their
                                                                      before. In the past, you
                                 short and long term career
       to be recognized for      prospects.                           just had to perform your job
                                                                      description well, achieve

       my work. I was bold       My success story was never
                                 planned; it was built by sheer
                                                                      targets and support the


       enough to stand out in
                                                                      organization’s objectives and
                                 passion and hard work though
                                                                      goals. Today, you must also
                                 I did make conscious efforts
       the crowd – among         to be recognized for my work.
                                                                      earn your team’s respect, so
                                                                      that your share of the voice is

       my peers and
                                 I was bold enough to stand
                                 out in the crowd – among my          heard and acted on within the


       colleagues.
                                 peers and colleagues. After          company. You gain this respect
                                 completing 20 years in the           as a person who can manage
                                 pharma industry, I still think and   crisis and solve problems.


                            17 | MedicinMan April 2013
Munshiji ki Panch Tantra for Professional Success | Sanjay Munshi


  You must have the boldness to trust your instincts based on insights gained from
  careful observation of market dynamics. Even after many years of experience, many
  executives do not have the courage to trust their gut feelings. It may lead to failure,
  but it will teach you valuable lessons, no MBA program can teach.

  Product promotions get you                high competition? Your aptitude         is a powerful asset and essential
  prescriptions and self-promotion          has a better chance of being            for getting promoted.
  gets you promoted. But just as            discovered and recognized if your
                                                                                    Being trusted by others is not
  the product has to be promoted            attitude is Can Do. Your behaviour
                                                                                    earned just because you are
  on the basis of scientific facts,         in difficult situations, the choices
                                                                                    likeable. You must know how
  self promotion has to be based on         you make, your reliability and your
                                                                                    to build rapport, be a strong
  solid achievements.                       personality are being measured
                                                                                    communicator, be credible and
                                            all the time. Attitude is caught and
  Everyone has a Success Story and                                                  be honest with people. Always
                                            not taught. As you demonstrate a
  its reasons and I am no exception,                                                be careful to make commitments
                                            Can Do attitude consistently, those
  but these Panch Tantra have                                                       and then once you have made
                                            around you begin to catch it and
  contributed to my success.                                                        promises, work on how you can
                                            soon everybody is contributing to
                                                                                    keep your promises instead of
          Passionate about                  making your task a little easier.
    1     Personal Growth
                                                                                    finding excuses and explanations.
                                                    Can you trust your
  If you are not passionate about             3     Instincts?                        5
                                                                                           Loyalty Matters.

  your personal growth, don’t expect                                                         Being loyal to your
                                            You must have the boldness to
  others to be interested in your                                                   company and colleagues is
                                            trust your instincts based on
  professional growth. The old ways                                                 important to gain trust without
                                            insights gained from careful
  of being good at something and                                                    which success is hard to come by.
                                            observation of market dynamics.
  never enhancing your abilities                                                    Your personal values must align
                                            Even after many years of
  are over. You must work twice                                                     with those of your organization.
                                            experience, many executives do
  as hard to illustrate your capacity                                               For example, I will never forget
                                            not have the courage to trust their
  for growth. This will require you to                                              the job offers I received from
                                            gut feelings. It may lead to failure,
  keep learning and investing in self                                               competitors during my tenure
                                            but it will teach you valuable
  development continuously.                                                         at Tablets (India) Limited - TIL.
                                            lessons, no MBA program can
                                                                                    While companies offered to pay
  To keep it simple, identify three to      teach. So go ahead, take that
                                                                                    me more money, they could never
  four skill areas that will enable you     plunge that put your capabilities
                                                                                    give me present responsibilities
  to grow in your company and then          to the test. Seize the opportunity.
                                                                                    or future opportunities or the
  make the effort to invest in those        Often your instincts tell you to take
                                                                                    relationship and trust I had built
  skill areas. It’s not how much you        action during times of adversity
                                                                                    with my colleagues and the
  know, it’s how fast you can learn         – but you don’t. Instead, you
                                                                                    sales team. As difficult as the
  new things, whether relating to           wait for those above you to take
                                                                                    temptations were, my loyalty to
  therapy area knowledge or new             decisions and let opportunities slip
                                                                                    TIL paid off and led to multiple
  ways of leading people. You must          by. Leading and managing is all
                                                                                    promotions.
  have a desire to handle greater           about taking bold decisions and
  responsibilities.                         making those decisions to work          Getting frequent promotions
                                            by careful implementation of plans      requires a lot more than just what
          Possess a Can Do
    2     Attitude
                                            and strategies.                         your job description demands. As
                                                                                    you begin to map-out your career
                                                    Trust is Built by Doing
  The real test of your attitude is           4     What You Say You Will.
                                                                                    goals for 2013, I suggest you
  when things do not go as you                                                      to integrate these Panch Tantra
  want it to. Can you maintain a            At a time when people have              into your career plan or better
  Can Do attitude in the face of            trouble trusting themselves let         still, design your own success
  challenges like high attrition and        alone trusting others building trust    roadmap.§



                                               18 | MedicinMan April 2013
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e
Hom
                                              Mala Raj is a Pharma Marketing Consultant with expertise in
                                            Brand Management, New Product Launches and Training. She
                                             has over 26 years experience and runs her own consultancy -
                                                         Product Management Support Services at Thane.
        Product Management                                                        malaraj.pmss@gmail.com




       What PMT Proposes, Field Force Disposes.
                                                                                A Brand Strategy that does not demonstrate
                                                                                a concrete understanding of ground reality,
                                                                                is bound to fail - first in the minds of your
                                                                                Reps and then on the field itself. Here’s how
                                                                                you can overcome “Boardroom bias”.




       I
         t is a well known fact that the       force during the cycle meetings. It       Special Customer Campaign:
         ‘Success of a brand’ depends          is here that the brand manager is         The Brand manager, in all his
         on the brand managers’                put to his most crucial test, that of     enthusiasm has chalked out a
       strategy for the brand.                 convincing the team to implement          special ‘Good Morning’ Campaign
                                               his strategy.                             for his brand, which has a dose
       Before any new launch, a good
       product manager toils for months        A strategy, no matter how good            of 1 tablet once in the morning for
                                               it may seem to the brand and              round-the clock BP control. The
       in advance to understand all
                                               the marketing manager, will               MR is expected to make a list of
       the fine nuances of his brand,
                                               see the light of the day in the           just five Top Drs whom he will call
       its competitors, the market, the
                                               intended manner, only if the              upon daily before the Dr starts his
       customers, business environment
                                               field force are convinced on its
       and so on and finally develops a                                                  practice and remind him of the
                                               novelty, implementability, possible
       winning strategy for the brand.                                                   brand with a ‘Good Morning’ card
                                               effectiveness and likely gains. On
                                                                                         and a small gift associated with
       Likewise, for strengthening existing    the face of it, the brand manager
                                                                                         morning activities (like shaving kit,
       brands too he / she reflects and        may be assured of all co-
                                                                                         etc). The intended message of a
       contemplates on various issues          operation, but reality may be quite
                                                                                         ‘Good start for a trouble-free day’
       before defining the strategies for      otherwise!
                                                                                         is topmost in the PM’s mind while
       the year ahead.
                                                                                         framing this strategy.
       Then comes the critical moment of       Scenario 1: New Antihypertensive
                                                                                         However, from the MR’s point
       sharing these launch strategies or      Brand;
                                                                                         of view, it is nearly impossible
       brand strategies with the imple-        Target Audience: Cardiologists &
                                                                                         to be able to meet five TOP
       menters, viz., the pharma field         Physicians.

                                                  20 | MedicinMan April 2013
What PMT Proposes, Field Force Disposes | Mala Raj


cardiologists, repeatedly on all five       and spends the entire briefing             How to develop those
days of the week, that too before           session on what inputs are planned         ‘Winning strategies’ - A few
they start practice. ‘Does the              for the 52 weeks and goes on to            pointers:
Product Manager think that all my           impress upon them the statistics.
cardiologists practice in the same          The MR thinks, “Let’s put this                       Regularly work on the
lane? Meeting them once a month             PM on the field for 3 months to               1      field - atleast for 3-4 days
itself requires meticulous planning;        implement his strategy! How many                     every month and work in
then how can I meet my leading              brands are there in the history of         different territories in different parts
Cardiologists on a daily basis, even        Indian Pharma which have attained          of the country month after month.
if it is to just greet for a second?’, is   Rs 50 Cr in the 1st year!”                 Familiarise yourself with ground
what he muses.                                                                         realities in these visits.
                                            There it goes…Statistics that
There it goes…Good bye to the               are good to look at….but remain
‘Good morning Campaign’ by                  merely an ‘illusion’.                                If you are a PM with the
majority of the field force.                                                              2      favoured B.Pharm + MBA
                                            There are countless such examples                    background, but with little
                                            where the brand manager                    experience in PMT, always discuss
Scenario 2: New Anti-arthritic
Brand;                                      proposes and the field force               your ideas with your colleagues
                                            disposes. No wonder then, the              with more PMT experience & with
Target Audience: Orthopaedics
                                            PM is left alone to battle questions       your Marketing manager, before
Brand Strategy: ‘Just 1 New Rx              from his seniors on how his                you plan your activities or inputs
per week from 10 Orthos… That’s
                                            strategies have not fetched the            based on the same.
all’
                                            desired results or how his planned
The Product Manager is convinced            expenses have been expended but                      If you have a novel
that getting ‘Just 1 Rx / week from         planned forecasts have not been               3      strategy, but have doubts
10 Orthos’ is quite a simple task           met.                                                 on its implementability,
                                 No. of Rxs / Patients              Sales Val @ Rs     do a pilot testing of the same
                                                                    10/ day; Rs 70 /   during your field work or ask a few
                                                                    week               friendly Frontline managers for their
   Week      Rxs      No. of       New      Existing    Total         Value - Rs /     opinion. Sending a long email with
                       Drs                                            Week / MR
                                                                                       your proposed plan will almost
     1         1         10         10         0          10              700          never get you the desired feedback

     2         1         10         10        10          20             1400          that your personal discussion will
                                                                                       get. So pick up the phone and ask.
     3         1         10         10        20          30             2100

     4         1         10         10        30          40             2800                    Think of possible ways

                                 …..And So On……
                                                                                          4      to make your idea more
                                                                                                 innovative, be it a literature
    49         1         10         10        480        490            34300
                                                                                       or a visual aid or a scientific input
    50         1         10         10        490        500            35000          or anything else. MRs love to
    51         1         10         10        500        510            35700          ‘show-off’ to their Drs any new
                                                                                       information or literatures designed
    52         1         10         10        510        520            36400
                                                                                       in novel manner. But limit the urge
               Total Annual Sales Per MR = Rs                          9,64,600        to have pullouts and flaps too

            Total Annual Sales for 500 MRs = Rs                      48,23,00,000      often, for they often fail after a few
                                                                                       uses.
          Bravo! We have a 50 Cr (1st year) Brand in front of us!!




                                                   21 | MedicinMan April 2013
What PMT Proposes, Field Force Disposes | Mala Raj




                                                         Feeling the
            Keep regular tabs on what
   5        competition is doing and offer
            your team competitive strategy
that they look forward to from you.




                                                         love?
            In your cycle-meeting briefing,
   6        discuss with the team the
            genesis of the idea for the
campaign, theme, etc and highlight how
it has been tested and proven for its
effectiveness in your field visits. If other
brand managers do the briefing in other
parts of the country ensure that you train
them well on your promotional plans and
give them the relevant back-up data
to enable them also make a powerful
impact in their presentation.


            Occasionally you can involve
   7        the MRs by teaser campaigns
            seeking their participation in
suggesting a name for the campaign,




                                                          Make sure
etc.


            While talking of gains to the MR,
   8        be realistic in your expectations



                                                          you share it.
            and stress on personal and
professional gains that are to be had
from your strategies


            Be alert, monitor the feedback                MedicinMan is FREE to read and distribute. But it is not free to
   9        and amend your plans if                       produce. It takes us plenty of time and energy to put together
            required at the earliest.                     every month, with minimal advertisements.

                                                          Not to mention the efforts of our writers and board members.
            Lastly, your attitude matters a
  10        lot in gaining co-operation from              If you enjoy reading MedicinMan, here’s how you can show us
                                                          some love:
            others. Marketing and sales are
but two sides of the same coin and must                   1. Subscribe, on our NEW, Wordpress-powered website:
work in unison to realise the corporate                   www.medicinman.net.
objectives of growth, market share and                    2. Link-in with our Editor on Social Media. Linkedin | Facebook
profits.§                                                 | Twitter

                                                          3. Send this PDF to your friends and colleagues.

                                                          Done? A BIG thank you from the team at MedicinMan and
                                                          here’s to a successful, rewarding career in healthcare to you.




                                                22 | MedicinMan April 2013
FFE 2013
                        x
   Theme: Field Force Productivity




                                         5       10      15       20       25         30        35    35       40         45       50       55
                                                                                                                                               y
                                                 Date: Saturday, 8th June 2013         Place: Courtyard Marriott, Mumbai



                                                  THEME: FIELD FORCE PRODUCTIVITY
                                                         Networking Breakfast

                                                         Session 1: Keynote Address: Shakti Chakraborty, President, Lupin
                                     MORNING




                                                         Session 2: CEO Roundtable: “Field Force Productivity: Opportunities and Challenges”
                                                                                  --Panel Members Confirmations Awaited--

                                                         Session 3: Panel Discussion: “Business Intelligence for Field Force Productivity.”
                                                         Moderator: Vikas Dandekar, India Bureau Chief, Elsevier Business Intelligence
                                                         Panelists: Salil Kallianpur, Commercial Head - Classic Brands Center of Excellence, GSK


                                                         Lunch


                                                        Session 4: Panel Discussion: “Transactional to Transformational: the Changing Role of HR
                                     AFTERNOON




                                                        in enhancing Field Force Productivity.”
                                                        Moderator: Anup Soans - Editor, MedicinMan --Panel Members Confirmations Awaited--

                                                        Session 5: Amlesh Ranjan, Associate Director, Sanofi: “New Pharma Sales Model for
                                                        Healthcare Opportunity”

                                                        Session 6: K. Hariram, Former (Retd) Managing Director Galderma India: “Role Clarity
                                                        for Field Sales Managers to enhance Field Force Productivity.”




Delegate Registration
                                                                                                                         Register Now!
Pharma Delegates: INR 8,500/-
Non-Pharma Delegates/ Service Providers: INR 9,500/-                                                                   Click here or go to
                                                                                                                    www.medicinman.net/ffe13
Early Bird Discount (for full payment before 30 April 2013): INR 1,000/-


                                                                                                                                  ) +91-93422-32949
 22 North Road, Cooke Town, Bangalore - 575084                                   www.medicinman.net                       * anupsoans@medicinman.net
e
Hom                                                     K. Hariram is the former MD (retd.) at Galderma India. He
                                                     is Chief Mentor at MedicinMan and a regular contributor. This
                                                                            article is 6th in a series on “Coaching” .
        Coaching                                                                            khariram25@yahoo.com




                                                  “You Think You
                                                  ..are Coaching;
                                                                                            Do they?”

                                                                                      This is what K. Hariram heard
                                                                                      from pharma sales managers in a
                                                                                      recent conversation:



       R
              ecently I was having a          Research and survey across               “The current generation does not
              talk with some pharma           the globe has shown that                 listen to us.
              sales managers. The             managers believe that they
                                                                                       They are not taking responsibility
       conversation veered towards            coach far more often than their
                                                                                       for their sales target
       “Coaching”. The typical comments       sales people believe they do.
                                                                                       achievement.
       that emerged were:                     On the other hand, the sales
                                              people have reported that they           They have a mind of their own.
       •	   The current generation does
            not listen to us.                 get very little coaching from            They are too casual.
                                              their managers.
       •	   They are not taking                                                        They want territories which are
            responsibility for their sales    Why this discrepancy and how             nearer to their residence, etc.”
            target achievement.               could this be? Chances are that
                                                                                       He decided to take a closer look.
       •	   They have a mind of their own.    the managers may be doing
       •	   They are too casual.              some talking or using some
                                              bits and pieces of transactional           Feedback is yet another area of
       •	   They want territories which are
                                              communication, often mistaken for          improvement because it remains
            nearer to their residence, etc.
                                              coaching.                                  at a transactional level. We live in
       I also had the occasion to speak                                                  systems; and most of the systems
                                              A worthwhile question that will
       with some pharma sales people                                                     are self-reinforcing—until they stop
                                              help is “Does this action grow my
       while I was sitting in my physi-                                                  working or we change them.
                                              sales people?”
       cian’s clinic. Five out of six reps
                                                                                         Are you reinforcing a system that
       told me that they had no signifi-      Managers may be spending time
                                                                                         promotes dependence, or are you
       cant ‘value add’ from their manag-     on one-on-one meetings but
                                                                                         reinforcing a system that promotes
       ers either pre, during or post the     90% of the time may go in talking
                                                                                         interdependence, extensive
       doctor calls except for telling ‘you   about sales, quotas, so called
                                                                                         thinking, critical decision making
       did this’ or ‘you missed this’. They   CRM activities etc. So, the above
                                                                                         and empowerment?
       also added that the only talk from     referred question would probably
       the manager was ‘how much have         meet with an answer “not really”           Making your coaching visible has
       you done?’                                                                        its own dividends—make sure
                                              Everyone goes through the motion
                                                                                         that your sales people see that
       The purpose of bringing this point     of performance review to meet
                                                                                         you are allotting time for coaching
       is not to judge who is right or        with deadline and comply with or-
                                                                                         and developing them.. Investing
       who is wrong. But it set me into       ganizational system requirements
                                                                                         in your sales people by coaching
       thinking mode as to where does         but fail to really build develop-
                                                                                         them and expanding their capa-
       the problem lie.                       ment plans that will make a big
                                                                                         bility will help you, them and the
       Could it be improper understand-       difference to the sales person and
                                                                                         organization.
       ing of the role by line management     therefore, for the organization, in
       or lack of coaching skills?            the long term.                             The rewards are immense.§

                                                24 | MedicinMan April 2013
e
Hom

                                                                        Mahendra Rai, Richa Goyal and Pinaki Ghosh
        Field Force Knowledge Series                                    mahendra.rai@gmail.com; richapharmacist@gmail.com




                   Decision Analysis


                                                                        D
                                                                               ecision Analysis involves assisting
                                                                               decision makers for making
                                                                               logical assumptions. A rational
                                                                         decision can be of great use to the
                                                                         individuals. Decision analysis involves
                                                                         breaking a decision problem into its
                                                                         component parts. For decision analysis,
                                                                         these components are the probability
                                                                         of different outcomes and the value or
       Stages in Decision Analysis:                                      preference an individual attaches to
                Structuring the decision: This involves                  those outcomes. Synthesizing the value
        1       converting an ill-defined problem into a set of          of these components gives the best
                well-defined elements                                    decision option.
       Balance sheet: This helps in defining the decision
       problem by listing all the different options or actions
       and considering the possible benefits and risks of         decision is the likelihood of events that actually

       each choice; an approach known as constructing a           happen.

       ‘balance sheet’.                                           Assessing probabilities: Having identified the

       Decision trees: Another method of structuring              likelihood of different outcomes occurring, together

       the decision is by representing the choices in the         with an estimate of the uncertainty around this figure,

       form of a ‘decision tree’. A decision tree (Figure         probabilities can be assessed and added to the

       1) represents both, the decision options available         decision model.

       (represented in a tree as a square node between                      Assessing patient values or preference:
       branches) and the uncertainty associated with each           3       measuring utility: Utility is a numeric
       decision option (represented in a tree as a circular                 or quantitative measure of the value an
       node).                                                     individual or group place on the different outcomes

                  Assessing the probability of different          or consequences of a decision. Utility is measured
         2        outcomes: An important dimension of any         on an interval scale, from 0 to 1 (or 100). Zero




                                                   25 | MedicinMan April 2013
Is Your Sales Training Adequate to Deliver the Sales Targets?
Is Your Sales Training Adequate to Deliver the Sales Targets?
Is Your Sales Training Adequate to Deliver the Sales Targets?
Is Your Sales Training Adequate to Deliver the Sales Targets?
Is Your Sales Training Adequate to Deliver the Sales Targets?

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Is Your Sales Training Adequate to Deliver the Sales Targets?

  • 1. TM MEDICINMAN April 2013 | www.medicinman.net Field Force Excellence TARGETS Vs. TRAINING Is your training as ambitious as the targets you set for your teams? - EDITORIAL 1 | MedicinMan April 2013
  • 2. EDITORIAL: Target Vs. Training | Anup Soans, Editor Pharma companies are great at setting ambitious sales targets but not so great when it comes to training people who are responsible for achieving those targets. I f the only tool you have is a The power of training can be What is useful is a demonstration hammer, every problem looks like illustrated vividly through the of how knowledge can make a nail.” terrorist attack on Mumbai in difference to improving 2008. Ten well-trained and highly performance. For this, the initial Corollary: if pressure on people motivated terrorists held the classroom training must be is the only strategy you have city to ransom as they struck followed up on the field regularly to achieve sales target, then by the FLM and SLM – this rarely at will killing policemen and stress and attrition are the only happens. As a result behaviour civilians. There were over 30,000 permanent outcomes your sales remains same and the hapless policemen in Mumbai when the team will produce. FLM transfers the pressure with attack occurred. There was little Pharma companies are great in they could do to take back the a force multiplier to MRs. The setting ambitious sales targets city, except cordon off the areas only people who gain from this approach are the hundreds of but not so great when it comes under attack. In contrast the NSG placement agencies that have to training people who are commandos took the task head- mushroomed to enable pharma responsible for achieving those on and completed their mission companies put feet-on-street as targets. successfully. quickly as possible. I recently met the VP Sales of a The main difference between The current industry trend well established company with the Mumbai police and the NSG is to hire ONLY experienced a good mix of me-too and niche commandos is the importance candidates. The assumption products in global markets. They they give to training and being that they have the right had an enviable track record of preparedness. Many of the experience and are likely to stay over 25 years and a turnover of policemen had not fired a single for at least a year given that nearly Rs. 1000 crores. They had round of ammunition for years. In they are offered a reasonable recently entered the domestic contrast, NSG commandos are increase, which is not easy to market and wanted to know how trained intensely and regularly match. This will compound the in all areas of professional pipeline problems as salespeople their field force could be trained will become scarcer few years to work in a professional manner. competence. down the line. To address these They wanted to replicate what The difference in performance issues, MedicinMan will be they had done in the international is the result of difference in conducting the second Field markets. After discussions for training. Tougher the task, Force Excellence (FFE 2013) over an hour, I had an uneasy greater the need for training. The conference on June 8th at feeling that this meeting was not Indian Pharma Market is fiercely Mumbai. going to make much headway. competitive – too many MRs At FFE 2013, CEOs and senior Reason? They had set very chasing too few CORE doctors! managers of Indian Pharma will aggressive sales targets but very Aggressive sales targets must be gather for a day’s deliberations to little resources were allocated to matched by aggressive training explore new ways of enhancing train and develop their field force. interventions. Field Force Productivity. To Most companies in the Indian know more about how you can For most companies, product benefit from FFE 2013, write to Pharma Market set very training takes the front-seat and anupsoans@gmail.com or visit aggressive sales targets, which it becomes an exercise in ‘what’ www.medicinman.net/ffe2013.§ is good in itself. But it must be knowledge rather than ‘how’ backed by aggressive training knowledge and ‘why’ knowledge. and development programs that FFE 2013 It is a fill-the-bucket approach build skills and confidence of the x that dumps information in field force. elephant doses, which is rarely effective. 5 10 15 20 25 30 35 35 40 45 50 55 Connect with Anup Soans on LinkedIn | Facebook | Twitter Date: Saturday, 8th June 2013 Place: Courtyard Marriott, Mumbai y Theme: FIELD FORCE PRODUCTIVITY 2 | MedicinMan April 2013
  • 3. field force excellence tools at special Price ! MRP Rs. 799/- MRP Rs. 599/- For Individuals* Buy SuperVision for the SuperWiser Front-line Manager and Get HardKnocks for the GreenHorn FREE. For Corporates* INR 500/- for a set of SuperVision for the SuperWiser Front-line Manager (1 copy) and HardKnocks for the GreenHorn (1 copy) for purchase of 50 sets and above. *Inclusive of Shipping to One Location. Please pay through bank transfer to SB account no. *07141000006761* of “Anup Soans” HDFC Bank, Mosque Road, Frazer Town Branch, Bangalore – 560005. RTGS/NEFT IFSC: HDFC0000714 and inform by email and SMS - anupsoans@gmail. com | +91-93422-32949. Or you can send a cheque favoring “Anup Soans” to: Anup Soans 101 - North Forte Apts; 22, North Road, Cooke Town, St. Thomas Town P.O. Bangalore - 560084
  • 4. Contents (click to navigate) 1. BRAND DRIFT 2013 - A Milestone for Pharma..................................................................6 11 The Conference Director tells us what drives pharma’s most loved annual branding event. Arvind Nair Field Force Excellence 2. Five Simple Equations for Sales Excellence..............................................................8 Tried and tested means to achieve Field Force Excellence, condensed in FIVE simple equations. K. Satya Mahesh 3. Field Force Excellence - The Need for role 20 Clarity...................................................................11 A sales organization cannot achieve excellence unless there is a clear-cut definition and understanding of roles and responsibilities, K. Hariram Counterpoint 4. Employee Loyalty - At What Cost?................14 The era of employees being loyal to a single organization has passed - the upsides to this are surprisingly plentiful. Sharad Virmani Personal Success 25 5. Munshiji ki Panch Tantra for Professional Growth ................................................................17 The Chief General Manager for Sales and Marketing at Tablets India shares the Five Ingredients of his Professional Success Story. Sanjay Munshi
  • 5. Contents (click to navigate) MedicinMan Volume 3 Issue 4 | April 2013 Editor and Publisher Anup Soans Product Management CEO Chhaya Sankath 6. What PMT Proposes, Field Force COO Disposes..............................................................20 Arvind Nair A Brand Strategy that does not demonstrate Chief Mentor a concrete understanding of ground reality is K. Hariram bound to fail - first in the minds of your Reps and Advisory Board then on the field itself. Vivek Hattangadi; Jolly Mathews Mala Raj Editorial Board Salil Kallianpur; Dr. Shalini Ratan; Shashin Coaching Bodawala; Prabhakar Shetty; Vardarajan S; Dr. Mandar Kubal; Dr. Surinder Kumar 7. You Think You are Coaching; Do They?........24 International Editorial Board How do you know if your inputs to your reps are Hanno Wolfram; Renie McClay really adding value? Executive Editor K. Hariram Joshua Soans Medical Rep Knowledge Series MedicinMan Academy: Prof. Vivek Hattangaadi, Dean, Professional Skills Development 8. Decision Analysis............................................25 MedicinMan ChangeMakers A scientific approach to complex decisions Saurabh Kumar involving healthcare interventions and Make a difference in Pharma. Join MedicinMan treatments. ChangeMakers. Write in to our editor to find out more: Mahendra Rai, Richa Goyal and Pinaki anupsoans@medicinman.net Ghosh Letters to the Editor: anupsoans@medicinman.net 9. Emerging Areas in Healthcare: HTA.............28 Health Technology Assessment (HTA) is an emerging discipline for assessing the implications of choosing a particular technology in treating patients. Javed Shaikh and Shafaq Shaikh Book Reviews 10. “Pharma First Line Leader to CEO - The Roadmap to Success” by Vivek Hattangadi....29 Reviewed by Subba Rao Chaganti 11. “Interactive and Engaging Training - A Practical Guide”........................................................29 Reviewed by Anup Soans
  • 6. me Ho BRAND DRIFT 2013 – Another Milestone for Pharma come together to interact, share change things. They push the human best practices, gain insights race forward. And while some may see and go back refreshed and them as the crazy ones, we see genius. better equipped to take on the Because the people who are crazy challenges of pharma branding enough to think they can change the effectively. At Knowledge Media world, are the ones who do.” – Steve Venturz, we want to be a catalyst Jobs. 1955-2011 in this process. The full benefit of Brand Drift will only be realized Knowledge Media Venturz is a when the Indian Pharma industry team of seasoned professionals takes ownership of Brand Drift for who are passionate about the benefit of its brand managers shunning mediocrity and creating through regular interactions and interactive media that fosters active participation. excellence in Indian Pharma.§ The first two editions of Brand Drift held in 2012 and 2013 were Gallery - BRAND DRIFT 2013 Arvind Nair, Conference Director, very well attended with over a 100 Brand Drift 2013 delegates participating in each. Brand Drift saw thought leaders “ K ick-start your brain. New ideas and achievers from within and come from watching something, outside the pharma industry come talking to people, experimenting, and deliberate on challenges asking questions and getting out of the faced by practicing pharma office!” marketing professionals in today’s – Steve Jobs challenging times. (Visit www. Pharma brand management is branddrift.com for details) one of the most challenging tasks, Future editions of Brand Drift given the stringent regulations will see the addition of BRAND when it comes to marketing a DRIFT AWARDS for marketing pharma brand. And that, without and branding excellence in Indian the benefit of marketing channels Pharma. It will be an exclusive available to other marketers. platform to recognize and Managing the expectations celebrate the achievements of of multiple stakeholders who Indian pharma brand managers. influence the marketing plan - the strategists, marketing gurus, sales The future is exciting and we teams, regulatory and medical at Brand Drift promise to make advisors requires political skills as the journey invigorating through well - all this without losing sight regular meaningful interactions. of top and bottom lines; surely a Get the Drift? pharma brand manager’s job is “Here’s to the crazy ones. The misfits. not easy. A forum to hear what The rebels. The troublemakers. The other pharma brand managers round pegs in the square holes. The experienced, discovered and ones who see things differently. They’re learnt was the need of the hour. not fond of rules. And they have no Brand Drift was conceived to respect for the status quo. You can bridge this learning gap and quote them, disagree with them, glorify create a platform where Indian or vilify them. About the only thing you View the full gallery here: pharma brand managers could can’t do is ignore them. Because they http://medicinman.net/2013/03/349/ 6 | MedicinMan April 2013
  • 7. Glimpses of FFE 2012 FFE 2013 x Theme: Field Force Productivity 5 10 15 20 25 30 35 35 40 45 50 55 y Date: Saturday, 8th June 2013 Place: Courtyard Marriott, Mumbai 7 | MedicinMan April 2013
  • 8. me Ho FFE 2013 x K. Satya Mahesh is Sr. Manager, Systems and Projects at Sanofi. 5 10 15 20 25 30 35 35 40 45 50 55 y He worked on different facets of Sales Force Effectiveness (SFE), SPECIAL REPORT Integrated Business Analytics and Digital Initiatives. Five Simple Equations for Sales Excellence. Tried and tested means to achieve Sales Excellence, condensed in FIVE simple equations. C hange is cliché. Well, I will The equations may be simple Equation #2: not ask you to ‘change’ and easy to comprehend but 25% ≠ 25% ≠ 25 ≠ 25% to excel in sales. All I ask if the actions do not follow the is that you pay attention to well- understanding, it’s guaranteed that known, time-tested basics. Revisit one’s luck will end soon. Simply put, all customer segments them. Understand them. Ensure are not equal. Let us see why they Here are these five equations that your thoughts, words and are not equal! actions become coherent with this These equations work for basic ethos. individuals, team leaders and also If you consider your business as organizations. 100%, you will observe that 25% World over, many organizations are struggling to grow or sustain of your business is contributed by growth while the competition Equation #1: approximately 5% of customers. grows at a geometric rate. Results = Data x Action The next 25% of the business is The surge in competition often contributed by approximately 10% undermines the work of the sales of customers. force. Today, there is no dearth of data Even in the fastest growing but data itself does not guarantee The next 25% of the business is organizations, only 50-60 percent growth. Mature markets - where contributed by approximately 25% of the sales force performs data is abundant - grow by single of customers to expectations. The rest are digit numbers. Whereas emerging And the remaining 25 % of the surviving by sheer luck. In this markets - where there is little or no business is contributed by a milieu, needless to say, everyone data - are growing in leaps and whooping 60% of customers. is in search of actions that can bring sales excellence. bounds. Now, do you realize why 25% ≠ Can sales excellence be simplified Organizations are said to be data 25% ≠ 25% ≠ 25% ? to five equations? The answer driven! But it is what you do with Can you write down the split is both “Yes” and “No”. In fact, it data that is more important. Data of sales and the efforts and is not the equations - what you gives you powerful insights that do with them determines Sales are useless unless you act on expenditure using the simple table Excellence. them. given below as an illustration? 8 | MedicinMan April 2013
  • 9. Five Simple Equations for Field Force Excellence | K. Satya Mahesh Sales Vs. Resources Top 25% Sales Next 25% Sales Next 25% Sales Last 25% Sales Sales 25% 25% 25% 25% % Customers giving sales 5% 10% 25% 60% Advertising and Promo Spend 25% 30% 25% 20% Man Hours Spent 15% 25% 30% 30% Does the table above ring a bell? value as you have no control over Conclusion If it does, then check sales competition intensity. To summarize, you can achieve vis-à-vis efforts and resource Most of the times, you will have Sales Excellence through five allocation. lesser resources compared to simple equations that translate in Remember: similar is not same. competition. This is the time to five actions: Allocate resources differentially you need to invest in your only to different customer segments reliable resource – ‘Emotional The Equations The Actions based on their contribution to Fixed Deposits’. You need to find Results = Data x Do Act now. business. means to emphatically use your Action own deposits from emotional 25% ≠ 25% ≠ Allocate bank accounts created in the 25% ≠ 25% Resources Equation #3 hearts of your customers. World Proportionately Share of Mind = Market Share over, emotions score over rational factors when customers choose Share of Mind Simple, Sticky products. = Market Share and Consistent You can afford to lose battles in the marketplace but you must win Equity = Build Emotional the war in the minds of customers. Equation #5 Perceived value fixed Deposits ÷ Competition To win the war, your message Strategy = Execution Intensity must be: Simple, Sticky and Consistent. Quite often, as a sales Strategy = Do Execute Strategy is said to be “the man you get bored with Simple, obvious choice”. Once strategy Execution Sticky and Consistent message. is formulated after innumerable However keep reminding yourself: debates and discussions, the These five equations encompass Simple, Sticky and Consistent. “actions” needed will be clear. all the theories advocated by That’s how you gain a share of Once clarity on actions is gained, innumerable business gurus to mind. Share of mind is market never revisit strategy. Neither attain sales excellence. They are share. Check out any brand before nor during execution. tried and tested. anywhere in the world: share of You will be able to comprehend Constantly try to achieve mind reflects in market share. how accelerated performance excellence in the process of can be achieved in competition execution. intensive markets by embedding Equation #4 When execution fails, do not these equations in rationally Equity = Perceived value ÷ question strategy. Repeatedly emotional thoughts and question the process and emotionally rational actions. Competition Intensity implementation. These equations are interwoven in Results will prove whether “The the DNA of every performer. You may have created value and Strategy” is right or wrong. equity. But when competition is I merely have identified them, Mumbai ‘Dabbawallas’ are Six named them and penned them.§ intense, it erodes your equity Sigma certified! This means only by reducing the value you have The views expressed in this message are made in an individual 1 error in 1,000,000 tiffin box capacity and do not necessarily reflect those of the company, Sanofi created. You have no option but deliveries. That’s the excellence (the “company”) or any of its affiliates. Neither the company nor any of its affiliates assumes any responsibility or liability of any use to constantly add to the perceived they have achieved. which may be made of any views expressed here in this article. 9 | MedicinMan April 2013
  • 10. field force excellence tools at special Price ! MRP Rs. 799/- MRP Rs. 599/- For Individuals* Buy SuperVision for the SuperWiser Front-line Manager and Get HardKnocks for the GreenHorn FREE. For Corporates* INR 500/- for a set of SuperVision for the SuperWiser Front-line Manager (1 copy) and HardKnocks for the GreenHorn (1 copy) for purchase of 50 sets and above. *Inclusive of Shipping to One Location. Please pay through bank transfer to SB account no. *07141000006761* of “Anup Soans” HDFC Bank, Mosque Road, Frazer Town Branch, Bangalore – 560005. RTGS/NEFT IFSC: HDFC0000714 and inform by email and SMS - anupsoans@gmail. com | +91-93422-32949. Or you can send a cheque favoring “Anup Soans” to: Anup Soans 101 - North Forte Apts; 22, North Road, Cooke Town, St. Thomas Town P.O. Bangalore - 560084
  • 11. me Ho FFE 2013 x K. Hariram is the former MD (retd.) at Galderma India. He 5 10 15 20 25 30 35 35 40 45 50 55 is Chief Mentor at MedicinMan and a regular contributor. y SPECIAL REPORT khariram25@yahoo.com Field Force Excellence The Need for Role Clarity T he Indian pharmaceutical The sales force management For example, calling on industry is on a good growth should be based on three pillars: physicians including KOLs, path and is likely to be in joint working with sales people, 1. Attracting, hiring, developing and the top 10 global markets by value stockists management are day retaining the right sales people in by 2020. High burden of disease, to day functions in which there is terms of attitude, skills, knowledge good economic growth leading overlapping and duplication with and activities to higher disposable incomes, no clear cut responsibility. This is improvements in healthcare 2. Defining and executing a also due to poorly defined sales infrastructure and improved successful management style with processes leading to fire fighting healthcare financing are driving regular personalized coaching, during month end sales closing. growth in the domestic market. feedback and evaluations, clear So the process is forgotten or roles and responsibilities, and compromised and the month However, in order to sustain growth workload versus potential analysis. end becomes an end by itself till in the long run, companies will 3. Organizing and defining the next month end. This leads need to modify their business processes, underpinned by using to erosion of ‘efficiency’ and models and connect with their the appropriate technology and ‘effectiveness’. And ‘excellence’ customers faster and work on performance measurement. remains an unreachable dream. innovative ideas to serve them better. Peter Drucker defines EFFICIENCY The starting point is clarity as “doing things right” and in defining the role and the Field Force continues to be the EFFECTIVENESS as “doing the responsibility at each level of sales vital link between the customer right things”. management. Stephen Covey, and the organization. Hence, the the author of ‘The Seven Habits of performance of the field force Achieving Field Force Excellence Highly Effective People’ defines will determine to a high degree requires intelligent combination “role” (both in personal and the sustained success of any of both. If this excellence has to professional life) which relates to organization. be achieved and sustained, the three areas: Although sales force automation role clarity and the associated responsibilities have to be clear 1. Responsibility, and measurement have become increasingly common business with regard to sales management 2. Area of Relationship, and practices, the true success of including the line functions. 3. Area of Contribution. the Field Force is based on the Today, there is still a tremendous correct alignment of the sales force amount of confusion and there The responsibility to achieve management with the company are many situations where there is Planned Revenue Generation strategy to accomplish its mission duplication or substitution of the rests at all levels of hierarchy and thus drive value. effort areas. in a commercial organization, 11 | MedicinMan April 2013
  • 12. Field Force Excellence: The Need for Role Clarity | K. Hariram whether direct or indirect. But the differentiation between roles is to be found in the relationship areas and the area of contribution. Let me illustrate this through an inverted organogram. The Customer Everyone’s cheque is ultimately signed by the Customer. The Customer allows us to stay in business. So he belongs to the top. In Pharma the Doctor and Chemists ring forms the Customer The Revenue Generating Team This is made of the Pharma sales team ably supported by marketing team. The Revenue Generating Team works for the Customer. The People Building Team They are the front-line managerial team. Their responsibility is to coach, direct and guide the revenue generating team. The Leadership Team They are the second-line Sales and Marketing Managers. They lead and direct the company in their region/zone brand management. They work for the people building team The above organogram very clearly defines the role respon- sibility of each level. While one level may help or support the other level of function, the real The Development Team/Corporate Managers For long-range planning &Development. They work for the leadership team. The MD Gives Vision and Direction to the Company. He works Product and service differentiation is going to become increasingly difficult to achieve in the era of “ concern is duplication of efforts, for all globalization. Sales management lack of clear direction and more will continue to face growing importantly, the absence of coaching, guiding and directing pressures to reduce field sales as part of the area of contribu- investments and to produce’ more tion. So communications at all levels with less’. Faced with increasing remain more often on a transac- resource constraints, sales leaders tional level and seldom lead to transformation. Hence, the cha- need to complement their internal os, fire fighting and blame-fixing, sales force effectiveness measures resulting in gaps at all levels. effectiveness measures through role This is also one of the major fac- clarity through well defined respon- through role clarity through well tors contributing to sales force sibility, area of relationship and defined responsibility, area of re- attrition. area of contribution leading to Field Force Excellence.§ lationship and area of contribution I strongly opine that product and service differentiation is going “Excellence endures and sustains. It leading to Field Force Excellence. to become increasingly difficult goes beyond motivation into realms to achieve in the era of glo- of inspiration. I have found that ex- FFE 2013 balization. Sales management cellence is not so much of a battle x will continue to face growing you fight with others, but a battle pressures to reduce field sales you fight with yourself, by constant- investments and to produce’ ly raising the bar and stretching 5 10 15 20 25 30 35 35 40 45 50 55 more with less‘. Faced with yourself and your team. This is the y increasing resource constraints, best and the most satisfying and Date: Saturday, 8th June 2013 Place: Courtyard Marriott, Mumbai THEME: FIELD FORCE PRODUCTIVITY sales leaders need to comple- challenging part about excellence.” ment their internal sales force – Azim Premji 12 | MedicinMan April 2013
  • 13. FFE 2013 x Theme: Field Force Productivity 5 10 15 20 25 30 35 35 40 45 50 55 y Date: Saturday, 8th June 2013 Place: Courtyard Marriott, Mumbai THEME: FIELD FORCE PRODUCTIVITY Networking Breakfast Session 1: Keynote Address: Shakti Chakraborty, President, Lupin MORNING Session 2: CEO Roundtable: “Field Force Productivity: Opportunities and Challenges” --Panel Members Confirmations Awaited-- Session 3: Panel Discussion: “Business Intelligence for Field Force Productivity.” Moderator: Vikas Dandekar, India Bureau Chief, Elsevier Business Intelligence Panelists: Salil Kallianpur, Commercial Head - Classic Brands Center of Excellence, GSK Lunch Session 4: Panel Discussion: “Transactional to Transformational: the Changing Role of HR AFTERNOON in enhancing Field Force Productivity.” Moderator: Anup Soans - Editor, MedicinMan --Panel Members Confirmations Awaited-- Session 5: Amlesh Ranjan, Associate Director, Sanofi: “New Pharma Sales Model for Healthcare Opportunity” Session 6: K. Hariram, Chief Mentor at MedicinMan, Former (Retd) Managing Director at Galderma India: “Role Clarity for Field Sales Managers to enhance Field Force Productivity.” Delegate Registration Register Now! Pharma Delegates: INR 8,500/- Non-Pharma Delegates/ Service Providers: INR 9,500/- Click here or go to www.medicinman.net/ffe13 Early Bird Discount (for full payment before 30 April 2013): INR 1,000/- ) +91-93422-32949 22 North Road, Cooke Town, Bangalore - 575084 www.medicinman.net * anupsoans@medicinman.net
  • 14. me Ho Sharad Virmani is Vice President Marketing and Counterpoint Sales at Comed Chemicals and Pharmaceuticals. virmanis@gmail.com “ People who travel from one organization to another carry many good practices and learning compared to people who are stuck with same organization for years and have not seen and refuse to see the world changing around them. ” Employee Loyalty - at What Cost? E verybody expects loyalty. What are the disadvantages of ¤¤ Controlled turnover statistics. Whether internal or courting loyalty? ¤¤ Controlled training costs. external customers – every Loyalty generally means sticking ¤¤ Face familiarity with external entrepreneur expects loyalty from around for longer times. It can lead customers and above all them. to the propogation of: ¤¤ A pseudo-feeling of being Loyalty is a two-way process: it ¤¤ Same, stale ideas. an employer of choice with must be rewarded to develop and ¤¤ Same, mundane approach. “superior HR practices.” grow. That’s where executives err ¤¤ Limited drives. Inferences can be drawn out of a lot. ¤¤ Business driven with both situations depending upon While most industries have come the organization’s own outlook. calculated risks. of age on the loyalty issue, pharma ¤¤ Focus on sustaining / Does loyalty help or hinder growth still banks heavily on internal retaining the job and earning of the organization? customer loyalty. reasonable increments and In my opinion, it hinders growth Frequent short-term changes by management, courtesy because people get settled, they Pharma employees are viewed promotions. loose drive, they work for retaining negatively, while in other industries The only advantages of employee their jobs and increments and that such changes have come to be loyalty are: “Push” which the organization accepted. needs goes for a toss. 14 | MedicinMan April 2013
  • 15. Employee Loyalty - at what cost? | Sharad Virmani On the contrary “new arrivals” They get themselves assessed or portfolio shift, they ensure that every 2 - 3 years in the company in the market regularly and the their area’s actual potential is bring in: moment they get the right price, never utilized by the organization. the right position and right valuer They grow as per their fixed ¤¤ New ideas of their potential and talent, they plan, ensuring that their jobs safe ¤¤ New energy guarded year after year. move. ¤¤ Momentum to the current Organizations fail to recognize There is nothing wrong in it. business these factors and some who do No employer gives a lifelong ¤¤ A look at new opportunities realize are reluctant to push these guarantee. So why expect a and risk-taking individuals just for the sake of lifelong commitment from the “loyalty”. Over a period of time the ¤¤ Drive the organization towards employee. competition sets a firm foot hold it’s goals The employee should have the in these areas and by the time The big question is - why is loyalty equal freedom of moving to realization sets in, the organization in pharma diminishing? another employer of his choice looses its edge in those areas. who pays and gives him a role as Time has come to look beyond The answer is simple. per his perceived and assessed mere loyalty. Reason No. 1: market potential. The employers People who travel from one When it comes to rewarding and do the same while replacing an organization to another carry recognizing internal customers, existing employee. many good practices and learning the organization looks at internal But the Pharma industry behaves compared to people who are stuck factors. differently. with same organization for years The age-old saying comes true While it appreciates long-term and have not seen and refuse to here “ghar ki murgi dal barabar”. commitment from its employees see the world changing around Employees change because they with minimal rewards and them. realize that they are not being recognition for talent, it looks down Short bursts of rejuvination with rewarded as per their “Market on people who change frequently. new ideas propelling growth are Value”. The fear is always that these short- better than long term loyalty with While organizations underrate term employees disturb the rhythm stagnation. their existing employees when of their organization to which they The message is simple: rewarding, the same employers are well tuned. The myth is also Loyalty is a diminishing virtue – hire similar-level new talent at a that all short term employees employers have to learn to live with higher price, justifying that he who move from organizations to it. deserves that cost. organization are devoid of talent Loyalty does not ensure new ideas These dual-standards are eroding and keep moving because they do and rapid growth. It only ensures employee loyalty. Loyal employees not have much to offer. stagnated growth. feel cheated and either go into a Probably a deeper insight into All short-term employees are not shell because of job insecurity or employees mindset will change worthless - look closely at their move out if they have confidence this thinking. career path, their achievements in their talent. Believing that people sticking over and their talents. Forget about the Reason No. 2 for a long time in the organization loyalty - look at their contribution. People join organizations with have higher commitments, Short-term employees bring drive, growth aspirations – both Financial involvement and talent is a wrong new ideas, rejuvenation and a new and Hierarchical. notion. culture – propelling organizations Infact these so-called “loyal to new levels With the changing pace of time, competition and outlook towards employees” sometimes are the The old era of life-long contractual biggest impediments to the labour is over. life, everyone wants to be where he or she should be as per his organization’s growth. With a The newer breed of employees or her potential at the earliest clear plan to spend several years believe in short-term beneficial possible. Nobody has patience or in the same organization, at the and growth oriented contracts same H.Q., at the same post with with changing canvas every short the time to wait. minimal growth and no locational while.§ 15 | MedicinMan April 2013
  • 16. Ad S Training that From the team that brings you MedicinMan, Brand Drift, Field Force Excellence seminars and other breakthrough learning and development events. tands Out Training that is RELEVANT and grabs the ATTENTION of the participants, appealing to EMOTIONS and firing the INTELLECT to bring about CHANGE in MINDSET and BEHAVIOR on the FIELD leading to VALUE CREATION in the DOCTOR’s CHAMBER and REPEAT Rx for the Company. For customized programs for Medical Reps, Front-line Managers and Senior Professionals call: +91 93422 32939 | anupsoans@medicinman.net
  • 17. me Ho Sanjay Munshi is Chief General Manager- Personal Success Sales and Marketing at Tablets (India) Ltd. Munshiji ki Panch Tantra for My success Professional Growth story was never A new financial year is plan about how to sell my ideas a time when most of and manage organizational planned; it was built us evaluate our career objectives to create a distinct by sheer passion and aspirations and make new go to person identity. decisions. Youngsters in the Are you a recognizable brand hard work though I did pharma industry must think carefully about what it will or just another face? Getting make conscious efforts recognised is harder than take for them to advance their before. In the past, you short and long term career to be recognized for prospects. just had to perform your job description well, achieve my work. I was bold My success story was never planned; it was built by sheer targets and support the enough to stand out in organization’s objectives and passion and hard work though goals. Today, you must also I did make conscious efforts the crowd – among to be recognized for my work. earn your team’s respect, so that your share of the voice is my peers and I was bold enough to stand out in the crowd – among my heard and acted on within the colleagues. peers and colleagues. After company. You gain this respect completing 20 years in the as a person who can manage pharma industry, I still think and crisis and solve problems. 17 | MedicinMan April 2013
  • 18. Munshiji ki Panch Tantra for Professional Success | Sanjay Munshi You must have the boldness to trust your instincts based on insights gained from careful observation of market dynamics. Even after many years of experience, many executives do not have the courage to trust their gut feelings. It may lead to failure, but it will teach you valuable lessons, no MBA program can teach. Product promotions get you high competition? Your aptitude is a powerful asset and essential prescriptions and self-promotion has a better chance of being for getting promoted. gets you promoted. But just as discovered and recognized if your Being trusted by others is not the product has to be promoted attitude is Can Do. Your behaviour earned just because you are on the basis of scientific facts, in difficult situations, the choices likeable. You must know how self promotion has to be based on you make, your reliability and your to build rapport, be a strong solid achievements. personality are being measured communicator, be credible and all the time. Attitude is caught and Everyone has a Success Story and be honest with people. Always not taught. As you demonstrate a its reasons and I am no exception, be careful to make commitments Can Do attitude consistently, those but these Panch Tantra have and then once you have made around you begin to catch it and contributed to my success. promises, work on how you can soon everybody is contributing to keep your promises instead of Passionate about making your task a little easier. 1 Personal Growth finding excuses and explanations. Can you trust your If you are not passionate about 3 Instincts? 5 Loyalty Matters. your personal growth, don’t expect Being loyal to your You must have the boldness to others to be interested in your company and colleagues is trust your instincts based on professional growth. The old ways important to gain trust without insights gained from careful of being good at something and which success is hard to come by. observation of market dynamics. never enhancing your abilities Your personal values must align Even after many years of are over. You must work twice with those of your organization. experience, many executives do as hard to illustrate your capacity For example, I will never forget not have the courage to trust their for growth. This will require you to the job offers I received from gut feelings. It may lead to failure, keep learning and investing in self competitors during my tenure but it will teach you valuable development continuously. at Tablets (India) Limited - TIL. lessons, no MBA program can While companies offered to pay To keep it simple, identify three to teach. So go ahead, take that me more money, they could never four skill areas that will enable you plunge that put your capabilities give me present responsibilities to grow in your company and then to the test. Seize the opportunity. or future opportunities or the make the effort to invest in those Often your instincts tell you to take relationship and trust I had built skill areas. It’s not how much you action during times of adversity with my colleagues and the know, it’s how fast you can learn – but you don’t. Instead, you sales team. As difficult as the new things, whether relating to wait for those above you to take temptations were, my loyalty to therapy area knowledge or new decisions and let opportunities slip TIL paid off and led to multiple ways of leading people. You must by. Leading and managing is all promotions. have a desire to handle greater about taking bold decisions and responsibilities. making those decisions to work Getting frequent promotions by careful implementation of plans requires a lot more than just what Possess a Can Do 2 Attitude and strategies. your job description demands. As you begin to map-out your career Trust is Built by Doing The real test of your attitude is 4 What You Say You Will. goals for 2013, I suggest you when things do not go as you to integrate these Panch Tantra want it to. Can you maintain a At a time when people have into your career plan or better Can Do attitude in the face of trouble trusting themselves let still, design your own success challenges like high attrition and alone trusting others building trust roadmap.§ 18 | MedicinMan April 2013
  • 19. field force excellence tools at special Price ! MRP Rs. 799/- MRP Rs. 599/- For Individuals* Buy SuperVision for the SuperWiser Front-line Manager and Get HardKnocks for the GreenHorn FREE. For Corporates* INR 500/- for a set of SuperVision for the SuperWiser Front-line Manager (1 copy) and HardKnocks for the GreenHorn (1 copy) for purchase of 50 sets and above. *Inclusive of Shipping to One Location. Please pay through bank transfer to SB account no. *07141000006761* of “Anup Soans” HDFC Bank, Mosque Road, Frazer Town Branch, Bangalore – 560005. RTGS/NEFT IFSC: HDFC0000714 and inform by email and SMS - anupsoans@gmail. com | +91-93422-32949. Or you can send a cheque favoring “Anup Soans” to: Anup Soans 101 - North Forte Apts; 22, North Road, Cooke Town, St. Thomas Town P.O. Bangalore - 560084
  • 20. e Hom Mala Raj is a Pharma Marketing Consultant with expertise in Brand Management, New Product Launches and Training. She has over 26 years experience and runs her own consultancy - Product Management Support Services at Thane. Product Management malaraj.pmss@gmail.com What PMT Proposes, Field Force Disposes. A Brand Strategy that does not demonstrate a concrete understanding of ground reality, is bound to fail - first in the minds of your Reps and then on the field itself. Here’s how you can overcome “Boardroom bias”. I t is a well known fact that the force during the cycle meetings. It Special Customer Campaign: ‘Success of a brand’ depends is here that the brand manager is The Brand manager, in all his on the brand managers’ put to his most crucial test, that of enthusiasm has chalked out a strategy for the brand. convincing the team to implement special ‘Good Morning’ Campaign his strategy. for his brand, which has a dose Before any new launch, a good product manager toils for months A strategy, no matter how good of 1 tablet once in the morning for it may seem to the brand and round-the clock BP control. The in advance to understand all the marketing manager, will MR is expected to make a list of the fine nuances of his brand, see the light of the day in the just five Top Drs whom he will call its competitors, the market, the intended manner, only if the upon daily before the Dr starts his customers, business environment field force are convinced on its and so on and finally develops a practice and remind him of the novelty, implementability, possible winning strategy for the brand. brand with a ‘Good Morning’ card effectiveness and likely gains. On and a small gift associated with Likewise, for strengthening existing the face of it, the brand manager morning activities (like shaving kit, brands too he / she reflects and may be assured of all co- etc). The intended message of a contemplates on various issues operation, but reality may be quite ‘Good start for a trouble-free day’ before defining the strategies for otherwise! is topmost in the PM’s mind while the year ahead. framing this strategy. Then comes the critical moment of Scenario 1: New Antihypertensive However, from the MR’s point sharing these launch strategies or Brand; of view, it is nearly impossible brand strategies with the imple- Target Audience: Cardiologists & to be able to meet five TOP menters, viz., the pharma field Physicians. 20 | MedicinMan April 2013
  • 21. What PMT Proposes, Field Force Disposes | Mala Raj cardiologists, repeatedly on all five and spends the entire briefing How to develop those days of the week, that too before session on what inputs are planned ‘Winning strategies’ - A few they start practice. ‘Does the for the 52 weeks and goes on to pointers: Product Manager think that all my impress upon them the statistics. cardiologists practice in the same The MR thinks, “Let’s put this Regularly work on the lane? Meeting them once a month PM on the field for 3 months to 1 field - atleast for 3-4 days itself requires meticulous planning; implement his strategy! How many every month and work in then how can I meet my leading brands are there in the history of different territories in different parts Cardiologists on a daily basis, even Indian Pharma which have attained of the country month after month. if it is to just greet for a second?’, is Rs 50 Cr in the 1st year!” Familiarise yourself with ground what he muses. realities in these visits. There it goes…Statistics that There it goes…Good bye to the are good to look at….but remain ‘Good morning Campaign’ by merely an ‘illusion’. If you are a PM with the majority of the field force. 2 favoured B.Pharm + MBA There are countless such examples background, but with little where the brand manager experience in PMT, always discuss Scenario 2: New Anti-arthritic Brand; proposes and the field force your ideas with your colleagues disposes. No wonder then, the with more PMT experience & with Target Audience: Orthopaedics PM is left alone to battle questions your Marketing manager, before Brand Strategy: ‘Just 1 New Rx from his seniors on how his you plan your activities or inputs per week from 10 Orthos… That’s strategies have not fetched the based on the same. all’ desired results or how his planned The Product Manager is convinced expenses have been expended but If you have a novel that getting ‘Just 1 Rx / week from planned forecasts have not been 3 strategy, but have doubts 10 Orthos’ is quite a simple task met. on its implementability, No. of Rxs / Patients Sales Val @ Rs do a pilot testing of the same 10/ day; Rs 70 / during your field work or ask a few week friendly Frontline managers for their Week Rxs No. of New Existing Total Value - Rs / opinion. Sending a long email with Drs Week / MR your proposed plan will almost 1 1 10 10 0 10 700 never get you the desired feedback 2 1 10 10 10 20 1400 that your personal discussion will get. So pick up the phone and ask. 3 1 10 10 20 30 2100 4 1 10 10 30 40 2800 Think of possible ways …..And So On…… 4 to make your idea more innovative, be it a literature 49 1 10 10 480 490 34300 or a visual aid or a scientific input 50 1 10 10 490 500 35000 or anything else. MRs love to 51 1 10 10 500 510 35700 ‘show-off’ to their Drs any new information or literatures designed 52 1 10 10 510 520 36400 in novel manner. But limit the urge Total Annual Sales Per MR = Rs 9,64,600 to have pullouts and flaps too Total Annual Sales for 500 MRs = Rs 48,23,00,000 often, for they often fail after a few uses. Bravo! We have a 50 Cr (1st year) Brand in front of us!! 21 | MedicinMan April 2013
  • 22. What PMT Proposes, Field Force Disposes | Mala Raj Feeling the Keep regular tabs on what 5 competition is doing and offer your team competitive strategy that they look forward to from you. love? In your cycle-meeting briefing, 6 discuss with the team the genesis of the idea for the campaign, theme, etc and highlight how it has been tested and proven for its effectiveness in your field visits. If other brand managers do the briefing in other parts of the country ensure that you train them well on your promotional plans and give them the relevant back-up data to enable them also make a powerful impact in their presentation. Occasionally you can involve 7 the MRs by teaser campaigns seeking their participation in suggesting a name for the campaign, Make sure etc. While talking of gains to the MR, 8 be realistic in your expectations you share it. and stress on personal and professional gains that are to be had from your strategies Be alert, monitor the feedback MedicinMan is FREE to read and distribute. But it is not free to 9 and amend your plans if produce. It takes us plenty of time and energy to put together required at the earliest. every month, with minimal advertisements. Not to mention the efforts of our writers and board members. Lastly, your attitude matters a 10 lot in gaining co-operation from If you enjoy reading MedicinMan, here’s how you can show us some love: others. Marketing and sales are but two sides of the same coin and must 1. Subscribe, on our NEW, Wordpress-powered website: work in unison to realise the corporate www.medicinman.net. objectives of growth, market share and 2. Link-in with our Editor on Social Media. Linkedin | Facebook profits.§ | Twitter 3. Send this PDF to your friends and colleagues. Done? A BIG thank you from the team at MedicinMan and here’s to a successful, rewarding career in healthcare to you. 22 | MedicinMan April 2013
  • 23. FFE 2013 x Theme: Field Force Productivity 5 10 15 20 25 30 35 35 40 45 50 55 y Date: Saturday, 8th June 2013 Place: Courtyard Marriott, Mumbai THEME: FIELD FORCE PRODUCTIVITY Networking Breakfast Session 1: Keynote Address: Shakti Chakraborty, President, Lupin MORNING Session 2: CEO Roundtable: “Field Force Productivity: Opportunities and Challenges” --Panel Members Confirmations Awaited-- Session 3: Panel Discussion: “Business Intelligence for Field Force Productivity.” Moderator: Vikas Dandekar, India Bureau Chief, Elsevier Business Intelligence Panelists: Salil Kallianpur, Commercial Head - Classic Brands Center of Excellence, GSK Lunch Session 4: Panel Discussion: “Transactional to Transformational: the Changing Role of HR AFTERNOON in enhancing Field Force Productivity.” Moderator: Anup Soans - Editor, MedicinMan --Panel Members Confirmations Awaited-- Session 5: Amlesh Ranjan, Associate Director, Sanofi: “New Pharma Sales Model for Healthcare Opportunity” Session 6: K. Hariram, Former (Retd) Managing Director Galderma India: “Role Clarity for Field Sales Managers to enhance Field Force Productivity.” Delegate Registration Register Now! Pharma Delegates: INR 8,500/- Non-Pharma Delegates/ Service Providers: INR 9,500/- Click here or go to www.medicinman.net/ffe13 Early Bird Discount (for full payment before 30 April 2013): INR 1,000/- ) +91-93422-32949 22 North Road, Cooke Town, Bangalore - 575084 www.medicinman.net * anupsoans@medicinman.net
  • 24. e Hom K. Hariram is the former MD (retd.) at Galderma India. He is Chief Mentor at MedicinMan and a regular contributor. This article is 6th in a series on “Coaching” . Coaching khariram25@yahoo.com “You Think You ..are Coaching; Do they?” This is what K. Hariram heard from pharma sales managers in a recent conversation: R ecently I was having a Research and survey across “The current generation does not talk with some pharma the globe has shown that listen to us. sales managers. The managers believe that they They are not taking responsibility conversation veered towards coach far more often than their for their sales target “Coaching”. The typical comments sales people believe they do. achievement. that emerged were: On the other hand, the sales people have reported that they They have a mind of their own. • The current generation does not listen to us. get very little coaching from They are too casual. their managers. • They are not taking They want territories which are responsibility for their sales Why this discrepancy and how nearer to their residence, etc.” target achievement. could this be? Chances are that He decided to take a closer look. • They have a mind of their own. the managers may be doing • They are too casual. some talking or using some bits and pieces of transactional Feedback is yet another area of • They want territories which are communication, often mistaken for improvement because it remains nearer to their residence, etc. coaching. at a transactional level. We live in I also had the occasion to speak systems; and most of the systems A worthwhile question that will with some pharma sales people are self-reinforcing—until they stop help is “Does this action grow my while I was sitting in my physi- working or we change them. sales people?” cian’s clinic. Five out of six reps Are you reinforcing a system that told me that they had no signifi- Managers may be spending time promotes dependence, or are you cant ‘value add’ from their manag- on one-on-one meetings but reinforcing a system that promotes ers either pre, during or post the 90% of the time may go in talking interdependence, extensive doctor calls except for telling ‘you about sales, quotas, so called thinking, critical decision making did this’ or ‘you missed this’. They CRM activities etc. So, the above and empowerment? also added that the only talk from referred question would probably the manager was ‘how much have meet with an answer “not really” Making your coaching visible has you done?’ its own dividends—make sure Everyone goes through the motion that your sales people see that The purpose of bringing this point of performance review to meet you are allotting time for coaching is not to judge who is right or with deadline and comply with or- and developing them.. Investing who is wrong. But it set me into ganizational system requirements in your sales people by coaching thinking mode as to where does but fail to really build develop- them and expanding their capa- the problem lie. ment plans that will make a big bility will help you, them and the Could it be improper understand- difference to the sales person and organization. ing of the role by line management therefore, for the organization, in or lack of coaching skills? the long term. The rewards are immense.§ 24 | MedicinMan April 2013
  • 25. e Hom Mahendra Rai, Richa Goyal and Pinaki Ghosh Field Force Knowledge Series mahendra.rai@gmail.com; richapharmacist@gmail.com Decision Analysis D ecision Analysis involves assisting decision makers for making logical assumptions. A rational decision can be of great use to the individuals. Decision analysis involves breaking a decision problem into its component parts. For decision analysis, these components are the probability of different outcomes and the value or Stages in Decision Analysis: preference an individual attaches to Structuring the decision: This involves those outcomes. Synthesizing the value 1 converting an ill-defined problem into a set of of these components gives the best well-defined elements decision option. Balance sheet: This helps in defining the decision problem by listing all the different options or actions and considering the possible benefits and risks of decision is the likelihood of events that actually each choice; an approach known as constructing a happen. ‘balance sheet’. Assessing probabilities: Having identified the Decision trees: Another method of structuring likelihood of different outcomes occurring, together the decision is by representing the choices in the with an estimate of the uncertainty around this figure, form of a ‘decision tree’. A decision tree (Figure probabilities can be assessed and added to the 1) represents both, the decision options available decision model. (represented in a tree as a square node between Assessing patient values or preference: branches) and the uncertainty associated with each 3 measuring utility: Utility is a numeric decision option (represented in a tree as a circular or quantitative measure of the value an node). individual or group place on the different outcomes Assessing the probability of different or consequences of a decision. Utility is measured 2 outcomes: An important dimension of any on an interval scale, from 0 to 1 (or 100). Zero 25 | MedicinMan April 2013