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Possible Side Hustle: Advising Drug Reps

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  • Avatar PedNeuroPNW 
    Participant
    Status: Physician
    Posts: 2
    Joined: 04/14/2019

    Hi,
    In my full time clinical practice, I have found myself increasingly visited by pharm reps looking for “on the ground” advice and insights. For years, I refused to give them the time of day. But, now there are some reps who are asking to meet with me and see how things are going.

    Here is my question, and my younger self would never believe that I would be asking it:
    Rather than giving my free time to talk with them, which I admit I have done out of courtesy and trying to improve my patients’ access to new meds, can I ask to be compensated for this work? I realize that this would come under the sunshine act. How much of a slippery slope is this? Is this just a bad idea? I think I’m being too nice and naive.
    Thoughts or advice would be greatly appreciated!

    #206365 Reply
    Avatar Panscan 
    Participant
    Status: Resident
    Posts: 670
    Joined: 03/18/2017

    I don’t understand, so they’re going to pay you for you to teach them how to approach physicians? Or what exactly would you be contributing.

    You think they value your input enough that they will pay you for this, and they aren’t just sucking up to you so that you will use their stuff or listen to them talk?

    #206430 Reply
    ENT Doc ENT Doc 
    Participant
    Status: Physician
    Posts: 2916
    Joined: 01/14/2017

    Any payments, if theoretically possible, are disclosed on national databases. Not sure I’d want to come in high on that list. The more you get paid, in cash or in other benefits, the more they expect more ordering of X, Y, or Z. You don’t do it, they stop paying. Are you saying they have no idea what’s going on in the market and you are the person educating them?

    #206431 Reply
    CordMcNally CordMcNally 
    Participant
    Status: Physician
    Posts: 1874
    Joined: 01/03/2017

    You can ask to be compensated for this but I think you’ll find that they no longer want that time with you and they certainly won’t pay for it. They’re just trying to buddy up to you.

    “But investing isn’t about beating others at their game. It’s about controlling yourself at your own game.”
    ― Benjamin Graham, The Intelligent Investor

    #206432 Reply
    Avatar Scopemonkey 
    Participant
    Status: Physician
    Posts: 60
    Joined: 12/28/2017

    Exactly; they want to spend time with you for only one reason – to get you to use their drug.  Pass..

    #206444 Reply
    wonka31 wonka31 
    Participant
    Status: Physician
    Posts: 509
    Joined: 03/24/2018

    There are physicians as well as non-physicians employed by pharma companies that already do this. MSLs tend to teach them the science behind the medication, while others help with their sales pitch. Your mindset is not wrong, this is of value to them as most reps have little to no medical training, but people are already paid to do this.

    #206452 Reply
    Liked by PedNeuroPNW
    Avatar fatlittlepig 
    Participant
    Status: Physician
    Posts: 579
    Joined: 01/26/2017

    Hi,
    In my full time clinical practice, I have found myself increasingly visited by pharm reps looking for “on the ground” advice and insights. For years, I refused to give them the time of day. But, now there are some reps who are asking to meet with me and see how things are going.

    Here is my question, and my younger self would never believe that I would be asking it:
    Rather than giving my free time to talk with them, which I admit I have done out of courtesy and trying to improve my patients’ access to new meds, can I ask to be compensated for this work? I realize that this would come under the sunshine act. How much of a slippery slope is this? Is this just a bad idea? I think I’m being too nice and naive.
    Thoughts or advice would be greatly appreciated!

    Click to expand…

    don’t flatter yourself, they got no need for you aside from the obvious.

    #206456 Reply
    Avatar PedNeuroPNW 
    Participant
    Status: Physician
    Posts: 2
    Joined: 04/14/2019

    Thank you all for your thoughts and for setting me straight. This was my first question on the forum, so thank you for making me laugh and being easy on me.
    I think I will trust my instincts and go back to telling the reps that I simply do not have time to talk with them. 😎

    #206467 Reply
    Lordosis Lordosis 
    Participant
    Status: Physician
    Posts: 619
    Joined: 02/11/2019

    I am surprised reps are still as prevalent as they are.  Most everyone I talk to works somewhere where they do not allow reps.  My institution allows them but no samples.  Before I got here the office had a drug rep lunch 2-4 times a month. Now it is about 2-3 a year.  I just do not see any utility other then an excuse to eat Panara.  If it is truly a new drug that I might use then I will hear them out but I do not want to hear about the 10th ARB and no repeat customers.  Really Breo has changed that much since you told us about it 3 months ago?

    However I do miss the junk they gave out.  I especially like the stuff with failed drugs.  I have a Vioxx clipboard I keep just for that reason.

    “Never let your sense of morals prevent you from doing what is right.”

    #206565 Reply
    Avatar Crockett’sRiver 
    Participant
    Status: Physician
    Posts: 159
    Joined: 05/24/2018
    I have a Vioxx clipboard I keep just for that reason.

    Click to expand…

    We used to have a hand soap dispenser with big floating Viagras*.  That was the best.

    *not actual viagras, just plastic models.  I wonder what viagra dissolved in hand soap would do…

    Career and finance for PCPs at ADoctorsWorth.com

    #207421 Reply
    Liked by Lordosis
    Avatar G 
    Participant
    Status: Physician, Small Business Owner
    Posts: 1411
    Joined: 01/08/2016
    I wonder what viagra dissolved in hand soap would do…

    Click to expand…

    require bigger gloves?

    #207428 Reply
    Liked by Hank, Lordosis
    Hank Hank 
    Moderator
    Status: Attorney
    Posts: 1157
    Joined: 03/27/2017

    Nitrile gloves, now available in small, medium, large, and magnum!

    #207942 Reply
    Avatar Dilaudidopenia 
    Participant
    Status: Physician
    Posts: 150
    Joined: 05/22/2016
    Splash Refinancing Bonus

    Don’t want any exposure to any rep of any kind.

    The nurses flock to these “free” crappy lunches.  I go to the cafeteria and buy my own.

    #208293 Reply
    Liked by Zaphod, SValleyMD
    Molar Mechanic Molar Mechanic 
    Participant
    Status: Dentist, Small Business Owner
    Posts: 362
    Joined: 10/29/2017

    They ask for your help and advice because it is known that once you’ve become a “mentor” to them, you are at some level invested in their success, and want them to succeed.  They are also playing to your ego and good nature.

    #208393 Reply
    CordMcNally CordMcNally 
    Participant
    Status: Physician
    Posts: 1874
    Joined: 01/03/2017
    I go to the cafeteria and buy my own.

    Click to expand…

    No free lunches for physicians? Preposterous!

    “But investing isn’t about beating others at their game. It’s about controlling yourself at your own game.”
    ― Benjamin Graham, The Intelligent Investor

    #208397 Reply

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