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Medical science liaisons - A look to the future

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  • Medical Science Liaison Institute

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Medical science liaisons (MSLs) are the pharmaceutical company’s clinical representatives who interface with thought leaders and other key healthcare decision makers. The authors offer a description of the strategically important characteristics of tomorrow’s most valuable MSLs. Journal of Medical Marketing (2008) 8, 193–197. doi:10.1057
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© 2008 Palgrave Macmillan Ltd 1745-7904 $30.00 Vol. 8, 3 193–197 Journal of Medical Marketing 193
www.palgrave-journals.com/jmm
Peter Dumovic
Novartis Pharmaceuticals
Corporation,
One Health Plaza,
East Hanover,
NJ 07936, USA
Tel: + 1 862 778 8685
Fax: + 1 973 781 5209
e-mail: peter.dumovic@
novartis.com
INTRODUCTION
Field-based medical science liaison
(MSL) teams play a critical role in the
provision of accurate, balanced and timely
scientifi c and medical information
to key healthcare practitioners.
1 These
highly trained scientifi c professionals are
able to harvest clinical insights from
thought leaders throughout the entire
lifecycle of pharmaceutical and
biotechnology products.
2 This in turn
allows MSLs to foster compliant,
collaborative relationships with various
internal stakeholders.
3
In most companies, MSLs report into a
Medical Affairs Department, and MSLs
usually have advanced degrees in a
scientifi c or medical discipline. While MSL
responsibilities can differ from company to
company,
4 a consistent focus is to build
scientifi c excellence and help to advance
patient care.
1 MSLs interface with the
medical and scientifi c communities to
engage in the exchange of scientifi c
information. Activities typically include
supporting clinical trials and facilitating
knowledge exchange between the
company and medical thought leaders and
other key clinical decision makers.
5 As the
pharmaceutical industry has evolved, MSLs
have also engaged in other activities,
including the provision of relevant disease
state and pharmacoeconomic information,
as well as support of internal company
initiatives and training functions.
6
Furthermore, MSLs have increasingly
become involved in other aspects of the
pharmaceutical business, for example,
facilitating preclinical research and
supporting business development efforts.
Market Analysis
Marketing Masterclass
Medical science liaisons:
A look to the future
Received (in revised form): 1st May, 2008
Peter Dumovic
is Head of Medical Information & Communications at Novartis Pharmaceuticals Corporation, and is the North American Editor of
the Journal of Medical Marketing . He has an extensive breadth and depth of pharmaceutical industr y experience in Marketing,
Sales, Clinical Research and Development, Key Opinion Leader support and New Product Development.
Jane Chin
is President of Medical Science Liaison Institute, LLC and founder of the Medical Science Liaison Quarterly . She has
pharmaceutical industry experience in Analytical Research and Development, Sales and Key Opinion Leader support.
Keywords medical science liaisons , thought leaders , best practice , recommendations
Abstract Medical science liaisons (MSLs) are the pharmaceutical company s clinical
representatives who interface with thought leaders and other key healthcare decision
makers. The authors offer a description of the strategically important characteristics of
tomorrow s most valuable MSLs.
Journal of Medical Marketing (2008) 8, 193 197. doi: 10.1057/jmm.2008.12; published online 6 June 2008
Journal of Medical Marketing Vol. 8, 3 193–197 © 2008 Palgrave Macmillan Ltd 1745-7904 $30.00
194
Dumovic and Chin
Thus, as Table 1 illustrates, the
constellation of MSL responsibilities may
be generally categorised as: research,
education or other.
As MSL programmes have become a
staple in the pharmaceutical industry,
metrics appropriate to this fi eld function
have also become increasingly important.
MSL programmes are often challenged
to demonstrate their value to their
company.
7,8 Quantitative metrics are
poorly refl ective of true MSL contribution
to the organisation. Measures such as the
number and frequency of customer
contacts, or the number of clinical
presentations fail to capture how effective
the MSL is in building enduring and
productive relationships with key medical
thought leaders. The preponderance of an
MSL s contributions are qualitative in
nature, and ultimately involve the MSLs
customers determining the value of the
scientifi c and medical information
provided by the MSL.
Varied resource materials and articles
relating to MSLs currently exist in trade
publications and the popular industry
press. In the interest of brevity and quality,
we have limited our citations to peer-
reviewed journal articles and commercially
published references.
THE FUTURE MSL: KEY
RECOMMENDATIONS FOR
SUCCESS
We believe fi eld-based MSLs will
become increasingly important in the
pharmaceutical industry. While the precise
remit of MSLs may vary from company to
company, their chief role in establishing
scientifi c relationships with medical
thought leaders and other healthcare
decision makers will not change. Based on
our experience and judgment, as well as
best practices published in other fi elds,
9 12
the following fi ve principles or key success
factors are offered to describe the MSL of
tomorrow.
#1: Excellent communicator with
cutting-edge knowledge
The successful MSLs of tomorrow will
demonstrate an in-depth understanding
of disease states, pathophysiology and
therapeutics, and will be adept at
interpreting scientifi c literature. They will
be experts on the company s products and
competitor compounds. MSLs will also
have a thorough understanding of the
clinical development process and the
regulatory environment in which the
pharmaceutical industry operates. MSLs
will communicate high-quality, balanced
Table 1 : Key responsibilities of medical science liaisons
Research Education Other
Clinical trial support
(Company-sponsored; IITs)
Thought leader interaction Thought leader identifi cation
Clinical trial concept or protocol
feasibility assessment
Facilitation of knowledge exchange
between the medical community
and company
Scientifi c representation of
company at medical meetings
Translation of preclinical research
results in to clinical application
studies
Clinical presentations Scientifi c competitive intelligence
Facilitation of publication of
clinical trial data
Formulary presentations Business development clinical
support
Facilitation of communication of
clinical trial data
Scientifi c Advisory Board
coordination and participation
Enhancement of company’s
image of scientifi c leadership
Clinical trial awareness initiatives
Scientifi c training for internal
company stakeholders
Marketing Masterclass
© 2008 Palgrave Macmillan Ltd 1745-7904 $30.00 Vol. 8, 3 193–197 Journal of Medical Marketing 195
and meaningful information on a
consistent and timely basis with healthcare
practitioners who are viewed as thought
leaders in their respective fi elds. In
addition to mastering clinical content,
MSLs will have a clear understanding of
the context in which this knowledge is
made relevant. As such, MSLs will be able
to distil valuable insights rather than
simply presenting information. This
command of both content and context
will also enable MSLs to uncover unmet
medical needs and provide their company
with actionable intelligence. The MSL s
customer whether he or she is an
infl uential academician, clinical research
investigator, specialist or primary care
clinician working in a managed market
setting will fi nd the open two-way
exchange of scientifi c and medical
information with the MSL to be very
valuable, and will also be likely to
recommend the MSL as a source of
information to a colleague.
#2: Relationship focused
Successful MSLs will forge peer-to-peer
scientifi c relationships with key customers
whose thoughts and actions shape the
access to and the utilisation of medicines.
The MSL will purposefully probe and use
active listening to determine a customer s
needs and his or her decision-making
process. They will strive to give customers
precisely what scientifi c resource they
need in the way they want it, tailoring
their approach to meet the individual
customer s goals. MSLs will have an
in-depth knowledge of the thought leader s
business, the thought leader s customers
and how the MSL can help improve the
thought leader s business from a scientifi c /
medical perspective. MSLs will be masters
in the art of facilitating introductions
and mediating collaborations between
thought leaders and key internal R & D
colleagues, based on a solid foundation of
understanding of their respective needs
and goals. MSLs will fully understand
the liaison component of their job
description. MSLs will become especially
effective consultants when they
strategically and purposefully connect
the thought leader with appropriate
individuals and functions within their
company: this will enable the MSL to
provide a thought leader with a holistic
relationship experience with the company.
# 3: Professional and emotionally
mature
The successful MSLs of tomorrow will
focus on the long term, and will be
patient and persistent in their endeavours
to cultivate a high degree of trust with
their customers. MSLs will have a
professional attitude and will maintain
ethical behaviour at all times. They will
treat all stakeholders with respect, are
truthful, provide fair-balanced information
and honour commitments. MSLs will
differentiate between promotion and full
scientifi c exchange of legitimate,
nonmisleading medical and scientifi c
information. MSLs will clearly understand
their role in helping healthcare
practitioners access accurate, objective,
fair-balanced and current medical and
scientifi c knowledge while always
communicating within the boundaries
dictated by legal statutes and regulatory
guidelines. MSLs will also be fully
cognizant that any discussion with
customers regarding potential off-label
uses of drugs can only take place as a
result of a customer s unsolicited request
for drug information. MSL interactions
with their customers will be driven by
educational purposes and are independent
of the customer s sales or prescribing
habits. As members of a fi eld-based
function, successful MSLs will be
self-motivated and self-disciplined. MSLs
see themselves as lifelong learners, who are
continually looking for new things that
will keep them on the cutting edge. They
Journal of Medical Marketing Vol. 8, 3 193–197 © 2008 Palgrave Macmillan Ltd 1745-7904 $30.00
196
Dumovic and Chin
will understand that they have to go
through continuous change to keep up
with the needs of the dynamic healthcare
landscape. Lastly, MSLs will also have the
needed fl exibility to adapt to constant
change inherent in a fast-paced business.
#4: Meets both customer and
company needs
Successful MSLs will understand that to
be truly successful their interactions must
be designed to meet both customer and
company needs. Successful MSLs will
believe pharmaceuticals can have a positive
impact on people and can advance patient
health. MSLs will also be able to provide
key insights from the healthcare
community that can help to shape
company strategy regarding future product
development. MSLs will provide thought
leaders with compelling and highly valued
medical and scientifi c information
regarding a company s product or related
topic. Within the legal and regulatory
requirements, they will provide current
scientifi c evidence supporting the
company s product and / or therapeutic
category. And by supporting thought
leader educational and research activities
within the medical and scientifi c
communities, MSLs will thereby help the
thought leader parlay his or her expertise
to inform other healthcare practitioners
regarding the most appropriate utilisation
of the company s product.
# 5: Passionate in helping to
improve patient care
Lastly, and most importantly the successful
MSLs of tomorrow will understand that
the exchange of scientifi c and medical
information regarding a drug is always
intended to benefi t patients and contribute
to the practice of medicine. MSLs will
have passion: they will believe their
company s products have a positive impact
on people with illness and disease, and
they will be passionate about the role they
will play in helping thought leaders shape
medical practice by advancing patient
health. Their natural curiosity and thirst
for continuing medical education will also
enable them to establish and maintain a
peer-to-peer scientifi c relationship with
their customers. Successful MSLs will
fully embrace a view that the public
health can be best served when healthcare
practitioners receive timely, truthful, fair-
balanced and accurately communicated
drug information.
CONCLUSION
Effective and enduring scientifi c
relationships between pharmaceutical
companies and the medical community
can be greatly facilitated by MSLs
providing accurate, current,
noncommercial, evidence-based drug
information. In our view, companies
that can best leverage these scientifi c
relationships will have a signifi cant
competitive advantage.
Disclaimer : The views and opinions
expressed by Dr Dumovic are his and
not necessarily those of Novartis
Pharmaceuticals Corporation.
References
1 Morgan , D . K . , Domann , D . E . , Collins , G . E . , Massey ,
K . L . & Moss , R . J . ( 2000 ) . History and evolution of
eld-based medical programs . Drug Inform. J. 34 ,
1049 1052 .
2 Chin , J . ( 2004 ) . Biotechnology’s special forces: fi eld-
based medical science liaisons . J. Comm. Biotechnol. 10 ,
1 7 .
3 Wolin , M . J . , Ayers , P . M . &
Chan , E . K . ( 2001 ) . The
emerging role of medical affairs within the modern
pharmaceutical company . Drug Inform. J. 35 , 547 555 .
4 Marrone , C . M . , Bass , J . L . & Klinger , C . J . ( 2007 ) .
Survey of medical liaison practices across the
pharmaceutical industry . Drug Inform. J. 41 , 457 470 .
5 Malecha , S . E . , Wiejowski , S . A . & Holt , R . J . ( 2000 ) .
The applied therapeutics team: an innovative model of
drug information in the phar maceutical industry . Drug
Inform. J.
34 , 1069 1075 .
6 Holt , R . J . , Finnegan , P . W . & Alexander , J . C . ( 2001 ) .
Making markets and the global medical information
imperative: the heat is on! . Drug Inform. J. 35 ,
225 230 .
Marketing Masterclass
© 2008 Palgrave Macmillan Ltd 1745-7904 $30.00 Vol. 8, 3 193–197 Journal of Medical Marketing 197
7 Chin , J . ( 2007 ) . Measuring performance of fi eld-
medical programmes: medical science liaison metrics
consensus . J. Comm. Biotechnol. 13 , 177 182 .
8 Marrone , C . M . , Bass , J . L . & Klinger , C . J . ( 2008 ) .
Survey of medical liaison practices No. 2: assessing
training techniques and demonstrating value of
medical liaisons . Drug Inform. J. 42 , 67 80 .
9 Charan , R . ( 2007 ) . What the Customer Wants You to
Know . Portfolio, New York .
10 Gilad , B . ( 2004 ) . Early Warning: Using Competitive
Intelligence to Anticipate Market Shifts, Control
Risk, and Create Powerful Strategies , Amacom,
New York .
11 Karr , R . E . ( 1998 ) . The Titan Pr inciple: The Number One
Secret to Sales Success , Chandler House Press, Worcester .
12 Por ter , M . E . ( 1998 ) . Competitive Advantage: Creating
and Sustaining Superior Performance , Free Press, New
York .
... Other MSL activities are more easily distinguishable from Sales Representative's activities: MSL now also collaborate with R&D teams by facilitating contact to study centers or provide training for other internal functions (Dumovic and Chin, 2008). ...
... Understandingly MSL positions involve high costs. They are often challenged to demonstrate the value they provide for their company (Dumovic and Chin, 2008). ...
... Just counting a visit does not indicate whether the visit had any value for the customer, or even more difficult: whether it had any value for the company. At the same time core roles of the MSL such as relationship building, acquiring insights and advancing scientific exchange are hard to quantify (Chin, 2007;Dumovic and Chin, 2008). Overcoming these issues is an ongoing process in which companies try to blend quantitative and qualitative measurements, the latter often acquired through market research. ...
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