A unique survey-based report providing key insights and actionable intelligence about MSL activity and performance.
Charting MSL Activity and Performance (2017) distils key findings from one of the most comprehensive surveys of US and EU5 Medical Science Liaison (MSL) personnel. Informed by the responses of 100 MSLs working in top pharma companies, the study identifies critical variations in MSL activity and performance measurement.
Building on the ground-breaking 2015 study, this 2017 version provides comparative analysis to show how priorities and practice have changed over the past two years and where MSLs see further change in the future.
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Executive Summary
MSL Activities
- Individual MSLs in the US support three brands on average, while their counterparts in the EU support two brands, mostly at the national level. Some companies begin to assign MSLs as early as preclinical development in the US or at Phase I in the EU, but most teams are assembled during Phases II and III. The number of MSLs involved at the earlier stages of development is relatively small, rising during Phase III and then increasing significantly at launch and during the launch year. There has been a shift towards earlier discussions with KOLs over the last two years, with significantly more MSLs reporting the conversations beginning at the preclinical stage or Phase I.
- In both the US and EU, “meeting in person with KOLs and other physicians,” “responding to inquiries from KOLs and other physicians” and “delivering scientific presentations to KOLs and other physicians” are considered primary responsibilities for MSLs at the pre-launch stage. In 2017, nearly one third of MSL teams viewed “delivering promotional presentations to stakeholders other than healthcare professionals” to be either a primary or secondary responsibility, which is a significant shift compared with 2015.
- Post-launch, primary responsibilities include “building new relationships with KOLs and other physicians,” “delivering scientific presentations to KOLs and other physicians,” and “providing internal stakeholders with feedback and insight from KOLs.” A primary responsibility for MSL teams in the EU also includes “training internal sales forces,” but more than half of the US MSL teams do not perform this function.
- Both US and EU MSLs spend around half their time in face-to-face meetings with KOLs and other physicians, compared with other forms of interaction such as telephone, email or live online chats. Interaction with patient advocacy groups is viewed as a growing responsibility, with just under one quarter of MSLs already participating and more expecting to do so in the future, particularly in the US.
MSL Performance Measurements
- MSLs tend to communicate details of field activities to MSL and brand teams frequently. There has been a shift towards more frequent team meetings in both the US and EU in the last two years.
- Quantitative metrics are by far the most common measures of MSL performance; the most widely used measurement is the “number of KOLs visited in a month/quarter.”
- Qualitative measures, such as medical insights gathered from KOLs and physicians and feedback from KOLs, are being more frequently used in the US, although this trend does not appear to be reflected in the EU.
- In the post-launch period, commonly used measures of external activities in the US include the “number of effective interactions with payers,” while the “size of attendance at congresses/CMEs” is a more common metric in the EU.
Value Demonstration to Internal Stakeholders of MSL Performance Measurements
- The qualitative measures, “medical insights gathered from KOLs and physicians” and the “depth and quality of relationships with KOLs,” are deemed to be the most critical for demonstrating the value of MSLs to internal stakeholders. The “size of attendance at congresses/CMEs” has greater importance in the EU than the US.
- MSLs from both the US and EU agree that qualitative measures such as “medical insights,” “feedback from KOLs” and “depth and quality of relationships with KOLs,” as well as “proactive interactions” are expected to become increasingly important measures of performance in the future.
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