The Pharma Career Ladder · The first-line manager · Step 4: Coaching · Lesson 4

Feedback that changes behaviour

Situation, behaviour, impact after a double visit

By Ahmed El Menshawy · 20 years in pharma, from medical rep to country manager in the UAE. Founder of RepPharma. LinkedIn
Published

"Good call." "You need to improve your closing."

Both sound like feedback. Neither gives a rep anything to work with.

The first cannot be repeated because the rep does not know what was good. The second cannot be fixed because the rep does not know what went wrong.

The structure I use after a double visit comes from the Center for Creative Leadership. It is called SBI: situation, behaviour, impact.

  • Situation. Name the exact moment.
  • "In the cardiologist's call this morning, when she asked about side effects..."
  • Behaviour. Describe what you saw and heard. No labels.
  • "...you paused, asked which patients worried her, then answered."
  • Impact. Say what it changed.
  • "She stopped glancing at the clock and asked two more questions."

Then stop, and let the rep respond.

Two things I have learned using it with reps.

Use it for good calls as often as weak ones. A rep who knows exactly what worked will do it again on purpose.

Leave out "always" and "never". The moment you generalise, the rep starts defending instead of listening.

“A rep can argue with your opinion. It is hard to argue with what you both saw.”
Feedback that changes behaviour: Situation, behaviour, impact after a double visit

Lesson 4 of 23 in Step 4: Coaching, with the full guide and a checklist for this week.

More lessons in step 4: Coaching

Lesson 1The 10-minute debriefUsing the GROW model in the car after a doctor callLesson 2Ask before you tellWhy the rep who finds the answer keeps itLesson 3One skill at a timeWhy a double visit needs a single focusLesson 5Praise that means somethingSpecific, timely and namedLesson 6The coaching logOne line per call, patterns over a monthLesson 7Coaching a strong repStretch, not correctionLesson 8Coaching a struggling repDiagnose skill or will before you actLesson 9When the rep does not want coachingResistance is informationLesson 10Coaching by phoneWhen you cannot be in the field togetherLesson 11Modelling the call yourselfWhen to show it and when to stay quietLesson 12The development plan that is usedOne page, one skill, one dateLesson 13Coaching the openingThe thirty seconds most worth fixingLesson 14Coaching questioningTeaching a rep to stop pitchingLesson 15Coaching objection handlingRehearsal beats adviceLesson 16Role play without humiliationMaking practice safe and usefulLesson 17The seven-day follow-upCoaching without follow-up is only a conversationLesson 18Coaching across a cycleWhat to work on in month one, two and threeLesson 19Group coaching in a cycle meetingTeaching twelve reps without boring tenLesson 20Measuring whether coaching workedBehaviour seen on calls, not sessions heldLesson 21Coaching yourselfReviewing your own day as honestly as a rep's callLesson 22The coaching conversation nobody wantsWhen the issue is attitude, not abilityLesson 23Building a coaching habitSame day, same rhythm, every cycle

Coaching, in RepPharma

Plans approved in one click

Each rep’s monthly plan is drafted from doctor priority and visit frequency; you review and approve it in one click.

Team reviews that assemble themselves

Monthly team reviews are built from field data, and a month-end checklist shows which reps have next month’s plan, forecast and expenses in.

Forecasts graded against real sales

Bottom-up forecasts per account and product are graded against real sales every month.

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