The Pharma Career Ladder · The medical rep · Step 1: Planning your territory · Lesson 8

Hospital vs retail mindset

Two different games carried in one bag

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

You are carrying two different games in one bag.

Most reps I work with cover a hospital and a set of private clinics in the same week. The ones who struggle bring the same habits to both.

Here is how the two differ:

Who decides. Hospital: a committee, a formulary and a head of department. Retail: one doctor, then the pharmacist at the counter.

The pace. Hospital: slow, listing and tenders take months. Retail: fast, habits change call by call.

What wins. Hospital: evidence, protocols and relationships across many departments. Retail: frequency, reminders and a clear patient benefit.

Where it breaks. Hospital: listed but never prescribed. Retail: prescribed but not on the pharmacy shelf.

In the hospital you sell to a system. In retail you sell to a habit.

A hospital call planned like a clinic call wastes the head of department's time. A clinic call planned like a hospital call is too slow to change anything.

“Know which game you are in before you walk through the door.”
Hospital vs retail mindset: Two different games carried in one bag

Lesson 8 of 12 in Step 1: Planning your territory, with the full guide and a checklist for this week. Discuss this lesson on LinkedIn.

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