The Pharma Career Ladder · The first-line manager · Step 4: Coaching · Lesson 22

The coaching conversation nobody wants

When the issue is attitude, not ability

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

Coaching a skill is the easy part of the job.

The conversation most of us put off is the one about attitude. The rep who has gone quiet in meetings. Who arrives late and leaves early. Who used to volunteer and now does the minimum.

It is easy to call it "attitude" and wait for the appraisal. In my experience, waiting makes it harder for everyone, including the rep.

A well-known book on difficult conversations starts with facts, not conclusions. How I apply it:

Describe, do not label. "Bad attitude" is a verdict. "Late to the last three meetings" is a fact.

Know what you want. A good rep back, a healthy team, and a relationship that survives the talk.

Choose a private place. Never the cycle meeting. Never in front of a doctor.

Facts first, then ask. Say what you saw, what you are starting to think, and ask for their view.

Listen for the cause. Workload, a territory change, something at home, a promotion that went to someone else.

Agree one change. In their words, with a date to talk again.

Most times I have done this properly, the "attitude" had a reason nobody had asked about.

“Talk about what you saw, not who you think they are.”
The coaching conversation nobody wants: When the issue is attitude, not ability

Lesson 22 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 4Feedback that changes behaviourSituation, behaviour, impact after a double visitLesson 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 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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