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Alternatives to Medical School
October 17, 2002
Panelists
Amy Valerio, Clinical Trials Manager, Synthes (USA), Paoli, PA
Mary Hsu, Clinical Practice Leader, Memorial Sloan Kettering Cancer Center, New York, NY
Deborah James, Sales Representative, Eli Lilly and Company, Philadelphia, PA
Kara Coluccio, Masters of Bioethics Candidate, University of Pennsylvania, Philadelphia, PA; Research Assistant, AcademyHealth, Washington, DC
Amy Valerio
B.A. Biology 1987 University of Pennsylvania
M.S. Health Care Administration St. Josephs University
Amy is currently a Clinical Trials Manager at Synthes (USA). Right out of college, Amy took a bench job doing blood clot imaging at a lab that was developing a product ready to go into human clinical trials. In this position she did clinical research for evaluating the safety and effectiveness of products before releasing them to the market. She then joined CR Associates at an entry level. This position involved a great deal of travel. She was involved in all aspects of carrying out the trial including promotion, management, and writing clinical reports for the FDA. She was also involved in strategic planning about new trials to conduct and training new people to work on them. The advantages to this job are that it offers a good salary and benefits. Moving from the lab to CR Associates led to a big jump in salary. Medical research is a stable field and one that wont likely disappear everyone wants new drugs and devices, and better medical care. The job is intellectually challenging, especially at higher levels. There are many opportunities for upward mobility. This type of job can be flexible and it is possible for contract work. Amy now manages a clinical trial part-time from home and never goes to the office for more than 6 7 hours a week.
To excel in medical research and the management of clinical trials, it is important to have strong writing and research skills. Problem-solving and attention to detail are required for jobs of this sort. Amy stressed that it is essential to enjoy details and to be detail-oriented. The job also requires that you work well with people including doctors, surgeons, nurses, and government agencies such as the FDA.
Breaking into the field of medical research can be challenging. Most companies dont hire new employees without work experience. Amy recommends that students who are interested in pursuing work in clinical research seek positions with faculty members doing clinical research and possibly do an independent study with them. Amy also recommends seeking summer internships doing clinical research, at a pharmaceutical company for example. It is also useful to align with someone in the field for advice. She recommends looking into the Association for Clinical Research Professionals and the Society for Clinical Research Associates.
Mary Hsu
B.A. Biology/Psychology 2000 University of Pennsylvania Mary is currently a Clinical Practice Leader in the Pre-Admissions Testing Department of Memorial Sloan Kettering Cancer Center in New York City. Immediately after graduating Penn, Mary began as a Session Assistant at Sloan Kettering. In this position, she was the initial contact person for patients and families and helped them navigate the care delivery system and manage their expectations. Mary enjoyed working in this position because it directly involved caring for patients and working with a range of people at the hospital. In addition to supporting patients about the procedures they were about to undergo, she worked with doctors to help prepare treatments. Though some patients could get frustrated with certain aspects of the treatment process, and Mary typically bore the brunt of this frustration, she found the experience challenging but rewarding.
Mary explained that working in a hospital setting has many benefits. It has exposed her to a variety of fields and offers many opportunities for learning about different aspects of health care, such as clinical trials and hospital administration. She has met many interesting people through her position both doctors and patients. Mary also stressed that patients remarkable survival stories often help her put her own life in perspective. Sloan Kettering offers opportunities for staff development, and while her position may be viewed as a stepping-stone, it is very possible for staff to focus on their professional interests. Mary is currently enrolled in healthcare finance courses paid for by her employer.
Deborah James
B.A. English 1997 - University of Pennsylvania
M.S.Ed. 2001 – University of Pennsylvania Graduate School of Education
Deb is currently a Sales Representative for Eli Lilly and Company. As a sales representative, Deb’s primary role is to convince physicians to write prescriptions for her company’s drug products. She enjoys the aspect of her job that involves educating health care providers about the products she represents and finds that the job can be intellectually challenging. In order to stay abreast of medical developments and the science behind her products, Deb regularly reads medical journals in order to answer physicians’ questions. Deb works from home and loves the flexibility of her schedule. She has a monthly quota of physician contacts, but it is up to her to decide when she makes her calls and visits. Given this freedom, it is important to be disciplined and organized to make sure the job gets done.
When she started, Deb went through a thorough training and once a month a supervisor rides with her. In addition, she feels supported by a network of fellow sales people and a routine schedule of professional development programs. She explained that it is important to have a thick skin and to be able to handle rejection. Deb explained that sales reps are paid with a base salary and commission and that promotions are often made based on sales and leadership skills.
Deb explained several benefits to a job in pharmaceutical sales at Lilly. Deb particularly enjoys the fact that there is no “glass ceiling” for women advancing through the company and that the hours are flexible and that she is able to make her own schedule. While she admits that a pre-med curriculum is particularly useful for a salesperson to be able to converse authoritatively with researchers and physicians, Deb has been able to utilize the communication skills she developed through her English major and notes that Eli Lilly hires sales people with a huge range of academic backgrounds, including business and science.
Deb explained that while getting pharmaceutical sales jobs is very competitive, Lilly tends to be more flexible in hiring than some other pharmaceutical firms. In contrast to many segments of the economy, the pharmaceutical industry is expanding and continues to hire. According to Deb, sales is definitely the best entry-level way to get a foot in the door of the pharmaceutical world. She stressed the importance of persistence in the job application process. Since the job itself requires an aggressive and persistent attitude, it is important to demonstrate these qualities when pursing a sales job with a pharmaceutical company.
B.A. History and Sociology of Science 2000 – University of Pennsylvania
M.B.E. Bioethics (candidate) 2003 – University of Pennsylvania School of Medicine
Kara is currently pursuing a Masters of Bioethics at Penn. As an undergrad at Penn, Kara pursued internships in non-clinical areas of health care to gain a better understanding of the health care industry in general. Over summers, Kara interned in Marketing at Brigham and Women’s Hospital and in Government Affairs at Tufts Health Plan, both in Boston.
After graduating, Kara worked as a Research Assistant at the Washington, D.C.- based AcademyHealth, a non-partisan health policy organization aiming to provide policy makers with pertinent health services research. In this position, Kara managed a portfolio of grants made to rural health care networks around the country. She also staffed the Academy’s contract with the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality for which she helped produce national workshops to educate state officials and policymakers on various health policy issues. She researched policy topics, helped plan workshop agendas, identified topical experts, traveled to help with the workshop production, and wrote summary reports of the workshops. Some of the topics she studied include strategies to reduce medical errors in hospitals and state strategies for lowering prescription drug budgets.
Kara described the field of health policy as intellectually stimulating and challenging; explaining that it provides an opportunity to think about the “big picture” of health issues, and to gain insight into the governmental and the political process. Kara was required to stay current on health policy trends and regularly attended briefings on Capitol Hill. Kara stressed that the field is academic in nature because it relies on the knowledge and expertise of academic researchers to provide credible advice to policy makers. She explained that the policy process is naturally slow, and that people who enjoy thinking long-term and are comfortable with working towards somewhat intangible outcomes will do best in these positions. She also explained that the field is relatively stable.
Kara recommended taking a personal approach to applying for positions in this field – and that networking can go a long way. Expressing a sincere interest in the policy issues an organization focuses on and demonstrating knowledge on the organization’s subject matter is important in the interview process. For an extensive list of non-governmental and policy organizations, she recommends visiting AcademyHealth’s resources webpage.
Questions and Answers
How does someone without a science background make a case for being interested in pharmaceutical sales?
Deb: Demonstrate to the potential employer a passion for sales. If you can make a compelling case that you are most interested in the sales aspect of the job, the science won’t matter as much.
What is the training process like in a pharmaceutical company?
Deb: Every company has a different training process. Lilly’s training lasts for two months, while other firms are known to have shorter, less intensive programs. Lilly’s program includes both training classes and a mentor assigned to each sales rep to assist them in the beginning.
What training is involved in positions that require working with patients?
Mary: Sloan Kettering trains its incoming Session Assistants with a two-week program that provides an overview of the job requirements. It also involved some role-playing so that new employees are prepared for the challenges of the job.
Are there internship opportunities in pharmaceutical sales?
Deb: Typically, internships in pharmaceutical sales are not widespread, but some of the smaller companies offer internships. These positions might allow students to go into the field and provide free samples to doctors to help keep the company name top-of-mind.
Do students with liberal arts backgrounds do well in each field?
Amy: Yes, if you have a strong interest in clinical research there is some way to get in. It may just take a little bit of work to find the way to enter the field.
Mary: Yes, all backgrounds are represented in her field.
Kara: Policy can be a haven for people with liberal arts backgrounds because the field depends on people to think critically across a number of different disciplines.
Do you recommend getting a master’s degree immediately after undergrad?
Deb: Don’t be afraid of grad school. It can make you much more desirable – even in humanities fields. A master’s degree definitely opens a lot of doors. However, deciding to go to grad school immediately after college should depend on whether or not you are decided in your career path and choice of degree programs.
Kara: It can be very beneficial to take time off after college to gain some perspective about your field of interest. Often times working can give you new perspectives about what aspects of the field you want to pursue and could make a difference in your choice of pursuing, for example, a law degree or a masters in public policy.
Mary: Working after graduating allows you time to better formulate your interests and better understand your grad school needs.
Amy: As you work, you are more equipped to discern your likes and dislike, which can be a great benefit in choosing a graduate program.
For those who did pursue science degrees, why didn’t you go on to medical school?
Amy: I never had any intention of pursuing medical school. I wanted to get a degree in biology.
Mary: Through process of elimination and through classes, I decided that I was not interested in a clinical route.
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