Most of these pharmaceutical consultants couldn't find a doctors office with a GPS, limo and driver ...
This goes back about 20 years ago, but we had somebody in the home office that thought we (as hospital reps) needed to spend time in OR's with anesthesologists and thought it was difficult for the reps to do it on their own. They found some consultant in Cincinnati who would "set up" these tag-alongs.
My boss askes me where I'd like to do this. Heck, by this time I had sat in on open heart surgeries at about half of my hospitals. But there were a couple I had problems getting into, so I put those places on the list.
Couldn't get into those joints, but since the program was bought and paid for, he set me up with a good friend at one of the teaching hospitals. And I happened to be sitting in his office when the consultant called. "Yes, I know Fred. Sure we can do it. Yeah, I'll wait for the paperwork, no problem." Hangs up. And tells me that the consiltant is going to pay his hospital/department $2800 to spend four days with him over the next six or nine months.
In fact, I got a "promotion" to another division of the company during this time. And I was told that, a week or so before I was to take that position, I needed to spend my final day with the doctor. So I did (I brought along my successor as well).
I'm sure the company paid this consultant several thousand dollars more for this program -- because I remember the guys from marketing telling me about the expensive dinners the guy took them to while selling the program, including flying to their home office in New York.
I used to say that there was one business better than the drug business, and that was the businesses that sold stuff (consultants, etc.) to the drug companies.