I'll add my perspective. I left ethicon about a year ago but was there a while and I knew all the reps in my accounts including the Ortho spine reps. Ortho spine reps have always thought they are better and the reason is because they feel like they are actually doing something of value and are needed. In a few ways they are but its not because they are telling a doc what to do. If that was the case then why are many many cases all over the country done without a rep. They are of value more to the hospital because they consign the product. It's a win win for everyone. Imagine all of a sudden that your product is stocked like ethicon. I promise you your importance would go to almost nothing. I was still there long enough to work with the Depuy synthese reps. They were great guys and I was in many of their cases to get some quick sales. But man, if you think that's sales I'm telling you that's cake compared to other med sales jobs. That's a defend/relationship sale.