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I've been doing this for >15yrs; it was different when I accepted my first rep job.  Doctors were much more receptive to rep visits back before the ascension of health networks.  These networks have GREATLY increased the pace and throughput in offices which leaves doctors far less time for rep interactions.  Doctors' patience is frayed nearly every hour of every day they are practicing. 


As reps we can STILL bring value (particularly when promoting new meds) but we need to approach them more cautiously.  Having a second body standing alongside the rep when they ask for a moment with a doctor is NOT well rec'd these days - either we stop doing it, or we hasten our demise.  If you can't understand this then you are a bit hardheaded.