With the major miss on revenue for Q1 you can expect execution of this list. Face the facts, sales is performance based, non performing territories that are not even self funding should be dissolved. Would you keep an employee that was costing you money each quarter if you had your own business, much less 40+ employees? At 18 months post launch, efforts to implement physician change have been dissolved and replaced with finger pointing, excuses and deflection. What else are you going to do to implement change in the next 3 months that you have not already done. Time for a spring makeover, restructure, retarget...physicians that have not responded to detail efforts in past 18 months should be dropped