3 KEY Factors that Altered the MSL Role Since 2020 - podcast episode cover

3 KEY Factors that Altered the MSL Role Since 2020

Feb 28, 202341 minEp. 144
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Episode description

Join Mitchell D’Rozario and Tom Caravela as they celebrate the podcast's 3-year anniversary by exploring three key factors transforming the MSL role since 2020. They discuss the shift to virtual engagement, the evolution of MSLs from scientific messengers to strategic thinkers, and the integration of AI technologies like ChatGPT in medical affairs. The episode also reflects on insights from past guests, evolving hiring practices post-COVID-19, and the growing influx of clinicians into MSL positions. Tune in for predictions on future trends in the MSL landscape.

Transcript

Hey, everyone. Welcome to the podcast. My guest today is Mitch de Russario. He is a senior MSL at Genentech, and we talk about 3 key factors that have altered the MSL role since 2020. So it's an awesome conversation, guys. Mitch is amazing. I know you guys are gonna enjoy this. Don't forget to follow me on LinkedIn. Check us out on YouTube while our videos go up there, and join us for MSL talk live, which is the 1st Tuesday of every month at 1:30 PM EST, and that's on the LinkedIn live platform.

Welcome to MSL talk with Tom Caravella, a podcast specifically designed for MSLs and all things field medical. Hey, Mitch. Welcome back to the podcast. How are you doing, buddy? Hi, Tom. How are you doing? I'm I'm doing well. Great to be back. Oh, I love it. I love it. And, guys, for for those of you who may not be familiar with with Mitch, he's been on this show probably 3 or 4 times. I think this might be the 4th time. Every time he comes on, it's amazing.

Go back and listen to prior episodes if you haven't heard Mitch, but he came to me with this idea. I just say yes. Mitch comes up with an idea. I just automatically say yes. So, Mitch, why don't you introduce yourself before I I continue to rant and rave about how great you are so you could tell everybody who you are and where you're from and all that good stuff? Sounds good. Tom, thank you for the opportunity. My name is Mitch DeRosario. I am a senior MSL at Genentech Roche. I cover hematology.

Before that, I covered, ophthalmology at a smaller company as well as at Genentech. And, little thing about me, I I'm a dad of, 2 toddlers, a 5 year old and a 3 year old, so staying very busy. And all of the thoughts that I have here and all of my views are my own and not of my company. Awesome. So Well, welcome back. Today is a is this is gonna be a milestone because by the time this episode airs, we will be hitting our 3 year anniversary.

Maybe to the day, it might actually be our exactly our 3 year anniversary. So, you know, no better person than Mitch because he's been someone that, at first, I've known for a long time, and he's helped me with this podcast since the beginning. So I'm grateful to have you back on. And the topic that what we're gonna talk about today is three factors that have altered the MSO role since 2020, meaning since COVID hit.

So Mitch came up with this idea, and I think it's gonna be really insightful to talk about where we've what how far we've come, what some of the changes were, and then we're also gonna take a look at the future. So, Mitch, you came up with this idea. So where do you wanna start with this? So what's really interesting is that the first time I was your a guest on your podcast, that was on February 16th 2021, so exactly almost 2 years ago.

Wow. And you had asked me at that time, Mitch, what do you think are the new our new trends that we'll see since the pandemic? How do you think things are gonna change? And I thought that this would be a very good way of looking back 2 years back and seeing how things have changed Mhmm. And, and talk over and discuss that with you. Also, this is gonna be kind of an opportunity because the first couple of podcasts I've talked about breaking into the role.

Yep. This is gonna be more about what is it, maintaining and sustaining in the role. Yep. So the three things that came to my mind were, in no particular order. The first one, that I phrased it as was virtual engagement is the pandemic silver lining. So we'll talk about the pros and cons of, virtual engagement. Mhmm. The second one was how does an m s the MSL role transitioning from a scientific role to a more strategic role?

Mhmm. And then the last one is the importance of preserving your relevance and authenticity while embracing technology and automation. So kind of more, futuristic, viewpoint. So I'll let you, would you want me to start with the first one? Let's unpack that a a second. So you have so three things. Now did these things just did were you just like, I have to talk about these three things where it's so profound? Or was it like, hey.

I'm gonna reflect back, and the top three things that stand out in my mind are these. How did this hit you? Where where was the inspiration for this? Well, you gotta prepare when you come to Tom's podcast. That's first of all. But also was more about reflecting back on where I was 2 years ago Yep. And what I've learned, over the past 2 years. There's been a lot of, changes that have happened.

Yeah. And you talk about it about positive mindset and having that positive mindset within, through change to encounter change and, move through change. Right? Having that positive outlook for whatever happens, we will succeed. Right. That's one. That's really important. Having goal so and then the second thing was, you know, you a lot of your podcast guests that have come up, you've asked them questions about what are the new trends.

So I kind of list I have listened to a lot of them, and so I was trying to find out ways that I can either tie in some of the comments that they've made Mhmm. But then also think of, are there's is there something that's newer that I can bring to the table? Yeah. Yeah. And and look. The I think the first one seems pretty obvious. I think it's something you know, thinking about the shift to virtual is something pretty obvious I think everybody would agree with. But use the word silver lining.

So tell me why you use the word silver lining, and let's get into number 1 because I I think this is that's really probably the most important thing that came out of COVID was that shift towards virtual engagement. But you specifically said silver lining, so I wanna hear your thoughts on that. So I I I find it really interesting during the pandemic, the move towards virtual engagement.

So pre pandemic, what I was seeing a lot of was, the need to meet people in person or the fact that if you don't meet with them, you're not gonna be able to maintain that relationship. And what the pandemic has taught us or since 2020, what we've learned is that you don't necessarily have to meet in person to maintain a relationship, and that opens up doors, because that has changed behaviors, for physicians and health care providers where they're now more open to come to Zoom.

They're more comfortable coming on Zoom or a Google Hangout, or a Webex and meeting with you. So I think that has been a a big behavior change. And because it's been so long that we were in the pandemic, I think the longer you stay in a behavior change, that could lead to long term changes Mhmm. As well. The other thing also, I think we talk about how important how how great virtual engagement is. We are doing virtual engagement right now. Right, Tom?

Like, we're on a Zoom meeting, and there are several pros to it. I think virtual ad boards have been, more, are flourishing now. Clearly, we don't need to a company does not need to pay for everyone to come in, for an ad board. They can do it virtually at the, at the comfort of their living room. But there are some there are some cons there as well. There are some, challenges with, with virtual engagement as well as digital engagement.

I think a lot of companies are moving towards digital engagement where, you know, as a as a HCP, you can find information that you're looking for on a website. And I wanna talk about those a little bit. I think one of the biggest challenge that's happening with virtual engagement is the information overload. Right? I think there's there's a a large volume of data. The medicines that we have are more complex, so the information about them are more complex.

And the speed at which the the the speed at which that it's hitting you is is a lot, right, versus an in person meeting where you can actually gauge the other person's body behavior and body language to see if they're actually understanding what you're telling them, or are they are they overloaded. Right? That's one. The other thing also is, that leads to maybe disinformation about your medicine. Mhmm. And that could also lead to anxiety, that whole idea of, analysis paralysis. Right?

When you have too much information with you, it's hard for you to make decisions. So I think that those are some of the challenges that are gonna come with virtual engagement and digital engagement. And I think MSLs play a huge role here, Tom, where I I think that we are the curators of knowledge for the products that we support. Right? I I tell my HCPs, I am your librarian. I'm your resource librarian. I'm here to make sure that you get the right information at the right time.

I'm writing a note because that that's, like, that's a quotable. MSLs are the curators of knowledge. But what I what I really like about what you're saying is that you didn't just say that there's a silver lining in virtual engagements, the greatest thing ever. You also said that there's pros and cons to it, which I I think that that's important.

I think it's important to realize that there is something that was very positive that came out of COVID, and that's the that was the necessity to have another outlet for communicating. We all adopted the virtual outlet, But it doesn't come without a price and without drawbacks. So I I think I mean, do you wanna talk about that a little bit more? Do you think that it's it's like the MSL's responsibility to really control and navigate through those those maybe those those nuances?

I think any relationship, depends on trust and respect. Right? And I think it's virtual engagements are fantastic when you already have trust built in. Mhmm. But, like, our relationship, for example, like, Tom and Tom and I, we actually met physically, we met at a conference. Right? And that's where we built our, rapport. And then since then, you know, we've been able to maintain it virtually. Mhmm. And that's the same thing with interactions with your HCPs as well.

I think there's a level of trust that you can build with in person Mhmm. Which is difficult, to main to start off virtually. It's easy to maintain a relationship virtually, but it's very difficult to start a new one. And I'm a big advocate of live engagement and interaction. I think you're making a mistake if you rely solely on virtual, and I think that the impact that you're going to have on your relationship is going to change.

I don't wanna use the word dramatically, but it's going to change, and it's going to improve through live engagement, live interactions. Probably not across the board. I mean, there might be situations where it gets worse. I don't know. I I don't think so.

I think that if you're a good MSL and you get FaceTime and you make the most of that FaceTime and you show your value and you and have really strong engagement, and good communication skills, you're going to grow your relationship with that KOL. Right. It's, it the frequency is gonna decrease, but opportunities for face to face will still be there. I think the frequency is gonna decrease, and and I think there's always the need.

There's a philosopher that I really like, and his, quote was, you don't go to the community and try to change it. You go to the community and let it change you. So it's so important for us as MSLs to be the the boots on the ground and go to the community and let their insights change us. And while virtual is really important, I think being in person is also equally important, to build those new relationships. Agreed. Totally agree. So let's talk about number 2.

Let's let's let's move on to number 2, and I believe you had mentioned the word authenticity. But talk about number 2 and and and how that's important. Sure. So number 2, which was number 3 and, that that I said, which was preserving your relevance and authenticity while embracing technology. Oh, that was number 3? I screwed up. Number 3. But we'll we'll skip it. It's okay. We'll skip to number 3. If you look at the last 2 months, the biggest, change that has happened is, AI. Mhmm. Right?

Chad GPT. Yep. Sarah Snyder, who is a frequent guest of yours, talks about it on her LinkedIn. You know, it's it's this really fantastic platform where you can go in and ask any questions. You can ask it to, like, rephrase something. You can ask it to give you points about something. You can ask it to write, a story, like The Godfather for medical affairs or write in the voice of, Borat Yeah. Talking about medical affairs. Whatever. You can do all of this fun stuff. Right?

But what's really interesting about it is that it allows you to have, when you use it, let's say if you ask them, asked a the chat gpt platform what are the biggest challenges in medical affairs, it comes back with some really good insights. Mhmm. And I think, that is to that is here to stay. I think this use of AI, artificial intelligence, automation, I think those are gonna be really interesting to see in medical affairs, how it's incorporated in terms of, gathering knowledge.

But the challenge what happens, I I feel, the challenge that's gonna be is, how do you maintain your relevance in that situation? If information is already available, what is your role as the curator of knowledge for your ACPs to make sure that you're providing them the correct information Right. Dispelling any disinformation, and then also making sure that that information that you're providing them is personalized more than the AI. Yep. Right?

So, like, if an if an HCT can just go into chat GPT and look up your product, your the molecule that you're supporting, what is your relevance there? How can you make your interaction with them different? And I think that's gonna be, that's gonna be a challenge, but then I think that's an also an opportunity for us as an MSL. For sure. And I I think that, you know, when you look at chat gpt, it's it's it's like Google on steroids and Mhmm.

And and it's like comparing Google and artificial intelligence robots, and it just literally gives you not the answers to the test for whatever it is that you're looking to learn. I think to to your point, though, number 1, I don't I think that there's gonna be a lot of reluctance in a lot of people, especially busy KOLs, are probably not gonna go on there and look for themselves. Some may not be aware of it and know about it just yet. I think the future is probably gonna be there.

We're not there yet. But you you hit the nail on the head. Like, it's up to the MSL to be the curators of knowledge, have that relationship so that the KOL isn't going to think of or want to go to something else or someone else because you have the relationship. I'm just gonna ask Mitch. I'm, I'm gonna talk to Mitch about this. That's the goal. Right? And it's not that you don't have to compete against chat g p t or, AI. Right?

I am okay with them going to another platform and getting information, but then you still wanna be the curator of knowledge. You still wanna be someone that they can bring those information in and, you know, be able to dispel any disinformation. So that that relationship building is still very important. So I'll give you an example. Right? Yeah. Before I came on your, podcast, I actually went on chat GPT, and I was like, what are some of the newest trends in medical affairs?

And I looked through all of them, and I was like, how can I make my the 3 plans that I wanna bring to Tom's podcast different so that the audience that are listening in, they can find some information that is different from what they can find on chat gpt readily? Mhmm. Right? So here, I'm not competing against ChatGPT. All I'm doing is providing newer information, different information than what I can find myself Mhmm. On on that on that platform.

So I don't think we need to fight against it, but I think we we can we can use it strategically. Yeah. And then the the other part of it is being original and authentic to yourself. Right? Now the challenge that's gonna come is oftentimes what what what what I fear the biggest, issues that are gonna come with chat GPT, and automation is that you don't have a writer's block anymore. Right?

You just go in and you're like, just show me the trends and or, write, a speech for me, and I'll write it for you. So you don't have that writer's block anymore. Mhmm. But it's very easy, Tom, to find if an AI has written something or if it's a human that has written something. Sure. So there's a prince a a 22 year old Princeton, student that actually wrote a code that you can actually take any passage, put it into his website, and see if it was written by AI or human.

Mhmm. And that is really important because, you know, we're in the midst of Black History Month. Imagine a CEO is found out that the email that he sent to his employees was written by AI about Black History Month, and it wasn't them. It wasn't authentic. It wasn't authentic. And so, I was reading this article from Forbes yesterday, that came up a couple of days ago. It's from Sean Harbor Harbor, Harper from University of Southern California. And one of the and he's the chair of Urban Leadership.

And one of the things that stuck to me was his last, last sentence. He said, that CEOs have to be mindful of what the first letter in AI stands for. For for employees, they do not want nor deserve artificiality in DEI communications they receive. Wow. So, so I think those are gonna be major shifts. Right? We'll have these new technologies that are really exciting. It's gonna be really important how we use it and how we stand out, differently Yeah. From what they provide. Absolutely.

No. This is such good stuff. And, I I knew this was gonna be a good conversation, but it's I what I I'm glad that we're touching on are these topics that are very relevant and they're current, but I think a lot of people aren't really sure what to make of it. Like, what do you make of chat GPT? What do you make of make of AI, and how is it gonna affect the medical affairs landscape? How's it gonna affect my position? How's it gonna affect your position?

I think everybody's, like, faking this, and we kind of almost wanna put our head in the sand and say, okay. Well, you know what? I I don't want you another thing that I have to figure out. I need to deal with. Some people like Sarah, who's on my team, Sarah Snyder. Like, she embraces and loves all this stuff, and she takes the time to, like, dissect it. And she's really good at at that piece of it. But I think a lot of people are just kinda like, I don't wanna deal with this right now.

Yeah. But you put this into a really good perspective in that there should be word of caution that if you do go on chat GPT, just realize that that what whatever you're going to use that information for. Like, let's just say for argument's sake, you wanna write a book. There's 2 ways to do it. You either write it yourself, or you get a robot to write it. But when the robot writes it, it's not your work. Yep. It's your idea, but it's not your work.

And it there are ways that that can be found out. And I'm sure if there's there are publishers out there that are going to check it. Yep. And and be able to say whether or not by the shadow of a doubt, it's your work versus something else. So I think we just need to really be careful. Use word authenticity. I love that word. I think it's important. This is great. So let's go back to I think we have to go back to number 2. We skipped number 2, didn't we?

We we certainly did, but they all are similar ideas. Like, they all are interconnected. I mentioned that we are the curator of scientific knowledge. Right? And then we I mentioned how it's important to maintain that relevance Mhmm. And, authentic self. And I think that number 2 is more about how do we transition as an MSL Mhmm. From scientific partners to a more strategic role. Okay. Got you. And what, what the like, the strategic part of it is not is it's still in in staying in medical. Right?

It's it's more about anticipating the need of the HCP. It is more about prioritizing real world data as it affects the patients that are using your product. Mhmm. It is listening in and being curious for any shortages or scarcity. It is, imagining clinical trials that are are relevant for the patients and for diverse patients, so maintaining diversity, equity, and inclusion. Mhmm. So those are those are kind of that's a a a different, mind shift. Right?

A mindset shift where you're not only just acting as a sage on a stage. Mhmm. Right? Yeah. You're not just the oracle that has the information. Clearly, we know now that there are technologies that can do much better in curating information than you. But what's more important here is, is asking, how do I partner better and collaborate better with my internal colleagues Mhmm.

To find the right opportunities for my HCPs to anticipate what questions that they might might have, so that I can either reactively answer them or in certain situations, proactively answer them. Mhmm. But then also keeping that eye on what is the value of your medicine to society. What is, what does inclusion look like in your trials? What does, how does real world data inform, your product strategy? Mhmm. Well and it's it's interesting.

And, you know, and more themes, more sayings, more quotes are coming out of this episode. So we have we started with MSLs or the curators of knowledge, and then we let it we we we we advanced it to MSLs or the oracles of information. So we're we're definitely coming up with some new terms. What I love about what you just said is and and and this this is no disrespect to anyone.

I know that everyone listening to this podcast is is probably either a really good MSL or about to be a really good MSL, or maybe you're an MSL leader. And you get it and you're listening to this because you wanna get better. And there's 2 ways to look at this. So you you have 2 MSLs and they both get trained on the same information. But one of them is tactical and goes out and just kinda disseminates the information and just does the work. The other strategic so use the word strategic.

And the the MSL that strategic takes that extra step, understands the KOL, knows what their needs are, knows about their practice, is a problem solver, and it's gonna take that information about that KOL and truly be strategic so that the the resources, skills, toolbox that they have, that they're equipped with, they're gonna take and make it useful and beneficial and be valuable to that KOL. Is that a good way to put it? That is a that is a fantastic way of putting it. Like, that's succinct.

The, the other thing also is that, there's, one of the one of the, sayings that one of my colleagues has that I really like, Larry Lyons, he he says, a fast no is better than a drawn out maybe. Right? So being strategic doesn't mean that you have to get an a, like, a yes answer for someone all the time. Being strategic is also saying, you know, we're gonna have multiple shots and goals. Mhmm. And some of them are gonna fail, and I'm letting you know that some of them are gonna fail.

Some of them are not gonna work, but we're gonna have multiple shots and goals and see which ones are more are more strategically placed. Right? And this could be, for example, a cusp HCP comes to you with an investigative initiative, a trial idea. Not all of the IISs and IITs are gonna be approved. Right? So you have to kind of ensure that you're you're letting them know that it's a no fast and early. They appreciate it.

Yeah. One of the things that my HCPs, I, one of my, one of my HCPs said was that, Mitch, one of the things I like about you is that you're direct. Like, you tell me where things are gonna go, and you just don't, like, don't take up my too much of my time. And I think that's that's exactly what I think a good MSL does is that they come in with the right information at the right time without taking up too much airspace. Well, there's a there's an another expression in it, and I forget who said it.

I almost wanna say it was, Nick Saban, maybe. It was definitely a college football coach, but the expression is fail fast and fail forward. Yep. So if you Google it, you'll you'll you'll figure that out. But it's saying the same thing. It's getting to know faster so that you can get to you can you can get to the yeses that you need to quicker as well. Mitch, this is awesome, man. This is some really good info.

One of the things I wanna point out is that, I was, like, listening to some of the podcast from before, and you've had some fantastic guests over the years. I mean, within the last few years, I mean, some of my favorites, the last one that I listened to by, Mina was, like, really great, being humble Yeah. Being one of the things that I really liked about him saying was you come into the room and you say, I'm gonna stick it through. Yeah. Right?

I may might not have the answer, but I'm gonna stick it through. It's so important that people are not only the change makers, but also the change adapters. Yeah. Like, you've had Shuri Hyder. You've had Arthur Chan. Like, some really, Bernadette. Was, her her podcast was great as well. But Bernadette Mamone. Actually, her podcast was the single highest first day download, I think, that we've had in history. Believe me. I'm not surprised.

She is so well known and so well spoken, such a good, podcast. Sarah Sarah Snyder's, mom life podcast was so great. I learned a lot from it as well. So yeah. Great. So just to recap the last 2 years, we talked about 3 ideas that I brought in. Overall, Tom, this has been a fantastic 3 years. Congratulations on that. Listen, man. I I I'm grateful for so you named a bunch of people, which is just a a a kind of a a fraction of the of the greater everybody you mentioned is a monster. So grateful.

But over the course of this is our 140 4th episode. And over the course of 3 years, I think the greatest thing to come of this podcast is the insights that have come out of and the experience that has been have been shared with the guests. Mhmm. Tremendous, tremendous content and knowledge. And I I am truly grateful that I have a part of it to be able to be involved in these discussions.

And I'm grateful for the community that it's built for the listeners, 200 over 250,000 listeners in in 80 countries. It's amazing. I'm just so humbled. I'm grateful. I'm blessed, and I I'm I just I I I can't wait to see what happens for the next 3 years because I'm gonna keep doing this. It is such a blessing, but it's also intimidating being on your podcast because It's not, Mitch. Come on.

Always have to ask yourself, what what can I say that hasn't been said by all of these tremendous, speakers? Right? So, it's it's also, sometimes intimidating. But one question I wanted to ask you, Tom, was that, since 2020, how has your role changed and your team's role? Yeah. Well, things have changed on our side. Hiring's different now. So that's affected the way we do business. And, obviously, pre COVID, there were only live interviews. Nobody was setting up virtual interviews pre COVID.

But when COVID hit and there was no choice, everybody scrambled to figure out, well, how do we continue to interview and hire people without meeting them live? So the, the onset of Teams, Zoom, and Google Meet, and all these other things really changed the interviewing process. And I think probably forever because to tell you the truth, remember back in the day when there used to be conference calls?

Remember conference calls where you would dial in to a number and you would be a part of a conversation, and everybody was, like, kinda talking over each other? We'll never do that again. We're never gonna do that again. We're gonna use Teams. We're gonna use Zoom. And I think that the phone screen or initial phone interview is being replaced by Zoom and Teams by the virtual interview.

Some companies will probably just continue to do the full interview process virtually because it saves a lot of money. It's a lot faster. But I do believe that a lot of companies are gonna go back to the live interview format so that they can meet people. You get a much better feel when you meet people live.

But I think one of the biggest changes for us is the, is this notion of virtual interviewing and how we have to prepare our candidates and make sure that they can be successful in that type of scenario. Because I think a lot of people don't take it seriously enough. Mhmm. And there's a lot of coaching that has to go with that. On that note, we we know that with the pandemic, that's that's led to a lot of burnout for clinicians.

Yeah. And you've had a couple of odd, speakers that have come in and talked about, clinicians switching into as an MSL. Right? Yep. Mina as an MD. I think there was another person that I'm I'm for I'm blanking on that actually had a a a talk about why clinicians make good MSLs. Are you seeing a shift in your, in your pool of candidates? Are you seeing more clinicians that are trying to break into the MSL role? We are. We're definitely seeing a lot more clinicians now than ever before.

I'm actually doing a podcast soon, and I think it was Dawn O'Reilly. It was. It was Dawn. I think it was Dawn. Actually, Dawn's coming back on. I and and she just reached out to me last week with a good idea. We're gonna do. It's not a part 2, but it's gonna be similar. So she's gonna be coming back on soon. But we're seeing, you know, advanced practice nurses and nurse practitioners and physician assistants. You know, folks that come from that APP side of the equation Right.

That are excellent, excellent candidates. So not only is there, I think, a shift in the talent pool of people interested, clinicians interested in in medical affairs and in industry, but I think that industry is now more accepting of these folks than ever before because, you know, there was a time that you remember there was a time when hiring MSLs really came down to PharmD, MD, PhD. And that's definitely shifted. It's definitely changed. It's opened up.

So I think that there's a lot of opportunity for for more people now than ever before. That's definitely interesting. I think that's another trend that I'm seeing with since the pandemic is is people realigning their work life values and balance and trying to see what works for them. Yeah. And I think, an MSO job is is a fantastic opportunity in in those regards. MSL job is the greatest job in the world. Right, Mitch? I I think so. I think it's such a I mean, you used the word blessing. Right?

It's such a blessing to do what you do. I used to be a bench scientist. Right? I I was working on things that may or may not turn into a product in 20 years. Right? Yeah. But now I'm at the bleeding edge of science. I'm I'm actually talking about things that are near to approval, and you hear stories about how it impacts patients from the physicians, and it's it's such a blessing to, like, wake up every morning and knowing what you're doing.

Plus, I know, like I mean, the things that I'm doing, you know, these are not opportunities that my parents had. Right? That's another thing also is is is the is the opportunities that I have now is gonna set up my loved ones and my children for the future for, hopefully, for success, right, to be comfortable. I think those are 2 things that are that I always reflect on and, you know, when whenever I'm I'm having a a rough day, I'm like, you know what? Like, jeez.

Like, my my grandparents weren't even in this country. Yeah. Like, It's it's just you know, a lot of the opportunities that I have are are so special, and, you know, maybe I I don't I don't have enough grad maybe I don't show enough gratitude towards that. Well and I know you don't take it for granted either, though.

I know that you're probably you're so focused on doing a good job that sometimes you don't realize, you know, how you know, it's it's important to take a step back and just be be I try to be grateful and practice gratitude every single day. It's just part of what I try to do. But you get busy and you get focused and you're, you know, you're you're running around being great that sometimes you don't realize, you know, how great it is. Let me ask you this, Mitch. Last question. What's what's next?

We talked about the last 3 years, and we talked about what has what factors have changed the MSO world, where we are now. But what do you think is next? I think what's gonna happen with, the MSO role, in the next maybe 3 years, I think, is gonna be 1. It's, the first one, which is more outward looking, is gonna be how do we adapt to different technology changes that are gonna happen.

Mhmm. Yeah. I think it's it's getting increasingly harder to get access, and so a lot of people are moving towards digital engagement. Mhmm. You know, you've had Bruno Laurel come in and talk about metaverse. I I'm really intrigued to see in the next 3 years what happens there Yeah. In the platform, how what is the best way? So the the the the the code to crack here is what is the best authentic way to provide information Yep. To HCPs and that that they like.

So that's 1. And then the other one is more internal. I think, you know, now we're coming out of the pandemic. People are get starting to, travel more. I think employee well-being, mental health, team dynamics are are gonna be really important in the next 3 years because, you know, we've gone through a a phase of just having virtual teams. Now you're meeting in person. How often can you meet in person?

How do you build build that rapport, as well as maintaining, as well as focusing on, employee retention and well-being is gonna be really important. For sure. For sure. Well, Mitch, we are out of time, but my brother, you just do not disappoint. You're awesome. So grateful for you and what you've been able to contribute to this podcast over the years, and I'm grateful for our friendship. I'm so glad that we met and, that I get to do this with you.

Well, thank you so much for having this platform. This is this is great. I think, you know, you've had some fantastic guests. So, again, it's intimidating being on here, but, also, I learn a lot from you, and from your guests, every week when I have a long drive, so I appreciate that. Well, thanks for listening, and thank you all for for tuning in. Thanks for listening. Thank you for sharing and for all your support. Love you guys, and I'll see you on the next episode. Take care, everyone.

Thank you so much for listening to the show. And if you enjoyed it, please subscribe so that you don't miss an episode in the future, and feel free to leave a rating or a review or a comment. Thanks again, and we look forward to seeing you soon.

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