Time will tell if the J&J go to market plan will work, but for now it appears to be effective on some levels. The plan of keeping high volume, large dollar guys relatively highly paid(consolidating accounts to help pay for coverage reps, making wage decreases minimal) , laying off the mid-level consultant (I was a casualty) and creating super territories run by a senior guy and a hand full of quintiles reps hasn't appeared to be debilitating, yet. There was some **** back at a large level one in my old region about level of service (I can't believe the level the company has diminished the education standard to for the QASC) from the head surgeon, but I feel as long as the lead rep is in place the cases they may lose will be minimal compared to the money they have saved by letting quality employees go in place of the quintiles coverage rep. I will say the attrition rate of quintiles reps is lower than I thought it would be after almost a year and a half.
The allure to Globus is that, effective or not, J&J is truly murdering the outstanding culture that was legacy Synthes. Globus is selling that culture and promising that it will not change. The majority of people charged with the Globus start up have Synthes in their blood and are hoping to recreate a once proud culture and company. The consultants bailing for Globus seem to be similar minded trauma consultants or those seeing the writing on the wall that J&J has devalued what a trauma rep does and even reps that are constant quota achievers can be cast aside after weekend after weekend, holiday after holiday, spent in the OR for the company. We have countless examples of how "getting the band back together" doesn't necessarily work. I'm hoping this can be an exception.
Globus definitely faces huge obstacles in this space, most have been laid out in this thread. Sims cabinet displacement seems to be the largest. Price pressures, more demanding case coverage reliance for simple surgeries, lack of sales force forcing reps on call for extended periods of time, all seem daunting. But knowing many of the people in place pushing this thing forward, I'd take any of them over the remaining leadership at DPST. The majority of the best of the best are gone. I'm out of trauma, and I only got to see the very end of the Synthes way of doing things but it is a time I am super grateful for and Synthes will always be in my heart. I definitely pulling for the globus team and the demise of DPST. I just don't know how realistic it is.