Presentation by Dr. Maria Abunto – 352

Today's episode presents an excerpt from Dr. Maria Abunto's masterclass on securing your first nonclinical MSL job from the 2023 Nonclinical Career Summit.

Dr. Maria Abunto, a senior manager of medical science liaisons (MSLs) at Exact Sciences, shares her journey and insights into the MSL role. Dr. Abunto's insights focus on relationship-building, continuous learning, and strategic networking. Whether you are considering a career change or seeking to understand the MSL role better, this post offers valuable guidance and inspiration.


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From Academia to Industry: Dr. Maria Abunto's Journey

Dr. Maria Abunto transitioned from academia to industry, bringing experience from the NIH, Stryker, and now Exact Sciences. Her journey began with a master's degree in public health, where she developed a passion for public service. Driven to make a broader impact, she ventured into the world of medical science liaisons (MSLs).

Dr. Abunto shares her personal story, highlighting the importance of investing in oneself and continuously seeking opportunities to learn and grow. Her transition underscores the value of networking and finding mentors who can guide and support one's career path.

The MSL Role: Responsibilities and Rewards

The MSL role established over 50 years ago is vital in the biopharma industry. MSLs are responsible for building relationships with key opinion leaders (KOLs) and educating them on the science and advancements in treatment related to a company's product. This communication-focused role requires a strong scientific background, typically a doctorate, and excellent interpersonal skills.

Dr. Abunto explains that MSLs work remotely, managing their schedules and traveling to meet with KOLs. The role offers significant rewards, including high compensation, flexible work arrangements, and the opportunity to make a meaningful impact in healthcare.

Finding Your First Nonclinical MSL Job: Tips and Strategies

Breaking into the MSL role can be challenging but achievable with the right preparation and strategy. Dr. Abunto advises aspiring MSLs to focus on matching their skills and experiences with specific therapeutic areas and companies.

Networking is crucial. Attending industry conferences, joining professional organizations like the MSL Society, and connecting with key MSL leaders can open doors to opportunities. Additionally, enrolling in relevant training programs can enhance one's qualifications. Dr. Abunto also emphasizes the importance of building quality professional contacts and researching target companies to stand out in the competitive MSL job market.

Summary

To learn more you should explore the MSL Society website, which offers information and training opportunities for aspiring Medical Science Liaisons. To connect with Maria check out her profile on LinkedIn, where she is likely active and engaging with the medical and scientific community. For detailed presentations and insights from the 2023 Nonclinical Careers Summit, including Dr. Abunto's complete talk, visit the 2023 Summit’s Official Page.

NOTE: Look below for a transcript of today's episode. 


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Transcription PNC Podcast Episode 352

Find Your Great First Nonclinical MSL Job

- Interview with Dr. Maria Abunto

John: Dr. Maria Abunto is the senior manager of medical science liaisons at ExactSciences, a molecular diagnostics company specializing in the detection of early-stage cancers. Before she worked there, she was global medical science liaison for Stryker. And she previously worked as an epidemiologist and investigator for the NIH and as a medical scientific expert on the IRB at a large children's hospital. She holds a master's degree in public health from the University of Pittsburgh and she completed a medical degree at the University of the East in Manila, Philippines. All right.

Today's podcast episode is the first half of her presentation from the 2023 Non-Clinical Career Summit in which she describes the MSL biopharma role, why it is a popular non-clinical career, and how to land your first MSL job. So let's jump in as she describes how she landed her first role as an MSL.

Dr. Maria Bunto: I'm Maria Bunto and I'll give a talk about coming from academia to industry or going from the ivory tower to the dark side. So the purpose of my presentation is to educate you on what is a medical science liaison or MSL. And if there's one thing I'd like for you to remember about being an MSL, it's not really bad at all. In fact, it's quite the opposite. It's one of the best jobs in the world and I'm fortunate to have transitioned to a non-clinical career that I love. And hopefully my talk will resonate with some of you.

So this is my disclaimer and the views and opinions are my own and do not reflect that of exact sciences, my employer, and I have no financial relationships to disclose.

So here's an outline of what I'll be talking about today. I'll start with a background about myself and my journey of how I transitioned. Then I'll talk about the MSL role, who MSLs are, and what compensation looks like, and then highlight the pros and cons of being an MSL. Then I'll take a deeper dive into how to become an MSL and briefly talk about the different career paths. I'll provide some information about the MSL society, their training and other resources.

So I'm just gonna go ahead and go into my why. This is my story and I'd like to spend just a few minutes and take you through my journey. Everyone has their unique experiences. So I think it's really important to connect with all of you, the audience out there who's interested and just figuring out what your why is. and why you want to transition. So as a physician, I have had previous experiences as a medical director, supervising operations for a busy family medicine practice. And during that time, I saw countless health disparities and underserved populations without any support or insurance. And so chronic disease is being passed down from generation to generation. And it's just one day that I just had an epiphany at a health fair and we were conducting where I realized I didn't wanna do this anymore, but rather just really focusing on understanding really what's going on here and what's happening upstream in a lot of these marginalized populations and how can we prevent that domino effect downstream?

So I always knew that I wanted to be more than just a medical director. I really wanted to affect populations on a greater level and really make that difference on even a more broader impact. while continuing to develop myself professionally. So identified public health problems, but I also realized the solution really starts with me. So the decision, this became my why. But how I was going to do this was the big question is how was I going to reinvent myself? So I knew my strengths were in public service and building connections and relationships. But I also realized during the soul searching that in order to do this, I needed to up my game and invest in myself. So my journey really begins in 2016 when I went back to graduate school and obtained my master in public health at the University of Pittsburgh. So this was a really great decision and wise investment because I needed to focus and reinvent myself. So I really worked hard to increase my knowledge and skillset, and I discovered that I absolutely loved learning as an adult student, but I didn't know what I would be doing after graduation, but I kept going and I didn't stop and I kept looking for opportunities.

It's in academia where I found an opportunity to expand my network. build my meaningful connections and relationships. So at the bottom right of the corner of the screen here, I'm pictured at graduation with my program director and long time mentor, Dr. David Feingold and the former Dean of Public Health, Dr. Donald Burke. And like I mentioned, I knew my strengths were not only in relationship building, but in public service. So at the top right is where I immersed myself in the Center for Health Equity Initiatives, such as Take the Health Professional to the People Day. So that's where I would conduct blood pressure screenings at barbershops and salons and inner cities around Pittsburgh. And you see, after all these years, I'm still volunteering in a community and giving back. It's been about a decade now. And these are opportunities like creating these long-term relationships with mentors. I also had an awesome mentor during grad school, who after graduation, I joined him at his lab at the National Institutes of Health and Population Sciences is at the NIH. And that's me pictured there on the left-hand corner. at the NIH Clinical Center in Bethesda, Maryland. That's really how I got into research because not only my connections, but my public health experience.

So it was at the NIH where I said, I mentioned that I conducted colorectal cancer research and that I became an epidemiologist there, attended all conferences and network like crazy. And I think that's where in 2017, I joined the MSL Society and became really active. And I attended the three-day live MSL communication and presentation skills training. There I learned as much as I could about being an MSL because I didn't really know I've heard about it, but it was really when I learned more about it that it appealed to me. And it was at the MSL Society Women's Conference in 2018 where I met a physician MSL. She introduced me to her career coach. And I immediately consulted that coach. So I wanted to realize that coach was also a physician. I wanted to really understand, is this a good fit for me? How hard is it to break into the role? She really helped me after 10 months. I landed my first job in industry. It was because of a connection she had, another physician who was hiring at a medical device company. And I know that after working there my first week, I just knew that I loved it and it was such a good fit. So in a nutshell, That was my career path and I'd have to say, I continue to solidify these relationships in the roles with MSLs and MSL leaders who continuously inspire me.

So now let's talk about the MSL role. The MSL was first established in 1967 by the Upjohn company and has existed for more than 50 years. And it continues to evolve in line with the changing diseases, treatment landscapes and healthcare trends. So MSLs were created in response to the need for a professionally trained staff to build rapport with influential physicians known in the pharma industry as key opinion leaders or KOLs and then thought leaders in various therapeutic areas of research. So MSLs became a part of medical affairs department where their activities revolve around building relationships with KOLs, but it's important to note that in the US the MSL is not a commercial role. or a promotional one. It's also not a science role, but rather a communication role through science, where discussions revolve around the research and the data behind the drug or product. So in the past, an advanced clinical degree was not required. However, in the late 1980s and 90s, a number of companies began to require MSLs to hold a doctorate degree, such as an MD, PharmD, or PhD, and now even Doctorate of Nursing, or DNP. As the MSL role grew over the years, the doctorate degrees became the new standard. Many companies require these credentials because MSLs are often viewed as more credible and it helps really establish those peer-to-peer relationships with doctors who you will be working with. And it's a growing field, which is a good sign. It's growing at a rate of about 10% a year with at least one out of four MSLs being hired without previous MSL experience. So over the years, companies have used various titles for the role and Medical Science Liaison or MSL is not the only name, it is called, for example, Pfizer calls MSL's field medical directors or FMDs and Amgen refers to them as regional leaders. So I'd also like to point out that obtaining a master degree may not likely make you a better applicant unless that degree really strengthens your match to the specific MSL role. But we have seen, and also on our team, we've had people that had master degrees and go on to also get a PhD while they're working for an industry company. So what is the purpose of the MSO role? The primary purpose is to be a scientific or disease state expert in the therapeutic area of the company product or pipeline.

So what is an MSL? Well, an MSL is one who holds a clinical degree in the life sciences with extensive experience in clinical medicine and or research. A doctor degree is preferred, but I've seen, as I mentioned, MSLs with master degree break into the role. There are more PhDs and PharmDs or MDs. And lately we've seen a lot of DERS practitioners and also physician assistants transitioning to become MSLs. So an MSL is employed by a pharma, biotech or medical device company. And He or she is a subject matter expert in a particular therapeutic area, such as oncology, hematology, and immunology. Now oncology and immunology, they lead the way with growth rates of about 31% and 28% respectively. And MSL's primary function is to educate on the science and advances in the treatment of the drug or product in a fair and balanced manner.

So it's a remote job where one works from home, one has a home office, and arranges meetings with KOLs or healthcare providers, either in person or virtually. So this diagram is event diagram and really illustrates what the role of the MSL encompasses. So the circle on the left contains all of the people with the science degrees, which is the PharmD, MD, PhDs. And these are people like yourself who have the proven science skills and have spent hours and hours conducting research or practicing science. Now the circle on the right This contains the people with communication relationship driven skills. So these are the soft skills. And that includes emotional intelligence and self-awareness. The circle on the left is necessary but not sufficient to land an MSL role. However, the circle on the right is full of people you want to be with, but is no good without the technical science skills found on the left. The silver middle, the sliver in the middle is where the two circles intersect and that's why the MSL talent is so hard to come by. However, as mastering the science and having degree is found in every candidate, what's often overlooked are the soft skills and the communication skills, as I mentioned, which actually may even be more important here. So MSLs are excellent communicators and this quality is really what is what makes one stand out. It's one thing to know the science and it's quite another to communicate the science. And if you think of the communication rolled through science, that's what makes an awesome MSL.

What are some of the responsibilities of an MSL? The primary responsibility is to establish and maintain relationships with KOLs who are influential doctors or healthcare providers. So since MSLs are subject matter experts of the science behind the products, engagements with KOLs involve discussions about the disease state and can involve education through presentations. An MSL first starts by KOL mapping in their territory and identifying who the key influencers are. and who are important players to get in front of as they begin strategizing and building relationships. A typical day involves proactively reaching out to a list of KOLs, and the MSL will introduce himself or herself through an email or a phone call. And then introductions can also happen at conferences or through your commercial sales force. The goal is to be able to schedule a one-on-one meeting, engage in conversation, and begin to build those relationships. And then from these conversations, may find that the KOL is interested in conducting a clinical trial that aligns with the pharma company or the KOL may request more education on the pivotal study about a company product recently launched. And whatever the outcome, collecting insights are important information to bring back to the company because insights are considered currency to the overall business, especially competitive intelligence insights. And sometimes these meetings are in-person and require travel. And so travel days are an average about two to three days per week. and are structured around the KOL schedule. But you can also modify your schedule, really makes sense to you. If you think according to the metrics of the company or of your team, if you can actually meet those metrics in two to three meetings, half virtual, half in person, minimal travel, that can be accomplished too. So it's really about you being the CEO or you managing and being the manager of your territory.

So here's a survey that was conducted by the MSL Society in 2020 and showing the many different activities that MSLs participate in and can be found on the website, which is free for all members. And also, I think there's also free resources for non-members. And as you can see, majority of the MSLs, over 98%, they manage KOL relationships. And approximately 90% of MSL surveyed said that they attend medical conferences and also provide education through scientific presentations. MSLs focus on meetings with those who are experts and thought leaders because they are influencing how others practice or conduct research using the product or the drug treatment. And an MSL would do that through a peer-to-peer scientific exchange. And the scientific exchange has two aspects to it. The first aspect of the role is a therapeutic area subject matter expert. So disease state awareness and the knowledge of the competitive landscape and the company specific products and pipeline. The second aspect is bringing value that the KOL wants. And sometimes they don't need the MSL scientific acumen. So sometimes what they want are opportunities. For instance, opportunities like a grant for an investigator led study or clinical trial. And sometimes KOLs are not looking for that scientific information, but looking to the MSL to be that conduit to the company's resources to help their career or institutions like being on an advisory board or speaker on podium or an author of a publication. So as an MSL, you will have to know the KOL very well to find out what it is that you can bring value to them. Is it the scientific presentations or is it the career opportunities? And the key is to meet the KOLs where they're at. So now let's shift a little bit and talk about who MSLs are and what compensation looks like. I think this is a really nice set of slides from the MSL Society data that shows an infograph of the makeup of the MSL surveyed by the MSL Society in 2020. 2023 results are very similar. So they surveyed over 2000 MSL professionals and the results in the US showed there was an overwhelming number of women MSLs compared to men, more than half were women and about 41% were men. 31% of MSLs work in the oncology space while 15% of MSLs work in Majority of MSL surveyed were white who had a PhD degree at 39%, followed by 27% for PharmDs. So only 8% of MSLs had a medical degree. The top three places where MSLs work are in large, medium, and small pharma or biotech companies. And then the survey also breaks it down by years of experience.

So MSL-based salaries can vary significantly depending on the therapeutic area, geographic region, years of experience. educational background, and then size of the company, as well as a company's product and pipeline life cycle. So this is a comparison of the average base salary of MSLs from around the globe. The MSL Society hired an external research firm to collect and analyze the data from over 2000 participants from 60 countries around the world. So this is 2022 data. And keep in mind that the MSL role may be defined differently around the world. They may take on other responsibilities similar to commercial sales or marketing. So from those that participated in the 2021 salary survey, the majority of managers or directors of MSLs based in the US use the report as their primary salary benchmark data. I know we use this for our, not only just the MSL society data, but other data that we use as benchmark for our hire for this year. And so as you can see, there is a wide range of salaries and the MSL pay trends on the higher side in the US and then it increases annually, about 3%.

This is a snapshot of the 2022 average base salary of MSLs in the US according to years of experience. And as you can see on the left, the average starting salary is about 160,000. That's not including benefits, which makes it a very attractive compensation, even with less than one year of experience. The salary increases about 3% every year, as I mentioned. However, this is underestimating how much MSLs make because it doesn't include the long-term benefits which could be another 30 to $50,000. For example, some of those benefits are health insurance, 401k, stock options, a company car, and an expense account, which are added on top of your base salary. Now on the right is the average starting salary for an MSL manager or director. It usually starts above $200,000, but varies according to the years of experience. So if you see though that the difference here from managers compared to the MSL's salary is that it varies and it doesn't necessarily mean a trend up as one gains more experience. The years of experience of being a manager or director doesn't always translate to higher pay. And sometimes they do take a pay cut to move up into a company.

So when I was doing my research and deciding on whether the MSL job was right for me, I thought it was important to write down the pros and cons of being an MSL. And I... And I suggest you do the same transitioning, if you're transitioning from clinical to non-clinical. So please note that this is not a comprehensive list and it's very subjective. So for the pros, I showed on the previous slide that MSLs in the US are well compensated with a high base salary. Remote work is a plus, especially during the pandemic when I started. But working from home may not be suitable for some people. Having a flexible schedule includes making your own work schedule, arranging your own meetings and then. healthcare providers, meetings, as well as booking work travel. And there is at least 50% within your region or territory. And travel may be a deal breaker for some, but for me, it suits my lifestyle. And also there are great benefits that I explained. Some of the cons. So for industry is highly regulated and there is a lot of compliance and rules to follow. There is some loss of autonomy there. It's a transition from being a discoverer, for instance, like in academia, to being a knower. You know, you will not have a lot of patient interaction if you were a clinician and moving into becoming an MSL. And will certainly not be a scientist, but rather more of a communicator of science. And then you're going to be part of a larger team that is metrics driven and performance driven. So for example, you're measured on the number of healthcare provider. Outreach and interactions, insights and presentations, those are part of your metrics. Access to healthcare providers and scheduling face-to-face meetings. They were very difficult during the pandemic. But then we made it work through a hybrid kind of meetings where we had virtual and also in-person once they started opening up to vendors and to industry. So it's about really finding creative ways of gaining access.

The MSL role is very competitive. You will be competing against experienced MSLs for every single role you apply for. Breaking in is not easy, but it's not impossible. And most companies will require having MSL experience. It does take a lot of hard work and the right match to find that ideal job. And now I just, I'm going to pause here for a minute and just talk about one thing that I did not touch on. And that is that negative impression or that bias about working in industry. And you know, I came from academia came from practice as well. And I specifically titled my talk, going from academia to the dark side to illustrate this bias. But as someone who has worked on both sides, I believe education and having an open mind are key in tackling these biases and assumptions when considering transitioning to industry. And this section is going to be talking about how to become an MSL. I can be whole another presentation and discussion, but I'll just take a few minutes to talk about some steps and strategies that has worked for me and others. And the bottom line is preparation is key.

So remember that there are no general MSL roles. There are all disease state or therapeutic area focus. The first step is to really identify your therapeutic area or TA. For example, you could be conducting research in Alzheimer's and your disease state focuses neurology or neuroscience. or if you are conducting sickle cell anemia research, your TA will be hematology. If you want to exponentially increase your chances of breaking into your first MSL role, I'd say the three most important things are really to match, match. Match and find those target companies, target roles, and only apply to those once you have done your research and preparation. Next, research the role in the company you'd like to work for. I'd say do that now, follow the company on social media or even on Twitter, on LinkedIn, know everything you can about the company because when it does come time to interview, what I did is I told the company, I said, I've been following you for years, which is, it's a good sign that you actually are very knowledgeable about them. It also allows you more opportunities that help you get in front of people as you network and then get your foot in the door. There are also, for example, internships or fellowships offered because these can count as experience. translatable experience. And so too, you wanna look at and see if there's companies that have internships and apply for those opportunities. Attend industry-wide conferences and events and really build your network. Let them know you, your face and really introduce yourself and be proactive. A focus on quality professional contacts that are directly related to the MSL community. and identify key MSL leaders in medical affairs at companies that are of interest to you. So this is the most effective and easiest way to connect with a hiring manager and other key decision-makers. So the more relevant connections you make, the greater chance you will be successful in breaking in. So become an active member of MSL relevant groups, like the MSL Society, and there's others out there, cheeky scientists. This will allow you to really increase the network your circle of influence with those MSLs in industry, but also in the companies that you are interested in. It's really challenging to achieve on your own your circle of influence without the help of your network. So I highly encourage you to expand your reach and get out of your comfort zone and connect with others.

It's also really challenging to achieve becoming an MSL on your own without proper preparation and guidance. You will need to really stand apart from the competition. So there's also MSL trainings offered for aspiring MSLs, especially if you have no MSL experience. That's a great way to upscale, build your skills. If you lack industry experience or research experience, you know, we wanna keep pace with the changing demands of the profession. And if you need to enroll in online courses to learn about clinical trials or regulatory compliance, I'll provide a list of resources too with websites at the end of this talk.

John: Physicians are uniquely positioned to enter the biopharma industry. They obviously use the products produced by biopharma and are very comfortable discussing the research, development, and deployment of new pharmaceuticals, diagnostic tests, and medical devices. In today's presentation, Maria provided a nice review of the pros and cons of the MSL job, the likely salary to expect, and sound advice to help you transition into the role. If you'd like to hear the rest of our presentation and the other 11 topics presented at the 2023 Non-Clinical Careers Summit, you can check that out at nonc forward slash two zero two three summit. That's nonc forward slash twenty three summit. That's all one word, no hyphens.

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