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      "text": "1. Responding to the growing emergence and need for new roles: Almost half of respondents plan to set up some type of patient advocacy role or a dedicated clinical trial support role in the future. The need for a nurse educator role has also increased (from 30% in 2017 to 40% in 2018).\n2. Focusing on MSL recruitment in an increasingly competitive environment: Our study revealed an overall duration of approximately four months to recruit MSLs; therefore, it’s important to determine the right resourcing needs with the right roles, responsibilities and expectations while aligning with the overall company strategy.\n3. Developing metrics for assessing field medical effectiveness: Basic metrics such as the number of unique KOLs or HCPs visited and the completion of compliance trainings are most commonly used to assess field medical effectiveness; as an industry we need to commit to better metrics.\n4. Increasing cross-functional collaboration and addressing compliance challenges: Compliance issues and a lack of understanding of roles are major issues cited.",
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