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  "documentTitle": "Medical Affairs Outlook Report",
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  "notes": "The slide highlights a trend of increasing MSL presence relative to sales reps, suggesting a shift in organizational focus towards medical affairs.",
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      "text": "This held true for 2018 as the ratio dropped from 9:1 to 8:1 in the U.S. and from 11:1 to 9:1 in the EU.",
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      "text": "Visual representation of sales rep to MSL ratios for U.S. and EU, showing a shift from 9:1 to 8:1 (U.S.) and 11:1 to 9:1 (EU).",
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      "text": "In 2017, we reported that MSL team sizes increased 12% between 2014 and 2016, and we saw a decline in the sales rep to MSL ratio. This held true for 2018 as the ratio dropped from 9:1 to 8:1 in the U.S. and from 11:1 to 9:1 in the EU.",
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      "text": "While compliance is most often cited as a barrier to optimal cross-functional collaboration, respondents noted that the barrier is also due to the lack of understanding of medical roles.",
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      "text": "This comes as no surprise as increased collaboration is a necessary requirement when working globally where the scope of work is much larger. However, this does not justify the lower scores from the U.S. and should be considered an area of opportunity.",
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      "text": "Medical Science Liaisons' Growth and Activities",
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