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July 2026 Issue

Articles

Letter from the Editor

Welcome back, MSL Journal Readers! As we move into the summer season, I am delighted to share this latest online edition of The MSL Journal – a collection of insights, practical strategies, and perspectives designed to support excellence in the evolving Medical Science Liaison role and, more broadly, the medical affairs profession. The role of […]Continue Reading

AI Slop or Real-World Experience? Why MSL Training Facilitators Need Actual Field Medical Experience

As artificial intelligence (AI) continues to reshape Medical Affairs and the Medical Science Liaison (MSL) profession, one question is becoming increasingly important across the industry: Can someone effectively train MSLs without ever having worked as an MSL or led an MSL team? Part of what prompted this article was the growing number of individuals on […]Continue Reading

KOL, Thought Leader, or External Expert? Why the Original Term Still Dominates in Medical Affairs

Few topics in Medical Affairs generate as much recurring discussion as the terminology used to describe highly influential physicians and health care professionals (HCPs). While some organizations have attempted to move away from the term “Key Opinion Leader” (KOL) in favor of alternatives such as “Thought Leader” or “External Expert,” the term KOL remains deeply […]Continue Reading

The Three Pillars of MSL Performance Measurement: Value Creation, Patient Outcomes, and Return on Investment

Abstract Background: Effective Medical Science Liaison (MSL) performance measurement requires a comprehensive framework that captures the multidimensional nature of MSL contributions to pharmaceutical organizations and healthcare systems. Objective: To establish a three-pillar framework for MSL performance measurement encompassing value creation indicators, patient outcome linkage, and return on investment consciousness. Methods: This conceptual framework was developed […]Continue Reading

Successfully Handling KOL objections

What’s your first reaction when challenged by a KOL? What is your gut reaction? The art of being an MSL involves turning uncomfortable moments into meaningful insights valuable to your company and, more so, to the physician’s patients. Gaining a deeper understanding of the actual concern can strengthen your KOL relationships by turning this “objection” […]Continue Reading

Moments of Truth – Voices from the Launch Arena

Introduction It’s launch time. The heavy lifting of R&D and interaction with HCPs, regulators, and patient groups has been concluded, and a coordinated ‘battle plan’ has been signed and sealed. Time to exhale? Far from it. Product launches require a particular intensity and commitment to survive a precarious period that is still being shaped by […]Continue Reading

Strategic MSL–KOL Partnerships Beyond Relationship Building: A Framework Informed by Real-World Practice

A Case Study Featuring Dr. Maria Abunto and Dr. Justin D. Pykare Published in collaboration with AMSLE and RAMA Introduction The Medical Science Liaison (MSL) role is evolving toward strategic scientific collaboration beyond just relationship building. The complex healthcare landscape demands that field insights be systematically captured, synthesized, and translated into operational strategy. HCP engagements […]Continue Reading

From Field Conversations to Strategic Impact: How NotebookLM Is Reshaping the MSL–KOL Relationship

The role of the MSL (Medical Science Liaison) has always required an uncommon combination of: Scientific depth, relational intelligence, and strategic agility. However, as the volume of publications grows, the availability of RWD (Real World Data) becomes increasingly overwhelming, and KOL expectations become more complex, even the most experienced MSL teams face a shared structural […]Continue Reading

Empathy to Execution: The Role of Medical Affairs in Operationalizing Patient Advocacy

Abstract Patient engagement is widely recognized as a priority across the life sciences industry. Yet many organizations still struggle to translate patient insights into meaningful operational decisions. Medical Affairs professionals sit at a unique intersection of science, clinical practice, and patient experience. This article explores how Medical Affairs/MSLs can move patient advocacy from conversation to […]Continue Reading

From Insights to Impact: Redefining the Strategic Role of the MSL

Medical Affairs has long been defined by scientific credibility. Accuracy, balance, and compliance remain essential foundations. However, in a healthcare environment shaped by data overload, increasing system complexity, and evolving stakeholder expectations, scientific excellence alone is no longer enough. The question facing Medical Affairs today is not what we know, but how we translate knowledge […]Continue Reading

Strategic Insights for Global Pharma: Strengthening Cancer Care Pathways in Cameroon

Overview Cancer care across Africa is experiencing rapid changes. Our recent discussion with frontline clinicians in Cameroon, a West Central African country, highlighted both urgent current challenges and the momentum toward meaningful progress. We held a virtual roundtable with physicians and nurses from various parts of Cameroon’s cancer ecosystem, and several key themes emerged that […]Continue Reading

The MSL as a Multidisciplinary Connector in Cell and Gene Therapy Delivery

Disclosure: The views, thoughts, and opinions expressed in this article belong solely to the author and do not necessarily reflect the views or positions of any other individual, organization, employer, or company associated with them. Introduction Cell and gene therapies (CGT) have redefined what is possible in medicine, and, in doing so, it has challenged […]Continue Reading

The Veterinary MSL:The Dark Horse in a Market on the Verge of Blooming

“Ladies and gentlemen, the animal health market has exploded”. Over the past few decades, the animal health industry has undergone a profound transformation, particularly within the companion animal segment. In developed countries, the strengthening of the animal-human bond has resulted in increased attention to animal welfare and a growing willingness of pet owners to invest […]Continue Reading

Integrated Evidence Generation Planning: Optimizing Strategy Through Medical Insights

The Evolving Role and Dynamic Capabilities of the Medical Science Liaison (MSL) The role of the MSL has evolved significantly within the modern pharmaceutical and MedTech industries. Once seen as a predominantly reactive support function, Medical Affairs is now widely recognized as a strategic business partner that translates scientific insights into actionable go-to-market strategies.1 As […]Continue Reading

Navigating the Microbiome Frontier: The Expanding Role of the Medical Science Liaison in Microbial Therapeutics

Introduction In recent years, few areas of biomedical science have generated as much excitement as the study of the human gut microbiome. Once viewed simply as a collection of commensal organisms inhabiting the gastrointestinal tract, the microbiome is now understood to be a dynamic and complex ecosystem that profoundly influences human health. Significant advances in […]Continue Reading

A Personal Reflection: 4 Shifts That Helped Me Become a More Effective MSL

Introduction The reason I chose to work as a Medical Science Liaison (hereafter MSL) was never just the science. Coming from a background in nursing science, I have always been driven by the question of how scientific advances translate into better care for patients. Having now worked in the pharmaceutical industry for some time, I […]Continue Reading

The Value Medical Affairs Is Leaving on the Table–And How a More Systematic Approach Can Unlock It

Medical Affairs generates enormous value. Every day, Medical Science Liaisons have high-quality scientific conversations with clinicians who shape practice, influence peers, and test evidence against reality. Few functions in pharma have this level of access, trust, and depth. And yet, much of the potential value from these interactions is quietly lost. Not because MSLs are […]Continue Reading

The Future of Medical Affairs: What Stays Human, and What Does Not?

Disclaimer: The ideas discussed in this manuscript belong to the authors and do not represent views or endorsements of their employers Introduction: Medical Affairs in the Age of AI We are living in a transformative moment in medical affairs. For the first time, the instantaneous availability of data and information allows for the strategic integration of real-world evidence, digital health data, and biomarker-mediated algorithms […]Continue Reading

Beyond the Scientific Paper: How MSL Selection Assessments Reveal the Strategic Reality of Medical Affairs

Medical Affairs is often described as a function in transformation. Yet, for many of us working in this space, that description is already outdated. In practice, the transformation has largely happened. What we are seeing now is not an early signal of change, but the operational reality of the role. One of the clearest places […]Continue Reading

AI and Digital Health Applications Through the Lens of Ethics & Compliance

Introduction Artificial intelligence and digital health applications (known in Germany as DiGA — Digitale Gesundheitsanwendungen), including AI-assisted diagnostics, digital therapeutics, wearable-derived endpoints, and AI-powered chatbots, are reshaping how healthcare is delivered and how evidence is generated. For Medical Science Liaisons (MSLs), these technologies are not abstract concepts discussed in boardrooms; they directly affect day-to-day scientific […]Continue Reading

The Skill No One Talks About: Reading the Room in Field Medical

In the professional development of Medical Science Liaisons (MSLs), the industry typically prioritizes a “hard-skill” trifecta: therapeutic mastery, clinical data fluency, and formal communication. Training modules usually focus on clinical data results, disease state presentations, objection handling, and alignment with medical strategic imperatives. Yet, the invisible skill that differentiates good from impactful MSL remains largely […]Continue Reading

Influence Without Authority: The Future Skill Set for Medical Science Liaisons

The Medical Science Liaison (MSL) role has relied on influence rather than authority. MSLs rarely control budgets or formal decisions, yet they play a critical role in shaping how organizations understand clinical practice, emerging research, and the needs of healthcare professionals. What is changing is the environment in which MSLs operate. Healthcare systems are more […]Continue Reading

When Passion Meets Pressure: Scientific Scope, Strategic Expectations, and Burnout Risk in the Modern MSL Role

Abstract Background: The Medical Science Liaison (MSL) role has expanded alongside the growing scope of Medical Affairs, with increased involvement in clinical development support, evidence generation, and cross-functional strategy, as well as scientific exchange with external experts, real-world evidence development, insights generation to inform organizational decision-making, and support for medical education and data dissemination. Objective: […]Continue Reading

Understanding the Two Types of Scientific Exchange Following 2025 SIUU Guidance

Medical Science Liaisons (MSLs) play a central role in facilitating the exchange of scientific and clinical information with healthcare professionals (HCPs). Within a continuously evolving regulatory landscape, it is essential that MSL engagement, related to unapproved uses of approved or cleared medical products, aligns with the appropriate FDA framework governing communications. Two key FDA guidance […]Continue Reading

Bias Assessment in AI-Driven Key Opinion Leader (KOL) Analytics: A PRISMA-Compliant Systematic Review

Abstract Background: Artificial intelligence (AI)–driven analytics are increasingly used in Medical Affairs and healthcare research to identify and engage key opinion leaders (KOLs). While these systems enable large-scale analysis of scientific influence, concerns have emerged regarding algorithmic and structural bias that may affect fairness, representation, and scientific validity. Objective: This systematic review aimed to evaluate […]Continue Reading

MSL in a Startup: One Role, Multiple Realities

The evolving role of MSL in startup environments Working as a Medical Science Liaison (MSL) in a startup can be both exciting and, at times, a little undefined. There is enthusiasm, energy, speed, and a strong sense of purpose. Teams are small, decisions happen quickly or unexpectedly, and there is often more visibility into the […]Continue Reading

The Phoenix Strategy: The Strategic Mandate of MSLs in the Aftermath of Clinical Trial Attrition

Introduction In the critical landscape of pharmaceutical development, the transition from phase II (safety) to phase III (efficacy) is often described as the “valley of death”, with approximately 70% of drug development projects failing to progress further. Even for those who reach Phase III, the hurdle remains high, with 57% of failures attributed to inadequate […]Continue Reading

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