Toxic and negative environment Poor and incompetent Leadership, especially in USMA No pipeline, only two old products (one already generic) in LCM (oncology) Lack of long term strategy and vision Low level of experience and expertise in disease state, products and competitive landscape Very high turnover rate (over 20 MSLs in 3 years, some of them with less than 1 year at Ipsen. I would not recommend to anyone to join Field Medical Team at Ipsen at this moment