"training" is very different from "sales rep needs to be in the OR" and you know it. More than that, I had to explain how antibiotics worked to a medical sales rep once - they're not the people I would choose to do training. The fact that that's been added to their roles is a perversion of the system, not a feature of capitalist enterprise. I worked at one firm that had an explicit policy preventing doctors from interacting with the engineers. Any questions a doctor may have had about our device had to be written down poorly by the reps and then mistranslated to the engineering department through a terrible game of telephone. There's no "training" there, there's a deliberate obfuscation of knowledge to make sure that the doctor doesn't start devaluing his rep. It's a bad system. It needs to stop.