Dr. Content: An interview with Medscape's Peter Frishauf

 

Peter Frishauf is no stranger to medicine and disease: His family tree is filled with doctors, and he himself was a pre-med undergrad and successful medical trade journalist. Find out how he's leveraged his background to build Medscape, one of the most successful medical information sites on the Web.

 

Peter Frishauf is no stranger to medicine and disease. His mother is a physician. He has countless aunts, uncles and cousins who are doctors as well. It's a lineage that has led him to a fascination with the medical field — first as a pre-med undergraduate, and then as a successful medical trade journalist. But it is his entrepreneurial spirit and knack for business management that has made him one of the medical industry's fastest rising

personalities.

 

Frishauf is the founder of Medscape Inc., a New York-based online service that has quickly become the leader in the highly competitive, 15,000-site, online medical information industry. Launched in June 1995, Medscape provides doctors, healthcare professionals and consumers with free medical articles and databases that provide updated information and research on nearly every disease and treatment imaginable. The topics discussed range from AIDS to women's health to psychiatry to obscure specialties.

 

In its first three years of existence, Medscape accumulated more than

625,000 members and is poised to grow even faster in the coming years. According to Frishauf, a new doctor joins the site every six minutes and 1,000 new members join daily. To date, 75 percent of those members are healthcare professionals, while the remainder fall into the consumer market category. The site has already become popular enough to create a loud buzz on Wall Street — even though Medscape is still privately held — and for Fortune Magazine to name it as one of its "cool" companies for 1998, predicting the company will become the "niche's probable future Yahoo."

 

Diagnosis: Opportunity

Medscape didn't burst onto the Internet scene in a blaze of glory, as some sites do. In fact, it began as a side project for SCP Communications, a medical education and communications company that Frishauf started in 1982 at the young age of 26, after leaving his writer position to pursue his own interests. SCP publishes medical journals, conducts educational and promotional symposia and manages clinical trials and drug studies for the pharmaceutical industry. Frishauf, who was then president of that company, wanted to see what avenues the emerging commercial Internet could open for his business, so he put together what he calls a "skunk work team" consisting of five SCP officials, to put together an experimental Web site.

 

"We didn't know, in 1995, whether or not doctors would like this," Frishauf admits. "It became quickly evident that it was very popular among a small but rapidly growing group of physicians."

 

The original Medscape was designed to expand SCP's core products and to identify the site's users, an aspect Frishauf deemed important in order to identify a target audience for future brand marketing. He also wanted the site to be easy to navigate and immediately useful to the user. "The concept was ... fast, inexpensive access to information," he says. "[On the Internet] there's so much information, and so much of it is poor quality, it's easy to drown in data and starve for wisdom. We were going to create a site that was organized by specialty area."

 

The concept proved to be just what the doctor ordered. Soon, the numbers of members began to grow and entice additional advertisers, and Frishauf realized that he had found a great opportunity on the Web. Medscape was run as a division of SCP for only one year before it was spun off as an independent company, with Frishauf acting as CEO. He has since left the day-to-day operation of SCP, but still serves as that company's chairman.

 

Treatment: Increased Value

Frishauf speaks a lot of his value proposition. One of the reasons he chose to continue requiring members to register at the site, despite industry estimates that predict a site can be made to handle double or triple its current traffic by removing such registrations, is that he believes he needs to be able to tell his advertisers who they will be reaching. Being an editorial content-driven site, which is free to everyone, Medscape relies on advertisers to produce revenue. Although physicians are a small target audience, advertising dollars from pharmaceutical and medical-equipment suppliers are seemingly endless. An estimated $8.5 billion will be spent on health care advertising this year alone.

 

Frishauf set out to increase the value of Medscape's content by forging publishing partnerships that provide material for the site. He created a publisher's circle, which consists of all of the SCP publications as well as notable journals such as American Heart Journal, Clinical Psychiatry News, and the Journal of the American Board of Family Practice. The partnerships not only contribute to Medscape's editorial content, but also provide promotions and advertising for Medscape to reach those publications' readers.

 

In November 1997, Frishauf expanded Medscape though the help of outside financial backers. The list of backers quickly became extensive and impressive, featuring some of the more notable players on Wall Street. Helping finance Medscape's future growth was Media Technology Ventures, whose investors include Motorola Inc., Sun Microsystems Inc., Hallmark, Fujitsu Inc., C3/Comcast, Hearst New Media, Mattel, GE, NBC and Telcom Italia. Also acting on the strong buzz created by the growing Medscape's success were New York's Patricof & Co., the Japanese fund CKS Venture Capital, CIBC Oppenheimer & Co, and the French partnership, Wormser Freres. But most impressive, was the active participation of several individual investors, led by Esther Dyson, who tend to be more discerning with their investments. Dyson, who has a reputation in financial circles as a shrewd investor with a hard nose for making money, now sits on the board of directors at Medscape.

 

"We did seek her out," says Frishauf of Dyson. "She is extremely discerning and does not get involved with companies lightly at all."

 

According to Frishauf, Dyson has become a vital link in Medscape's future, particularly because of her commitment to helping the company grow. "She's very involved in Eastern Europe and the former Soviet Union countries," Frishauf says. "One of her goals was to help Medscape grow internationally, and she's done that with a lot of introductions."

 

Frishauf says that Medscape now has "hundreds of thousands international

physicians" included in its membership.

 

A Second Opinion

In February 1998, Frishauf used part of the cash infusion — approximately $7 million — to hire a new seasoned CEO for Medscape that would bring a fresh perspective and management skills to Medscape. He and his board found and hired Paul Sheils, former vice president of Dow Jones Interactive Publishing. Sheils' credentials include overseeing the development of the Wall Street Journal Interactive, Dow Jones Interactive, DowVision, and Dow Jones' business news and radio networks.

 

Sheils couldn't pass up the Medscape offer: The young company's numbers were strong, and its integrity and dedication to content reminded him of the Wall Street Journal. He saw the opportunity to grow Medscape into the medical equivalent of his old employer because medical professionals, like financial professionals, have a basic need for information. Sheils believed in the venture so strongly, in fact, that he wasn't even put off by the prospect of leaving the cushioned seats of Wall Street for Medscape's loft on Manhattan's 29th Street.

 

Of Sheils' contributions to Medscape, Frishauf says, "He brings a different level of expertise to the [Internet] business than I had. He's just terrific."

 

After handing over the title of CEO, Frishauf has transitioned into the role of product development specialist and sits as chairman of the board. Frishauf also hired an entire management team to serve under Sheils, and he says proudly that six months into the new organizational structure, no one has shown signs of discontent, and no one has left.

 

Cure: Brand Building

Medscape doesn't need fixing, but Sheils and Frishauf are still preparing the site for a brighter future. Recently, the company secured another $4 million in funding, much of it from the original backer, Media Technology Ventures. The money has been earmarked for branding Medscape around the world to place the company firmly at the head of a market that is expected to grow dramatically over the next few years. Primarily, Medscape will take on the Internet's other major medical information provider, Physicians Online. Although the competition is fierce, it is not direct: Physicians Online is currently available to only U.S. physicians (MDs and DOs), physicians-in-training and medical students through a private network, and its services include Web access and other non-medical resources.

 

Already, Sheils has instituted Medscape Remote, an affiliate program that links consumer health care sites to Medscape. The program also allows consumer sites the capability to offer software plug-in downloads that establish an interface with Medscape research. They also plan to take advantage of other consumer media outlets such as television and radio. While the strategy is not designed specifically to attract consumers, the end result is expected to increase brand awareness that will ultimately drive more health care professionals to the site. Medscape is also working with hospitals and other facilities to develop a point-of-care knowledge base.

 

Frishauf says that another reason Medscape will continue to grow is because it is qualitatively better than most sites. In fact, Medscape has garnered several awards for its design and organization over the past three years.

 

"If you're a psychiatrist, you're going to be very hard-pressed to get information organized the way we have done it for you," he boasts. "We have the largest collection of full-text, peer-reviewed articles. That's a big mouthful, but those are really important words. There are a lot of sites that just give you an abstract. If you want the full article, you have to order it. You can't get the full article online. But on Medscape you can."

 

Frishauf says that despite mass predictions of Medscape's future success, the company is not taking anything for granted. "We keep raising the bar everyday," he says. "Everyday, the site gets better." Earlier this week, Medscape announced a number of improvements to its site, including additional options for customizing the home page for the user's specific needs. For example, a psychiatrist can customize his or her browser to make Medscape immediately download the latest psychiatric news and data, thereby skipping other specialty areas, such as cardiology, oncology or optometry, which may not be of interest to the user.

 

"We are passionate about being advocates for our readers," he says. "Our objective is to help clinicians take better care of sick people and to help them maintain the health of healthy people."

 

As for doing their part to make Wall Street healthier, Frishauf will not say when the company will answer calls to go public. Many reports believe the addition of Sheils as CEO has established a management team capable of running a public company. Translation: Medscape seems to be close to an IPO.

 

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