A ton of ass kissing. A lot of starting off covering high school games every friday night, making your way up to colleges. Traveling a ton to away games. Being reached on the phone at all times, at the beck and call of the team you are covering. These demands increase with the higher caliber of team and athlete you are dealing with. For me its NOT worth it. I know a LOT of doctors that chase this, spend a fortune doing it. Its not for me.
VERY VERY few will ever get to the status of James Andrews. He is a master businessman.
It involves LOTS of personal sacrifice, loss of family time on weekends, etc.