Workforce: not balanced in my opinion. To reduce expenses, Medpace hires a lot of people right out of school. Many of these folks are genius smart which is a good thing but are often lacking in soft skills (social, communication, etc.) Medpace could use a more diverse, experienced, seasoned workforce or, at least, professional development training for new hires.
Communication: seriously lacking both within departments and between departments. I'm talking about interpersonal communication not quarterly meetings, email announcements, etc.
Layoffs: Medpace let many staff go during COVID-19 when other options were available.
Other: lack of training, high turnover rate.
Overall, I think Medpace has grown too big, too fast especially since it went public in 2016. Upper management is struggling to keep up with all that goes with hiring hundreds of new people every year. Hopefully things will settle eventually.