Where to start... Oblivious management, all the way from direct line managers to executive leadership. Managers are not trained to be managers. They too are overworked, so cannot do their jobs properly (i.e., your 1-to-1's will consist of 5 mins of quickly going through the status of your studies just so the manager knows if they need to worry or not; yearly goals are a joke as you're always over assigned so there's no way to actually develop other skills). Your work is assigned based on no criteria at all. Leadership makes you keep a SEMS profile up to date although the studies you get have nothing to do with your previous therapeutic experience. If you're good at your job, you'll get the worst and most challenging studies without extra bonus or appreciation. Stop employing people from countries where the labor is cheap and then moan about the high number of QIs and low quality of work! Leadership is only about profit profit profit (e.g., see note above regarding outsourcing to countries where labor is cheap). They push certain systems and processes which make your life harder not easier. The town halls are a joke.