-going above and beyond is the expectation without proper compensation. a lot is asked of you to do. And sometimes you are made to feel bad when you can't go above and beyond.
-orientation period was not what expected. No clear outlines.
-always looking to new research and practices: once you know the current practice, they will end up changing it within a couple months or so
-a lot of meetings that get in the way of patient care and catching up with work
-there was some high turnover of support staff, which contributed to difficulty giving efficient care