Where do I start? The entire orientation, they drive into your head that this is the top hospital in the country, possibly the world. I'm not so sure now that I've worked here for five years. I see, in my department, a high level of incompetence which the management refuses to acknowledge and/or do anything about. This hospital as a whole has an enormous turn around rate which means new employees constantly and starting over constantly. Instead of treating their current, seasoned employees better, they seem to prefer hiring people who cannot keep up with the volume. From my experience here, even if you voice your concerns, they don't seem to want to hear you and are afraid to get rid of dead weight. With so much negative retention, the stress of the workload falls on your good workers who tend to burn out at an incredible rate. They pay is mediocre at best and is not worth the insane workload which leads to people deciding to slack off because they don't get paid enough to do all of that work. This, unfortunately, filters down to the patient level. Care is compromised when your skilled workforce is fed up. The benefits were very good, but now they are starting this new requirement. If you want 100% coverage, you have to use a hopkins affiliated physician. If you choose not to, you are responsible for 10% of the medical bill. Problem with this is 1.) If you have a long term primary care physician that you are comfortable with and they are not a hopkins physician, you are going to pay for it. 2.) All of your labs and results are run through the main hospital and accessible to fellow employees, there have been instances of the entire department finding out about a pregnancy or other medical conditions before the employee was comfortable telling anyone. 3.) The Hopkins physicians are not everywhere, so if you happen to live out in the country, the mountains or even into a boardering state, you may not have a hopkins physician anywhere nearby to go to. So now, the pay is getting cut all around the hospital (except for the executives and upper management), they have taken control over your choices in benefits and the area the main campus is in is dangerous and unsafe. Since I've been there (going on 5 years) there have been TWO gunman in the hospital and there are no major steps being taken to make the place any safer.