* The medical device industry as a whole has gone into single digit growth or decline due to recent economic events and public resistance to ever-increasing health care costs. This means continued cost cutting and RIFs.
* Risk-averse culture, more concerned with not making mistakes than innovating. This is understandable, but somebody interested in innovation should look at a smaller company.
* Lack of accountability. There is not enough pressure to make important decisions in a timely manner or to empower managers and contributors to take risks.
* Lack of opportunity for advancement or lateral moves. Promotions are based on loyalty.