Pros
There is a feeling of pride that comes from working at a Top 10 Medical Center. It's as if you are part of something very important, leading edge and helpful to all. I'm in excess of 20 years from retirement age but I'm told that the retirement package is excellent. In addition, salaries offered are in-line or above industry averages for similar positions. Further, an intangible is the feeling of collegiality in this little city within the city.
Cons
(1) No parking. If you are not amongst the lucky few to have parking privileges then you will have a miserable time finding parking space around the facility. (2) Some folks think a bit too highly of themselves and it shows in the way they deal with folks several rungs below the career ladder. (3) It is very frustrating to see money being wasted because of poor processes. (4) Unions - some of the folks in the variety of unions staffed at the Medical Center are severly hurting the bottom line - very poor work quality/habits. (5) Everyone seems so busy that good ideas are quashed.