Pros
While RIC has earned its reputation as a place that expects a lot of its employees, I believe it does so only in the interest of truly being the "best" for its patients. The culture of RIC is truly aspiring to excellence in all we do. That type of culture definitely requires a lot of dedication from its employees, but I find it inspiring to work somewhere that I truly believe wants to continually move forward and become better. The staff overall are hardworking, bright, and invested in our patients. Because it is such a large organization, there are many opportunities for lateral movement, diversity in departments and patient populations, and ways to expand your skill set. Upward movement is also definitely possible, but there is high competition for those roles due to a very bright, eager, dedicated pool of staff from which to choose.
Cons
It is a multi-layered organization, and so to impact change, it can be tough to get the right approval to move something forward. I do believe that many processes have become so complicated that they are difficult for staff to sustain, and therefore changes don't always stick.