Where to begin, first of all, not one person in executive leadership cares about lower management, or the teams within medical communications. Many have been there since the "ask the pharmacist" days, and are still stuck 30 years in the past. They don't admire innovation or creativity, and literally live in the "it's the way it's always been done" mindset. They sit up there, patting each other on the back, impressed with their own titles, and never listen to feedback provided from managers that are running their programs. They make reactive decisions rather than trying to find best in practice solutions to problems that are plaguing their department. Also, they no longer care about work-life balance, but rather, whatever can make them the most money, regardless of how it impacts front-line staff. Now, this is especially true if you're a nurse, rather than a pharmacist. If you're reading this and considering joining one of their medcomm teams, please reconsider. You'll be treated as a second-class citizen, and you'll make far less than a pharmacist for doing the same exact job, and this is true even when and if you are moved into management. To continue, there is very little actual direction, or accountability at all at higher levels, even with attrition at an all-time high, and their HR team is literally no help at all to those who don't carry a higher title. They won't back you, or even investigate your concerns, but rather, they will just dismiss you and move on. Last, but not least, there is very little room for growth, and they don't often provide growth opportunities to anyone who doesn't fit into their mold, and again, this is especially true if you're an RN.