I applied through an employee referral. The interview was very relaxed and they seemed keen to get me started right away (knowing that I was Canadian), but everything went downhill when it came to HR sorting out my visa. The International Personnel Office and Human Resources at Mount Sinai have to be the most inconsiderate, untimely, and unprofessional people I have ever interacted with. Mount Sinai supposedly claims that they do not discriminate based on nationality, ethnicity, country of citizenship, etc. but to be honest, it's quite clear that they do. For nearly four months, they strung me along and kept me on the sidelines, simply because I was a Canadian. They did not have the courtesy to update me on whether I am getting a visa for the job, or if they found a better candidate, etc. Instead, I received random phone calls and emails sporadically over the span of 4 months from individuals in the International Personnel Office and HR (each time saying different stories, some saying that they are working on the offer, and others saying that I didn't get the offer). I had finally thought that the job was not working out, after waiting patiently for an update for 2 months and finally receiving a call from HR saying they went back to interview other people (likely because i'm Canadian and they don't want to deal with any extra paperwork). So I decided to pursue a volunteer research position at Mount Sinai instead. When finalizing the visa for the volunteer position, I received a very misleading email from the International Office saying that I have to "move forward with my employment offer" and that I cannot take the volunteer opportunity. After receiving that email, I tried to contact my HR recruiter numerous times, and she did not have the decency to reply to me until 3 weeks later. When she called me, she accused me of making up stories (even though I had an email thread to prove every single thing I was saying about the visa office contacting me) and was literally yelling at me in the most disrespectful and condescending tone (she even swore a few times!). After that conversation, I decided that I did not want to work at an organization that does not have even the smallest amount of respect for people. I used to think very highly of Mount Sinai, since I have many colleagues that work at Mount Sinai and I'm quite connected to the organization. But I can truly say that I would never be proud of working at an organization that treats people this unfairly. I put my life on hold for four months for this career opportunity, but I am so grateful that I realized how malignant this organization is before becoming a part of it.