No clinical ladder or recognition for advanced practice. Lack of clinical space/resources for RDs. Short staffed most of time so little ownership over work. Use of clinical and admin time not protected or maximized.
Clinical policies are outdated and lump adult, pediatrics, inpatient and outpatient operations all together. Policies are also not uniform and change without notice. Seniority is not respected.
Management is very disconnected from daily clinical operations and clueless to roles and responsibilities of RDs. Employees often must above their supervisors to bring awareness of incompetence to upper management, although it is also understood that there is little reprimand. MDs have even stepped in to attempt to aid in clinical direction of RDs due ineffective management.
Most people are severely overworked without job recognition or financial compensation. Culture of extreme burnout, high employee turnover, losing lots of great talent.
Also surprised how lacking the benefits are. They are not only expensive but pretty bad coverage. We work at a hospital and half the services I provide are not even covered by my own insurance. Duke does not match or contribute anything towards 401K for first year. Parking costs are extremely high and rising.
