Pros
The variety of neurologic patients that come to TIRR are wonderful. As a therapist you are able to challenge yourself clinically and grow in your skills treating neurologic patients. There is a good orientation, and exposure to technology/equipment not found in other places.
Cons
Collaboration is near none. There is no value placed on keeping experienced therapists or even 1-2 year experienced employees with the company. There seems to be a 2-3 year rotation of staff except for the senior level staff, who most are part time, because most people burn out in a few years from the unrealistic time expectations. In outpatient PT there is the addition of many satellite locations, however the therapists that are experienced are few, making the quality of care less beneficial for the patient, and putting new graduates in a position to fail. This is increased by the case management, paperwork, and special project requirements that are put on staff. Most therapists end up working at least 50+ hours per week because with this patient population you are not able to document while treating like in many settings. Leadership is Memorial Hermann who only cares about the bottom line, and numbers are everything. They have multiple mid-level managers who are ultimately not powerful enough to enact meaningful change. Benefits are terrible, MH is it's own HMO, no out of network benefits, and other perks of a large system are nothing special.