Long hours + Low pay
Poor culture; very passive aggressive to your face and VERY aggressive behind your back. This seems to be the case across different practices.
No one really likes their job, even if they are quite good at it (which says a lot about how the company is run)
VERY political
Difficult to know who to trust across the practice
High pressure the majority of the time
Very much a "sink or swim" culture
Every assignment is NOT a high priority, but they are treated this way
Leadership is lacking - you can be a strong leader without being mean or belittling people.