The clinical side was a mess with poor leadership.
There are some medical leaders who care only about optics and some who have been promoted without delivered anything successful. There is a command-and-control and boy's club mentality that apparently continues to persist, with senior leaders on the medical side who have no basic management or organization skills creating more confusion and lack of progress. Turf wars impacted real collaboration and progress and, while every every organization has behind the door conversations, you will leave with a sort of PTSD related to that.
And if you're a female physician or a minority physician, expect to be addressed by your first name, while your white male and military-associated counterparts are often addressed with their titles or a bro-club collegial nickname. Not that you care about titles, but how can you NOT notice inequity?