There are a number of things - both at administrative and individual course level.
Within classes many of our classes have multiple instructors. Unfortunately, many of these instructors do not communicate well with each other leading to tests that do not cover taught material, inconsistent grading, and confusion around assignments. There are exceptions and some instructor teams work beautifully together, but with the majority it feels like chaos.
Higher up there are consistently issues with scheduling, clinical expectations, and communication.
For example, our Summer semester starts in 5 weeks. Registration was a month ago, but we have recently been made aware that we need to take an additional 2 hour lab (on top of our already 30+ hour weeks). Our curriculum should have been set in stone by the registration period.
Clinical experiences vary wildly. Understandably there will always be variation in clinical experiences, but there are some groups that spend only 5-6 hours a week in the hospital, and others that spend 13. Some that are passing medications weekly, and others that only pass medications once during the semester. Individual clinical instructors do not adhere to any sort of guidance or rules set by the school.
As for communication, unfortunately the program director doesn’t seem to know what is going on at any given time and usually answers questions with an “I don’t know”. It’s incredibly frustrating to not be able to get basic questions answered.
Another example - The program uses ATI to prepare for the NCLEX. All ATI material is self-study and not taught in classes. Of course there is some overlap, but Emory’s stance is “we can’t teach you everything”.
Last semester, students were made aware of the first ATI exam roughly 1 month before the exam.
Although the material is not taught, it is graded and if a student fails any ATI test they must take a remediation course the following semester.
It should have been communicated to students that there was an ATI exam to study for at the start of the semester.
Any of these things on their own would be annoying, but all together the consistent issues become incredibly frustrating and chaotic.