Very unorganized, unsupportive, stressful. Processes, documentation, standards, templates, etc. constantly change and you're required to continually go back and review the same documentation over and over instead of going forward from the time of the change. Most studies are long-term and you are responsible to address documents from colleagues who preceded you on the study, many of whom no longer work there. This happens every couple weeks. VERY stressful, demanding, and time-consuming.