Pros
Great coworkers who are passionate about supporting clinical staff and providing patients with the best care possible. Mid-level managers are good; they advocate for employees and keep high stakes projects on track. Pension is a nice benefit.
Cons
Terrible, regressive leadership who do not live by UCSF's PRIDE values. The CEO and his ilk love to talk the talk without walking the walk. They're continually mishandling negotiations with unions and coercing non-union employees to "volunteer" in empty roles during strikes (undermining labor relations). There's enormous pressure on non-union employees to be scabs at the expense of their union colleagues.
Lip service towards Diversity, Equity, and Inclusion is prominent -- featured in every meeting, it seems -- though no tangible benefit is felt by the rank-and-file. Huge inequities exist between management and the lowest level employees (in terms of not only salary and PTO but flexibility, level of respect, recognition, attention to ideas/concerns raised). DEI initiatives are purely performative here -- UCSF doesn't care at all about equity and diversity of experience or thought.
Additionally, leadership is currently backtracking on remote work for local employees, clearly prioritizing political relations over workers' best interests. Some teams are mostly comprised of people who live elsewhere in the country (while making the same salary as locals), so this is a wildly imbalanced policy.
If you want an employer who takes labor demands and employee welfare seriously, avoid UCSF.
Edited to add: a couple of days after I wrote this review, 202 employees were laid off due to the CEO's inept leadership. UCSF has acquired multiple clinics and hospitals in the last few years, despite warning signs that the economy was due for a correction. The people at the top have essentially made the institution "house poor". The quality of patient care will suffer due to their mismanagement.