At IHiS, you procure some systems from vendors –MNCs, SMEs, and you develop some bespoke systems with internal teams. On-going systems mgt - depends what type of system. Some you manage vendors for after-service, some you have internal maintenance teams, some routine maintenance outsourced.

This is if you are in project mgt teams. But there are other teams - customer facing CIO teams, development teams, maintenance teams, infrastructure teams, architecture teams. IHiS also has offices near different hospital grps.

Some teams very good camraderie, some teams so-so. So life can be quite different. Not happy with your users, team, work - can ask to change.