As a VA employee and former DOD employee I understand the urgency of this need. We have problems retaining good employees (Physicians, Nurses, Pharmacists, Social Workers) largely due to the long wait to employment from the interview phase. Individual Human Resource departments have varying degrees of hiring processes which further frustrates potential employees. There is differentiation between different professions causing further rifts and resentment between disciplines. Depending where one is employed there are different standards of pay and limited growth potential. This causes good employees to leave when they have 'maxed out' their pay potential and most supervisors are so new they don't offer incentives for employees to stay. When I was a DOD employee I was rewarded for above and beyond performance. I still am to a smaller degree but management is often bogged down with so much administrative tasks that retention is overlooked. So vacancies persist and burnout is high. If a Physician, Nurse, Pharmacist or Social Worker can make more in the private sector there is little the VA can do to keep them. Add to that little if any professional development from management as they are typically only worried about their next promotion. It adds up to large quantities of Vacancies and poor retention. They ones who usually stay the longest are those who just do enough to get by further frustrating a good employee.