A case study used focus groups to examine employee attitudes and concerns. Subjects, about 60 employees and managers of a major university teaching hospital in the southeast, were formed into 4 focus groups to discuss their attitudes. Employees hoped that management would use the information gathered to improve the communication environment and morale. There was general agreement as to the uniqueness of working at a teaching hospital, but frustration caused by the sheer volume of work and ceilings placed on salaries at such a hospital. Results from the employees were summarized using the following categories: opportunity for achievement, recognition, the work itself, responsibility, opportunities for advancement, growth, company policies and procedures, supervision, working conditions, relationship with peers, and communication. Results also indicated that managers were more intense concerning the issues they raised than were the other employees; felt strongly about their mission to provide good patient care; and were concerned with lack of communication with the administration of the hospital. (RS)