● Corporate management is highly rigid and disconnected from clinical realities.
● Policies around timekeeping, scheduling changes, and administrative work are inconsistently communicated and unevenly enforced.
● Initiative and quality improvement efforts are discouraged unless explicitly pre-approved, even when they directly benefit training, workflow, and providers.
● Decision-making is top-down, with little transparency or meaningful input from physicians or experienced scribes.
● Progressive discipline is applied in a way that feels punitive rather than corrective.
● Do not assume your value to physicians will protect you.
● Even strong performance, physician trust, and demonstrated impact will not be considered if a corporate policy issue arises.
● Employment decisions, including termination, are made without physician input, with little consideration of the downstream impact these decisions have on provider satisfaction, continuity, and client retention, even when physicians explicitly value the scribe.
