Pros
• No nights, weekends, or holidays.
• Some truly incredible MAs and nurses who support one another despite the circumstances.
• A chance to serve women’s health patients across a broad spectrum of needs.
• Smaller-practice environment compared to a hospital, which could have been a positive if leadership supported it.
Cons
• Extremely high turnover: more than 65 people in the past two years, leaving departments perpetually short-staffed and disorganized.
• Severe micromanagement and petty leadership (e.g., logging out of phones/computers for restroom breaks, strict clock-in monitoring, constant policing).
• Inadequate training; new hires are left to “figure it out” while providers expect you to already know their extensive, individual preferences.
• Raises are denied, pay is well below local RN market rates, and there are no incentives to perform well.
• Gossip is rampant; staff morale is low because management constantly overlooks or mistreats good employees.
• Pregnant employees receive only 4 weeks to recover if under a year of employment, and those unable to return at 4 weeks are terminated.
• PTO is subpar (1 week in year one) and slowly increases every 12 months with capped leave without pay.
• RN role is more clerical than clinical — primarily secretarial tasks (sorting faxes, referrals, scheduling, phone calls, prescription refills, lab results) with little true nursing practice.
• Unsafe clinical practices observed, including unmonitored interventions and limited patient evaluations, with nurses expected to defer to ED rather than provide comprehensive care.
• Some providers discourage direct questions, insisting staff rely on peers or protocols, creating unsafe and unsupported learning conditions.
• Management changes have only increased micromanagement instead of improving culture.
• Practice administrator and certain providers foster a culture of intimidation rather than support.
• Two-week notices are not honored; resigning staff are often pushed out immediately.