Feels like you run your own clinic..... until they start to micromanage.
Too many changes without getting input from providers.
Less and less treated as professionals but rather like "employees". You will be punching a clock.
Company keeps growing at the top while diminishing support at the bottom. Sadly, NPs are near the bottom.
While scope of practice is limited, they keep adding services to bring in money. This is fine except that they don't work in the actual setting and have an unrealistic view of what will succeed and how to make it succeed.
Too many new grads who don't know enough yet to practice independently.