Very Good patient care, under educated middle management, old written policies and procedures, too much of a closed system re: supervision.
Pros: many aspects of the environment, desire of many to provide excellent care, some wonderful doctors.
Cons: perceived management style, lack of professional work space, closed environment.
A typical day at work might include, but not be limited to: Tx Team meetings, phone and paper-work, patient meetings, consultations, individual therapy, family meetings, group therapy, etc. Roles and rules of various professional disciplines often seemed skewed due to power issues both personal and professional. Communication styles often appeared greatly – more... affected by power/position, need to control others and perceived level of responsibility within the hierarchy of the treatment team. Policies or lines of communication were not overtly clear, and peer support was not generally emphasized. Verbalized perceptions were not necessarily in keeping with level of education or realm of expertise of any given team member. Questions posed, seemed to be seen as signs of failure rather than a desire for greater knowledge in any given situation. Again, verbalization of, clarity and increased education around policies, roles and rules might have been helpful. The general atmosphere was one of covert stress and competition rather than overt communication and peer support. Written policies and procedues were old and did not reflect the current types, or amount of work required, nor did they take into consideration the time limitations imposed by the reality of insurance concerns. Therefore, any given individual, at any time, might be found at fault, when compared to his or her current written job description/expectations. This disparity seemed an acceptable means, within which to met out discipline, by some managers and could evoke an enormous amount of stress, conflict and distrust between all employees.
I learned that, given the right situation, scapegoating is still well and alive amongst professionals.
Many middle mamagers seemed poorly trained and ill equiped to provide guidance and support to individuals working within a hierarachal system. Managerial styles tended to be fault- finding and punitive, rather than informational and systemically or contextually oriented.
Co-workers seemed often to turn to criticism and back-biting as a means of self protection and increased self-esteem.
The hardest part of the job was working with peers in what felt like an secretly unsupportive, critical/fault finding environment.
The most enjoyable aspect of the job, was working with some, therapeutic team members around an individual and his or her support network, and having that individual get better! – less