My experience with Sutter has not been the most favorable. The management team in my department uses favoritism and lack of communication on a regular basis. I have witnessed employees being treated differently based on likes/dislikes of said employee by the management team. Being a part of that management team has been difficult as I do not agree or adhere to their "guidelines". Employees should be evaluated based on performance not on whether the supervisor or department manager "like" that employee. In addition, there were several occasions which important information was excluded in communications to me specifically, this has made preforming my job duties quite challenging. Coming from an environment where communication is key in Emergency Medicine, this behavior has been quite disconcerting and has motivated me to start looking elsewhere for employment, in addition to my passion for patient care, in particular emergency medicine and respiratory care.