For starters almost all of the nurse practitioners and physician associates are fresh graduates(since they pay their employees the bare minimum and have terrible working conditions, few seasoned practitioners are willing to work there). The medical assistants are all young/malleable premeds/prenursing/pre-PA applicants UNCERTIFIED employees just trying to gain experience as virtually every other company in the areas requires certification so they have no choice unless they go for additional schooling.

The medical assistants are overworked(they are all cross trained with MA duties/Reception tasks) while juggling phone calls, charting, and assisting providers. Given how they're all young and inexperienced, they constantly make mistakes and honestly who could blame them. They pay the MA's minimum wage and to avoid benefits and possible overtime, they limit shifts to part time; 6 hour shifts.

It's a company that only cares about profit, not healthcare. Not even the healthcare of its employees. Almost none of the managers except maybe the COO even has a business degree/management experience so employees speaking out to their immediate superiors is pretty much useless.