Vantaggi
Outstanding mission, providing comprehensive care for immigrant families, and for patients with little resources, who are unable to easily access health care services. Fantastic patient population, overall full of kindness and gratitude for the services provided. Frequent exposure to clinically complicated patients, affording the opportunity to gain multiple clinical skills, something not easy to find in most other settings. You can drive home every single day, knowing you made a real difference in someone's life. Extremely gratifying as a provider.
Svantaggi
Three wholly ridiculous dynamics: 1) Senior management is much more than out-of-touch; they're simply not interested in, and not qualified to, actually manage people. Laughable, in reality. They are primarily long-term, loyal soldiers, with little real accountability, writing and re-writing grants, and often openly disdainful (read: fearful) of many of the highly skilled, and committed staff who work here. Real communication between senior management and clinical staff is mostly non-existent, and insincere. 2) Mid-level management is a constant source of humor. Memos and emails often have glaring syntactical and grammatical errors, often with at least one hilarious malapropism, and are written in an often embarrassingly unprofessional manner. This group is seen by most as placeholders that useful to senior management, but, by no means, qualified to manage. 3) The Board of Directors cannot possibly be independent, as they have, many times, 'rubber-stamped" executive proposals and decisions, without actually investigating them, beyond listening to senior managers speak. Note to board: you are also legally responsible for the actions of your management team, if you have approved them. Note to board: see the previous sentence. Extremely imbalanced treatment of both clinical and non-clinical staff: we all know of a dangerous clinician or two who is "protected" and an amazing staffer who is targeted by senior management. Most clinical staff, as well as curent and former administrative employees (PRIVATELY), possess an extreme distrust of senior management. There is a common and widespread belief that something untoward and chronic underlies Salud's "audit service", an organization that seems anything but independent, as they have a very long-term relationship with senior management. Many, many current and former vendors (maintenance, IT, legal, accounting) will freely relate stories of immature and bizarre interactions with senior management, to the point of expressing shock that 'that's really the guy who's in charge? Really??"