Bullying Degrading colleagues Ridicule for collaborating with other clinicians Initial Evaluations in 30 minute appointments Over-utilization of physical therapy aide/tech Poor communication with management Poor scheduling High turnover in staff High cancellation/no show rate with patients High allowance for late patient arrivals (consistently) Poor consistency in Re-evaluations, discharge notes Little to no staff meetings Unable to vocalize concerns without ridicule Unhealthy environment with regard to “compliance/code of ethics/morals” in office with patients and with colleagues/staff Poor time management on staff (always late) No paid time off, NONE. Hourly… if no patients- clockout or do your other colleagues patients Relationships with management and higher level admin is apparent- no where to turn with concerns… no confidentiality