Going the wrong way - Advanced Provider NCH Employee Review

I feel like the PA/NPs are being pushed out and management feels that residents will take over. There’s a complete disconnect between management and front line workers. Speed is everything and quality means nothing. Your opinion will be given to you. Don’t bother to offer any ideas that don’t fall in with what Admin wants to hear. You are expected to work almost every day and not take any vacation time because that cuts into your productivity which then drops your salary.