The job title and description did not match the actual role. The advertised responsibilities included calendar coordination, meeting support, and ordering office supplies, but the actual position was primarily front desk work such as patient check-in, payment collection, and consent form processing.
The schedule communicated during the interview differed from what was enforced after hire.
Workflows were often inefficient, with manual processes required where automated tools were available. Suggestions for improvement were generally not acted upon.
I also experienced situations where feedback was delivered without the opportunity for a fair discussion, and where communication from management could have been more professional and supportive.