As a site coordinator, it was very frustrating with the amount of responsibility I had to keep the doctors happy yet had little to no power to allow that to happen. When something goes wrong, all fingers are pointed to the scribes or site coordinator, when it was always a management problem to begin with that the scribes and site coordinators were doing their best to manage while also going to college. I understand why scribes were put in management positions, because we were the only ones who truly understood how things were going on in the ED and don't think thats the problem like other reviews have said. However, it seemed like the company was only focused on growth and getting more contracts, instead of fixing the things many of us repeatedly told them were a problem. They promise doctors scribes that could do it all immediately, then expected us to be able to train them in 3-5 shifts and then just learn the rest as the go. It made the doctors not trust the company at times when the promises weren't followed through. I will say the doctors were part of the problem very, very often due to personality differences or expecting more than a college kid could learn in a short amount of time. Some simply don't have the patience to also put in the work on their end to make the scribe program work well at their facility. They thought they were going to be handed perfect scribes and never have to teach anything. The scribes are the business and the training wasn't adequate enough to keep the doctors happy while trying to scribe/train at the same time. I requested many times to allow scribes to train for a month OR MORE. That sounded crazy to them, and I understand it costs money...but when a scribe got a complaint from a doctor because we trained under their guidelines, it was the site coordinator's fault. Lots of pressure to do your job well but never given the proper resources to really make it happen. When I did have great scribes, I would lose them due to low pay once they graduated. It was sad because they were my best scribes and wanted to keep the job while applying to med school, but couldn't stay on that kind of pay and still afford to live so they were forced to move back home to their parents while trying to apply to med school. Keep in mind these were scribes who had more than earned a raise, but I was always told giving raises was just too complicated for upper management to handle individual pay rates. I understood that it was all a lot more complicated than it seemed, especially in the ever changing department of the emergency room, but it just felt like a lost cause and I got extremely burnt out. Doctors wanted all the scribes to be as great as the ones who had worked as one for a while, and there was no way to get scribes to that level of efficiency while understanding just as much as a doctor. I had really considered staying with this company long term, but after seeing so many co workers who had been very loyal to the company get fired for one reason or another, that scared me away. There were too many processes that relied on everyone doing their job perfectly, and as soon as one person got lazy it would ruin the entire chain below them. I say this with only respect because I really loved the company and cared about it, but it was really saddening to see how many others had the same passion for the company but didn't trust that changes would be made and ultimately left for something else. I think ultimately the amount of time and effort it took out of an individual to make the company great and work well took way more than they were able to pay for and I'm not sure what the solution is to that.