Clinicians unsupported despite strong mission
Pros
Remote work structure that allows clinicians to work from home four days per week. Flexibility that reduces commuting time and supports work-life balance. Access to a fully virtual model of addiction care that can reach patients who might otherwise struggle to obtain treatment.
Cons
Poor leadership culture and lack of clinician recognition. Medical providers receive little to no acknowledgment for their work, which harms morale and retention. Unpredictable layoffs and job insecurity. Workforce reductions have occurred suddenly and without adequate communication or rationale. Financial instability tied to rapid expansion. Growth has often been prioritized over operational readiness, creating downstream risk for clinicians and patients. Failure to meaningfully listen to providers. Leadership has repeatedly moved forward with decisions despite clear clinical concerns, including bridge models without patient encounters. Top-down decision making disconnected from clinical reality. Many operational choices feel misaligned with day-to-day patient care and workflow. Excessive nonclinical administrative burden on prescribers. Time spent on documentation and logistics detracts from quality patient care. Unclear or shifting productivity expectations. Metrics and priorities change without sufficient transparency or planning. Inconsistent workflows and processes. Frequent changes create inefficiency and clinician frustration. Limited support and mentorship for prescribers. Especially challenging for newer NPs in addiction medicine.
