medical assistant

dermatology assistant

physician assistant

dermatologist

nurse

Advanced-Dermatology-and-Cosmetic-Surgery

Management and corporate do not care about patients, coworkers, or providers. Adcs cares about money nothing else.

Management are sociopathic they have zero empathy for anyone. Nothing you will be promised by management or corporate is true. They treat the patients like garbage. They double book and triple book patients only allowing a maximum of 4 minutes per patient scheduled and you will see over 100 patients every day. No communication from management to the rest of staff, HR is non-existent, and the culture is toxic.

I've never seen any job in 20 years have no morale because management and corporate are so awful. You will never get anything management promises to you. Everything is a lie, manipulation, and gaslighting. You will have a call center who literally does not do their jobs and makes your job harder everyday. They will force you to do a call campaign to bring in more patients however patients are deceived why they are being called to come in. You will not be allowed to leave until the schedule is full for the next shift. You will be forced by management to work 5 days a week with no notice no matter if you're part-time or full-time. Management allows certain employees to do literally nothing at work taking 6 months, 7 months, and even a year to have prior authorizations completed. Since management does not care if patients have their medicine.

They're looking to have MOHS surgery put in just to make more money while overcharging poor patients by scamming them each day. Management will tell you things like, "even if a patient does not want to be scheduled again schedule them anyways so when they miss the appointment we can collect a no show fee."

If you care about other people and want to go into healthcare to help others this is not the place for you. They will fire you when you are at the lowest waiting for your husband to have a heart transplant. They will not give you time off to have a heart Cath put in. They will not give you time off during your high risk pregnancy to go to an obgyn or a urologist appointment.

This company is greed manifested.

It's a shame as I met so many great coworkers here, but the turn over rate is constant. Providers are also lovely, kind, and knowledgeable. I look forward to working with the hardworking team members in another doctor's office as adcs does not deserve them.

This organization has ongoing structural and operational challenges that impact providers, staff morale, and patient care. Leadership roles within both corporate and office settings often appear to be filled through internal relationships rather than demonstrated qualifications or relevant experience. As a result, key decisions are frequently made by individuals who lack sufficient understanding of provider licensure requirements, scope of practice, and patient safety considerations.
Providers are routinely expected to manage high patient volumes with chronic overbooking and limited appointment times. These expectations make it difficult to deliver thorough, patient-centered care and raise concerns regarding clinical safety and professional liability. When providers raise concerns about scheduling, workload, or patient safety, those concerns are often not meaningfully addressed.
Additionally, there are inconsistencies in professionalism and accountability among some staff members. Disrespectful communication, poor work ethic, and behavior inconsistent with a healthcare setting have been observed and, at times, tolerated. This contributes to decreased morale, increased turnover, and a work environment that feels unsupportive and unsustainable.
Overall, the combination of leadership challenges, unrealistic productivity expectations, and lack of consistent professional standards creates a workplace culture that prioritizes volume over quality. Despite attempts to advocate for improvements in patient care and provider support, meaningful changes were not implemented.

What is the best part of working at the company?
The co workers and skin care advice. The employee discount was nice as well. You’d also get incentives for free botox/lip filler.

What is the most stressful part about working at the company?
The most stressful part would definitely be the terrible communication with patients. We are told not to give patients any information in regards to medical things for example prescriptions and just transfer them back to what they call the nurses line. Where the medical assistants are supposed to return their calls and half of the time they do not. They then come into the office where we have a high patient volume and scream at the front desk. While the office manager sits in her office with the door shut and can not be bothered.

What is the work environment and culture like at the company?
It is an unfair working environment. The office manager picks favorites and if you’re not her favorite, tough luck. Don’t get sick or need to leave early for a doctors appointment - it’s not allowed. The office manager would leave early all of the time to get her hair done and go golfing and deny time off requests for doctors appointments made months in advance. 

What is a typical day like for you at the company?
The typical day wasn’t really to hard. Answering phones, checking in or checking patients out. But some employees are expected to do more than other employees in the same role. When mistakes are made, you will be singled out not only in front of your fellow employees but patients as well. And not in a professional manor.

This company promises the world when they interview-PTO, paid vacation, yearly raises, etc. What they DONT tell you is the PTO accrual rate is abysmal, the paid vacation can’t be used for a YEAR, and the raises average around 30 cents a year. 

The management of this company is the worst I’ve seen. ADCS fired a slew of location managers, so managers are expected to oversee multiple clinics. At one time, our manager was overseeing SIX. CLINICS. We saw her maybe once every two weeks? How can anyone be expected to do their jobs when they’re spread so thin? 
As a result, there is little to no meaningful communication between employees and management. Training is a joke, and anything they do want you to learn you won’t be compensated fairly for. They won’t release schedules until the day before-sometimes, we don’t even get the schedules until the month has started. When I left, schedules were released by the week, and at the END of the day on Monday-so Monday people weren’t where they were expected to be, and no one told them about it.  They’ll text you an hour into your shift to tell you to cover at another clinic an hour away, and shame you when you don’t-in what universe is that good management? 

The entire ADCS business model is acquisition. They don’t care about their employees OR patients-they just want to swallow up more businesses instead of fortifying the ones they have. They push providers to take more and more patients, jamming up schedules and compromising the patient experience. 

For “employee appreciation week”, corporate sent us a coloring sheet. Cool.




I worked at ADCS for 6 years, and had 9 managers. I stayed at this company for this long because I was promised I would be able to climb the ladder in the company. I saw people come and go on a weekly basis. Management is very unprofessional and clicky.  The regionals lack empathy, and are constantly ignoring their employees and what’s best for the patients which should be the first priority. Raises are almost none existent and if you ask for one make it is in writing and documented and be ready to get down on your knees and beg(even though you have earned it) The harder you work, the more mistreated you will be. Patients are constantly calling to complain about management ignoring their needs. Employees are constantly upset with their work environment, the corporate headquarters and the regionals. It is almost impossible to get through to anyone at any clinic.  Longevity at this company is viewed as a joke. Don’t waste time applying for this company, and wasting your time thinking they will value you and your skill sets. If patient care is a priority this is not a place you want to associate yourself with this place. HR does not communicate nor do they care about issues that are brought to their attention. Management is extremely combative. Offices are very dirty. Unprofessional environment when we constantly have employees kids running around, even though this against policy is overlooked if your manager favors you. 

Working at Advanced Dermatology on the medical front desk was one of the most disorganized and unsupported work environments I have experienced. Training was extremely minimal if even, and employees were often expected to figure things out on their own while handling overwhelming workloads and upset patients. Management was rarely available for guidance or support, and communication throughout the office was consistently poor.

Staff were expected to take on responsibilities far beyond their actual job descriptions with little recognition, appreciation, or opportunity for growth. Breaks were difficult to take, even when genuinely needed, because the offices were constantly understaffed and overwhelmed. Favoritism seemed to play a larger role in advancement than actual work ethic or performance.

The environment became mentally and physically exhausting due to the lack of structure, high turnover, and unrealistic expectations placed on employees daily. Morale was consistently low, and many staff members felt burned out and unsupported. Overall, this company seriously needs stronger leadership, proper training, and better treatment of employees. If zero stars were an option, I would have selected that instead. 

If you want to work for a corporate money hungry company with horrible management then ADCS is the company for you. Management is an absolute joke. The company laid off location managers about a year ago so now each office no longer has a manager present daily. We are lucky if our “manager” comes to our location once every few months. There is absolutely no room to advance. You will receive less than a dollar an hour raise each year even though you constantly do your job and the job of others. Then the company wonders why they can’t retain employees. 

Did I mention they have a call center out of the country that constantly schedules appointments incorrectly? The company created a wonderful policy that allows them to double book patients if there is a no show the week prior. The call center schedules patients with insurances we do not even accept. In addition, they also offer medical advice to patients and make false promises regarding services we do not even offer at our location. These individuals are never held accountable for their actions and the company continues to stand by them despite the constant patient and employee complaints. 

The only thing keeping me at this office is the provider I work with and the good work life balance. Otherwise this company is a complete joke. 

What is the best part of working at the company?
Nothing, to be honest. Was the coldest hearted co workers I've ever had. Managed by favoritism.  Zero compassion,  judgment is immediately.  It literally was traumatizing after all was said and done. I will say the Dr.s are very good at what they do! Its the workers that present with the better than you attitude 

What is the most stressful part about working at the company?
I am a older person 48 to be exact. I came from a medical background.  But the cross over was harder for me. But, the worst part was I passed out at work. Immediately assumed it was drug related. Of course I knew the test would be negative as have been clean and sober for 24 years. I've never felt so belittled in my life. Not 1 are you ok? Did they find out what was wrong? The whole week that I had to wait for the drug test, everyone assumed it was drugs. Well... test was negative and I had a aorta problem.  Even after I left and they knew about the aorta situation not one person ever checked in. The reason I say they are cold hearted is exactly that! The medical problem is had was that seemed unbelievable. But, I've had the surgery at the Mayo Clinic and live to tell the story. 

What is the work environment and culture like at the company?
Favoritism,  poor, employees always complain esp when corp took over. Turnover was insane

What is a typical day like for you at the company?
Very fast paced but not as fast as veterinary hospital was.

Doctor trusts lead MA with majority of office decisions.  MA oversteps scope of her position, she has rewritten/changed my prescriptions, contradicted verbal instructions to patients. I believe she feels she knows the PA job better than the PA as she has been with dr for over 20 yrs.  She Does know a great deal about how This Doctor practices, she is very competent clinically.  She was unsupportive, disrespectful, and outright combative to me.   

PA sees vast majority of patient load.  Dr usually keeps to himself in his office during clinic hours.  Scheduled number of office visits can range 60-100 patients/day, average wait time for patients 2-2.5 hours.
  
Low pay $43-$45/hour
Great experience for simple excisions, basic closures and few complex closures, full thickness skin grafting.  Excellent experience using Accutane from simple acne to hidradentitis. Vast expanse of dermatologic and rheumatologic disease, much to be learned.  When unusual or interesting case presents, Dr will call you in and teach, great teacher. Very knowledgable man, fantastic memory.  He has always been there for consultation, always willing to answer questions.  Superb place for obtaining experience in skin cancer detection, you will see tumors here you will not see anywhere else in Central/Southern CA.  (7cm squamous cell my largest).

90% of your enjoyment will come from working for a great MD/NP/PA. Given that,  we make the best of the chaotic schedules and majority of our patients are always satisfied. None of us like being so ran down, but this is what comes with a specialized field if you don’t want a 6 month+ appointment wait for your patients. Management has improved greatly in our region and it’s made a noticeable difference. Plenty of room to thrive here with the right leadership. The required campaign calls can be a bit much especially if our schedules are full. but this is the new world of medicine no matter where you go; cold calls pressured by corporate. Overall I love my job and the staff has a great relationship with each other that often helps fight the never ending burnout. In a world where medicine is a major business, you have to find the right balance between earnings and patient care. Collectively when your office/region is performing well, you are at least compensated by increased hourly wages every year and with generous employee incentives like bonuses. They continue to improve and accept feedback on their training program for new hire MAs which has previously been our biggest complaint. I see a lot of positive growth from the company as a whole in the near future. 

Top Job Titles	Average Salary
Medical assistant 3 salaries reported	$15.33 per hour
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Nurse 1 salary reported	$45,000 per year

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