registered nurse

research assistant

patient representative

clinical research assistant

postdoctoral fellow

Boston Childrens Hospital

The typical day started at 7:30am, the work place was quiet with only a few surgeons in the office and l did all my planning of the day to day to do list, checked my emails, and my calendar and got ready for the day before 8:30am when most of the employees started coming in. At 9am had a one on one with my supervisor if he was in his office that day to make sure that there are no emergencies that day or change of plan or unforeseen tasks, then after l would check in with staff and proceed to a meeting. Around 12noon, l would break for lunch if time allows, after, work on the project(s), email or arrange a few meetings, and around 2pm another meeting, and around 3pm take a walk for 10mins to move away from the work station with my colleague while discussing some way forward to improve the project and exchange ideas. Check in with other staff members and then lastly with my supervisor if he is available and lock up around 4-4:30pm to beat the traffic home.
I learned that when you start the day early you are fresh and can accomplish a lot and also having breaks between work is vital for your success and sanity. Management is there to help you work out what you need to achieve and if you are tactful they can support you personally and financially especially if you are dealing with projects.
Your co-workers are the best allies you can get at work if you have them on your side, team work becomes easier and they can help you in one way or the other.
The hardest part of my job at was commuting and the fact that l spent a lot of time in traffic - it was frustrating thinking that l would be doing my work or doing something more cost effective.
Working on different projects and improving systems like re-organizing of the clinical operations was challenging but very interesting and rewarding. The change that was beneficial to both admins and surgeons and other clinicians was great it gave me job satisfaction and quality improvement is exciting to undertake and when it happens its a joy.

The best thing about working here is, of course, the patients and their families. The worst is the lazy incompetent management and the nasty nurses and counselors who populate the unit. There are a few good nurses and counselors but they’re mostly shut out of decisions and the old-timers rule with their evil criticisms of patients, families, and other staff. What kind of hospital promotes a horrible low-level management nurse by telling her she first has to get her BSN and then creates a brand-new overpaid level III position for her after she completes on online degree? I learned that management does not have your back, that mean nurses who kowtow to management get promoted, that patient care is the least important thing, and that as a teaching hospital, BCH only teaches doctors. There is no education on our unit because management forced the education nurse out, after rejecting all of her teaching ideas for several years. The unit is dangerous, many staff have been assaulted and injured by violent patients. The security guards are wonderful and often vilified by the nursing staff even though they’re the ones who have our backs. The head psychiatrist doesn’t ever visit the unit even though he’s in charge of it. The unit exists purely to train doctors about managed care, which means doing the least possible for the patients and their families. If you advocate for patients and families, expect pushback from management. Oh, if you’re curious about maternity leave, there is none. This is a children’s hospital and there are no maternity benefits! Expectant moms have to use all their vacation time and short-term disability in order to get three months with their new baby. So much for great benefits. This is absolutely the worst and most dangerous unit I’ve ever worked on. BCH is a terrible employer. Management will ring nurses dry asking for people to work extra shifts, then make sure they try not to give you overtime. And now BCH has removed an hour of night shift’s shift differential as a way to take more money away from nurses.

The greatest part of being a medical transcriptionist for a world-class hospital is that you are always learning and challenging yourself.  Exposure to the latest in medical conditions, tests, procedures across all specialties and the language variations of non-native English speakers among the hospital's immense staff requires adaptability and attention to detail in order to interpret and research unfamiliar content. 

The best of both worlds, being an independent contractor transcriptionist offers ultimate flexibility and independence. I can work on my own schedule from the comfort of my own home, yet have the security of an off-site department manager who provides feedback and communication with hospital and medical staff if/when necessary.

Typical day: Log in, access the work pool via Fusion Desktop. Open, edit or transcribe documents matched to dictation voice files, ensuring accuracy in format and content. Upload completed documents, ensuring efficient turnaround in keeping with department objectives. Able to access up to the minute production rate and line count.. 

The flexible nature of the position is both the biggest pro and con. The availability of voice files in the work pool dictates your ability to complete work; thus, regardless of whether you've met your quota, the lure of adding to your line count is always there in the back of your mind. It is easy to think "I could/'should be working" even if/when you have completed your line quota. Conversely, if the work pool is empty (rare) and a line quota has not been met, the ability to meet a quota is out of your hands.

My role was taking care of administrative tasks for multiple doctors. While directly working to help children was fantastic, the downside was working with parents.

Because BCH is in a constant rankings battle to be the #1 pediatric hospital in the country, patient satisfaction is a priority. This unfortunately does not mean healing more sick children, but typically letting difficult and unreasonable parents get what they want while mild-mannered parents accept second class status. Doctors, nurses, and admin staff are all affected by it. For anyone working in outpatient services, this pattern gets tiresome and causes serious burnout for admin employees, with some departments seeing very regular turnover. Management was not helpful, many administrative workers barely meet their boss' boss.

Fringe benefits were truly great, but compensation is low across the board, especially considering what many make at other hospitals. Raises are typically frozen to a low maximum, max allowed was 2.5% annually during my tenure. There is a lot of rhetoric about how easy it is to work your way to higher admin positions, but too many ambitious people are hired at low levels to actually advance them all. Less than 10% of the admin staff I worked directly with are still at the hospital. Many leave for better opportunities elsewhere.

Jobs are typically very secure, which is a relief, but unfortunately also means a number of incompetent employees are littered throughout the hospital and show no signs of ever leaving. This makes many tasks much more difficult to accomplish than they should be.

My review of this job/ company isn't completely fair because I only work there for 4 months and was an intern in the kitchen but I will be honest with what I'm about to say. When I was there most of the people I worked with were absolutely wonderful but there were also quite a few that made the entire place toxic. You would have one person that would constantly cry about not getting help and the managers would just make me stop a more important job to go help. You also had workers that wouldn't care about anything what so ever and not once were these people talked to. Now the management was just a complete train wreck waiting to happen due to no communication between each other and part of that is because 1/2 the managers are hired by the hospital and the other 1/2 was hired by an outside company and there was always beef between them for it. Now I know this is a lot of bad so here's a bit of good. The hours were great except for being super short staffed that you would end up with a bunch of overtime which for some people isn't a bad thing. Another good thing is that some people may like is that it's fast paced and there is always something to do. The location is great for almost everyone and the do provide free shuttle to and from the train station and discount train passes that come straight out of your paycheck. Now my last note on this is that it's been a while since I was employed there and have found out that most of employees and management have been overturned so this could be completely different now.

I was so excited to work here with all of the high praises from all over the world to now being the worst hospital for children it’s gotten so toxic and bad parents yell at employees more than thanking them for the work we are able to complete it’s not fair it’s not right when it’s not our fault, the employees who do come to work are not valued, you would think employers would be more understanding after COVID-19 but it seems like nobody cares or is doing anything. Management is lacking in all areas of the hospital from respecting its employees to handling overworked mental health their employees who do show up for work and keep things running. The management staff DO NOT SUPPORT anyone but themselves not even the supervisors who work with them management will interview you for a position professionally just for them to be unprofessional through your whole career. The management team needs better training that’s updated for todays society what’s been done for so long in the past is what made the hospital lose its title, the hospital is so outdated they are now joining the Epic system. The management teams should understand the smaller roles is what makes the bigger roles thrive without us smaller roles there is no Boston Children’s Hospital eventually and sadly things won’t get fixed unless a new children’s hospital comes along and takes all of the great patients their families and friends, employees who care and really want to make a change. 

Many of the coworkers are great to work with. The team has a great unified culture and most make an effort to smile and maintain a high level of positive energy. Parties are frequently hosted for other staff members and physicians at the hospitals expense. Great autonomous team spirit.

However, this is a fast-paced, high-stress environment with poor management that cycled between hands-off and micromanaging. Supervisors never have your back when stressful situations arise. Physicians never accept responsibility for errors and the heat falls squarely on the employees. Work is given with little practical training on how to implement it. More work keeps piling on endlessly and employees are expected to stay late to finish a never ending list of duties without overtime pay. Workers are treated as robots rather than human beings. Focus claims to be on teamwork, but workers are frequently undervalued and little respect and consideration is given to individual needs causing workers to be pitted against each other when called to account. Small breaks throughout the day are frowned upon as one is expected to work until burning out. Little to no opportunity for advancement.

Definitely not a place for long-term employment

•	Responsible for the dividing of two healthcare institutions, one a large hospital and the other was a radiology diagnostic outpatient centers. Boston Radiology Hospital a 375 beds medical unit now Children's Memorial Hospital cares for the most critically ill kids. In fact, our Case Mix Index (used as a severity measure) shows we are one of the country's top five children's hospitals who consistently care for sick children. Day to day functions hardware, software and personnel related to all system platforms, communications and infrastructure, including applications and network services, end user support, VOIP telephony and legacy systems support. Software application, languages: PHP, CSS, HTML, MFC, COM and memory management Tools: Visual Studio, Eclipse, Image Processing and, DICOM. designing and implementing user interfaces declaratively.
•	We invested nearly $1.5 million dollars in the New IT Technologies to benefit our programs and community, including $10k in charity and uncompensated care for children on Medicaid, in fiscal year 2003. Dealing with RFPs for the entire company.
•	Navix Imaging, Inc. is a $102 million dollar company with over 1000 end user environment and 75 Win NT, 2000, 2003 Servers over global networks including 25 branch offices covering the eastern sea border.

Most of my day was sitting at my desk, organizing a special spreadsheet full of fake patients and fake records that I had to update or correct. The reason for that was to test out the hospital's mobile site, so I also had to see and learn how everything functioned on the website site and mobile app.My supervisor sent certain JIRA cases to me to figure out what  was working or what needed fixing. Occasionally I had to fix some laptops by either resetting them or updating them to current settings. I was allowed to attend Tuesday meetings where I also learned what each team was in charge of and how they organized with each other. The enjoyable part was being able to work peacefully and quietly, whenever I had a question my supervisor made sure I understood everything and so did the rest of the team. I did not find any part of the job hard, although I sometimes did have a lot of downtime.

In my experience, this role involved managing a very high billing workload with insufficient staffing, unclear expectations, and inconsistent guidance from leadership. Over time, I observed practices and directives that raised serious compliance and ethical concerns related to billing workflows and documentation standards. When concerns were raised or clarification was requested, they were often dismissed or inadequately addressed. The work environment felt reactive rather than supportive, and accountability was unevenly applied. While the hospital’s mission is important, operational practices within my department did not align with that mission. The most difficult part of the job was being expected to carry significant responsibility without appropriate safeguards or support. Overall, my experience highlighted systemic issues rather than isolated challenges.

Top Job Titles	Average Salary
Registered nurse 8 salaries reported	$49.38 per hour
Research assistant 20 salaries reported	$45,525 per year
Patient representative 12 salaries reported	$23.82 per hour
Clinical research assistant 6 salaries reported	$48,750 per year
Postdoctoral fellow 4 salaries reported	$67,500 per year

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