physician assistant

dermatology nurse practitioner

medical assistant

medical receptionist

dermatology assistant

Integrated Dermatology

The current work environment has become increasingly unprofessional due to poor supervision and a lack of consistent leadership. There is little to no accountability, and the workplace operates more like a "free-for-all" than a structured, respectful environment. Without clear guidance or standards, staff are left to navigate shifting expectations with minimal support.

Despite putting in significant effort and consistently carrying more than a fair share of the workload, that hard work often goes unnoticed and unappreciated. There is a noticeable lack of recognition, and the value of individual contributions seems entirely disregarded.

Additionally, the well-being of staff is routinely overlooked. Concerns related to stress, workload, and workplace dynamics are either brushed off or ignored altogether. Employees are left feeling unheard, undervalued, and increasingly burnt out. When people raise legitimate issues—whether about unfair treatment, workload imbalances, or emotional strain—the response is often dismissive, creating an environment where morale is low and trust in leadership continues to erode.

Without significant changes to how staff are supported, how concerns are addressed, and how leadership engages with the team, it's difficult to see how things will improve. This is not sustainable, and the current conditions are detrimental to both individual employees and the overall performance of the organization.
 And in case this wasn’t clear enough, the office supervisor and lead medical assistant supervisor are a joke and beyond uneducated for their position. And the constant belittlement from a few providers, is criminal. 

-Cassie 

Management was frequently unavailable when support was needed, yet quick to place blame when issues arose. There was a clear pattern of deflecting responsibility and protecting management errors rather than addressing problems transparently. Work–life balance was not respected. Employees were questioned about the reasons for using earned PTO, which created unnecessary pressure and defeated the purpose of having time off. Mistakes were handled in a punitive and exaggerated manner rather than through coaching or corrective guidance. I was terminated over an honest and correctable error that was mischaracterized as a serious violation, despite my strong performance and productivity. Morale within the department was extremely low, and concerns about leadership were widely known among HR and management. Overall, this was a toxic environment driven by poor leadership, lack of accountability, and disrespect toward employees.

Job Work/Life Balance - The job was easy. However, things that should take 15 minutes take hours because nothing is standardized. 

They'll move a deadline to close the books up several days but not explain at all how to get there. To save time you'll find yourself completely ignoring e-mails and phone calls. This is coming from someone who types on average 80 words per minute.

Job Security / Advancement - Your job is secure, for a while, because managers are incompetent. Managers don't review much and have no idea whats going on and only get involved when a customer complains. However, there's not much room for advancement. They would rather listen to new people then people with experience. As a result, the owners drag their feet in making decisions to implement new processes or purchase software. When the owners finally make a decision and they realize how inefficient things are run they'll fire half a department as they did with the billing department.

Management - Communication with employee's and customers is awful. They're not proactive at all. You can tell there was not much thought or planning in building the business. Not much due diligence seems to be done with on-boarding new practices or when they acquire a practice.

Job Culture - Some employee's and managers were great to work with.

Joining a "family-owned" company, I expected a nurturing environment with opportunities for growth. Instead, I was met with a stark reality: nepotism at its finest, where promotions and bonuses were fairy tales for those not sharing the company founders' last name.

This business, while outwardly promising career advancement and competitive rewards, operated on a simple principle: family first, merit second. Non-family employees, regardless of skill or dedication, were sidelined, their potential wasted on menial tasks while unqualified family members climbed the corporate ladder.

The company's practices were not just disappointing; they were deceitful. Talks of bonuses and career progression were bait, used to lure talented individuals into a stagnant pool of unmet promises. The harsh truth is that no amount of hard work would earn you a spot at the table unless you were born into the right family.

This environment bred disillusionment, pushing talented employees to seek respect and recognition elsewhere. The lesson? A "family-owned" label can sometimes mask a toxic culture where nepotism trumps talent, stifling growth and innovation.

I have been with Integrated Dermatology for over a year and when asked how I like my job, I honestly reply that I love it!  It is a fast-paced environment and there is never a dull moment.  The work is challenging and I feel valued by all members of the team.  In the short time that I have been here, our team has been empowered to implement changes and improvements that have now become a standard in the way we do things. The Executive Leadership Team lends an active ear to understand the needs of the employees and while it may take some time to make things happen, they do happen!  The company encourages the team to bring forth any issues they may be having and does their best to improve upon them.  Aside from all of this, we have some really cool perks such as a beautiful on-campus fitness facility, Food Truck Friday's, a Farmer's Market and a luncheonette place/cafe that has great grab-and-go food items! Integrated Dermatology also takes great pride in wellness initiatives so as much as we have many parties that involve all the goodies, we also have some heart-healthy ones, too!  Salary and benefits are competitive and management is always looking at ways to improve upon the employee experience.  I love what I do and I love the people I work with!

I was enticed by the promises of a company that pledged comprehensive support and revolutionary improvements. However, my experience quickly soured as I discovered the vast gap between their optimistic promises and the harsh reality. The support and benefits that were so convincingly sold to me were virtually nonexistent. My practice saw no material improvement, and the anticipated ease in managing operational complexities turned out to be a mirage. Efforts to seek assistance or rectify issues were met with apathy, leaving me to navigate challenges without the promised support.

This journey was a stark lesson in the disparity between promise and performance. The company, despite its grand assurances, failed to deliver on any front, leaving me to question the integrity of their operations. It became evident that their approach was more about talk and false promises, with little to no action to back it up. This experience has taught me to approach such partnerships with caution, reminding me that a glossy exterior often hides a lack of substance underneath.

2025- under new management. They moved coworkers around and made them managers, supervisors or assistant managers that are not qualified for the job. They have no idea what they are doing and can never give you an answer because they don’t know. Power hungry and nitpick about everything. Making it a hostile work environment. No one is happy. They sell you a dream but if it’s not in writing, good luck they will not honor it.  Managers will throw you under the bus to look good for upper management. But the next day ask you to do a task they don’t know how to do. But it’s something we do everyday in our department and they are the department manager.  They outsource most departments overseas and they don’t hold the overseas team accountable for all the mistakes they make. 
They don’t match 401k and medical insurance you pay for and insurance has a high deductible and coinsurance.  They took away Flex Time for only certain departments because it no longer meets the needs of the company. So, you work from home with no flexibility. And the favored departments get to keep flex time. 

This office was fast paced and always busy which is great to keep the day moving. We only offered clinical dermatology services specializing in skin cancer detection and removal. I loved being so hands on when it came to assisting the physicians with anything from mole removal to MOHS surgery. One of the best facets of my job was the patient interaction. I was very good at explaining conditions, options and educating them on procedures and wound care. The lead physician for the practice didn't exactly have a warm bedside manner so my patients always appreciated my efforts to explain everything to them and put them at ease. 

My only complaint was that some days I wished we had another MA to help out in the back but all in all, we managed.  The hours were long but honestly, building the relationships I had with my patients overshadowed any of the "cons" of working here. I would go back if the opportunity ever presented itself.

Doctors were great to work for however, staff members were hard to work with and not flexible. Good management of staff, but little flexibility with hours or vacation. Hardest part of the job was the demand of each individual doctor and the inexperience of other medical staff members. Each had their own style in the office and procedures with patients, lack of medical knowledge by management made back office duties such as medical purchasing for supplies harder and more time consuming. Most enjoyable part of the job were the patients and the teaching and education provided from each doctor. I learned a great deal from the doctors about disease specific conditions, pathology, cosmetic and dermatological procedures as well as outpatient surgeries.

The people who work on the corporate side who do not deal with patients seem to be quite happy and enjoy the ability to work remotely. As for being at an actual office, no. Severely understaffed because the company refuses to pay the standard wage for the job and therefore cannot attract applicants. MAs are overwhelmed by the amount of work they are required to do with too high of a patient load, receptionists are forced to do the billing department's job without the pay increase that comes with it, and physicians are encouraged by corporate to rush patients out the door to see as many as possible a day. While the physician and coworkers dictate the day to day feel of an office, corporate and management frequently implementing new policies that do not make sense, mandatory overtime, and constant criticism by those who do not know how to do your specific job causes so much stress that the high turnover rate is no surprise.

Top Job Titles	Average Salary
Physician assistant 145 salaries reported	$172,124 per year
Dermatology nurse practitioner 138 salaries reported	$173,551 per year
Medical assistant 2 salaries reported	$21.00 per hour
Medical receptionist 5 salaries reported	$21.50 per hour
Dermatology assistant 1 salary reported	$19.00 per hour

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