I truely believe that it is site specific. Our head of medical is a micro manager! She will not let anyone else help with the schedule and gives our DON no credit or real responsibilities.Our head of medical does not care if you have a life or children or anything else. She actually tells you that even if you have the time "you can not call in, I do not have anyone to cover your shift." People have vacation time and can not use it because of no coverage. Funny thing is she can take a vaction.