My doctor’s family practice is currently under the University Hospitals system. The office staff and nurses at my doctor’s old location were so friendly, efficient and professional. The staff at University Hospitals’ North Royalton location are young and inexperienced, cliquish, openly gossipy, impersonal, and very rude and unprofessional. It seems staff are randomly assigned from a secretarial pool. The young nurses too are distracted, inattentive and appear bored and openly disdainful towards patients. This has never been my experience at the Cleveland Clinic or other locations. It’s unfortunate that my excellent doctor is under this poorly managed system. Billing and appointments are handled separately, and errors in scheduling are common occurrences. I now dread visits and am prepared to change doctors.