I guess these are the products of the fly-by-night “medical assistant colleges” that you see advertised during daytime television. They are diploma mills, mostly paid for by education grants from taxpayers.
I dropped by my local medical center to change my phone number so my doctor could send me texts.
The woman at the desk who took my info had fingernails so long that she could barely type the changes one character at a time by slowly pressing the keys with the meaty part of her fingertip, being careful not to scratch her expensive nail ‘art’.................