The characters all mispronounce the name 'Scannell' as 'Ska-nell'. The name is an anglicized version of the Irish 'Ó Scannail' and is pronounced Ska-nil (like 'panel')
Julie threatens to report her supervisor to the AMA (American Medical Association) for suspected mental illness. As a professional association, the AMA does not handle malpractice allegations or other "fitness for duty" concerns. Julie would need to file her complaint with the Pennsylvania State Board of Medicine, which has the power to discipline, suspend, or revoke a physician's license to practice in the state.