MD yelling and tantrum does happen occassionally here in the midwest. I know more than one nurse with a story. However, when it happens repeatedly, it needs to be addressed. I quit a job once for this very reason; the stress was just too much. A few months later the office manager called back and said that the MD promised to quit yelling at me if I'd come back for a $5/hr raise. I gave it another shot, and I was treated me much, MUCH better. We get along great to this day, and the MD is on my resume as a reference.
That said, he still treats the rest of the staff the way he used to treat me, because he knows they won't stand up to him, that they have mortgages and bills, so they can't just up and quit. They put up with it because it is good money and they like the patients, eachother, the job, etc...
But if he can change for me, he can change for them, yet he chooses not to. And it's sad, because he has the greatest team of hardworking, self-motivated staff in his employ, and he completely takes it for granted.
Anyway, a bit of a tangent, but that's my