I understand where you're coming from...We have an ER doc that runs our ER from a state in New England(sigh) ..our ER is in the Midwest..he works like 10 days then leaves for the rest of the month...How effective is this? You can't reach him when there is a problem...or he calls back 1-2 days later on his cell phone and then says "sorry cant help you with this". He is condescending to patients, new staff(the older ones dont let him get by with it), he has run off several good doctors all because he is greedy, He is intelligent and can do the work but sometimes prefers to surf the internet instead of see patients while on duty, he has been caught in lies but still he is administration's "golden boy", our ED's reputation and care level has decreased since he took over. However, I am a true believer in what goes around comes around and believe with the occurences of the past week things may change. We had an elderly female come in the other night having a severe allergic reaction..her tongue was twice the size it should be, she was drooling, he was informed no less than 8 times that this pt needed entubating, he yells "give her the drugs" which we had as well as we had the entubation cart ,an extremely reliable RT(he wont let the rt's entubate, he prefers to do it himself), it took him 55 minutes to see this patient by which time the primary nurse was yelling for help NOW, ofcourse, the patient was past intubation, too much swelling, he attempted a tracheotomy, she began bleeding profusely, unfortunately the patient died, we were crying and all of us had trouble sleeping that day, everything was documented as well as the nurses having private documentation of their own to CYA for a later date because I am sure this will come back to bite "someone" on the a**, as the coroner on arrival was very upset and even took photographs, I have no clue as why he did not listen to us, the Ed was busy but by far she was the most critically ill pt there at that point, he on most occasions(however I do recall telling him several times once that a patient was in Myasthenia Crisis and he was slow to respond..the pt was entubated as soon as she was seen by her neurologist) has listened to us but unfortunately for this pt he did not and it was made clear to him over and over the gravity of the situation. This situation may atleast open some eyes and hopefully change some things but it is a pity it had to happen at all.