Hi! I work in a 36,000 visit a year 17 bed ER. This time of the year, as in most ER's I'm sure, we are especially busy with pediatric cases and geriatric pneumonia cases, etc. Even the busiest days can run smoothly depending on the doc that is there. We have a couple of fantastic ones on days. They see patients quickly but efficiently and for the most part completely have trust in their nurses. Days like today are another story. We got so backed up because the day doc was moving like pond water. He saw one patient at a time, all day long. People in my trauma beds had been there at times for almost five hours before being seen. I'm sure most of you know how frustrating it is to know that more could be getting done, but isn't because the doc is taking his sweet time getting with it. How do your docs rate? And how do you deal with the "tortoises" in your ER?