Not to speak for womp, but his post seems to be more of a reaction to disrespect from resident to EM attendings. As a resident, you owe a certain amount of respect to any attending from any specialty. Obviously, this is not absolute, but nonetheless these interactions should be approached with respect and collegiality. As a resident you should be cognizant of the need to be respectful to attendings and also to the fact that in EM in particular, there is often thought given to where you are physically and where you are in time. As an EM resident, I am reminded by attendings to give a "heads-up" to specialty or admission services when it is coming toward the end of their in-house shift, so that they aren't surprised or requested for consult once they are in their car. When we can, we will delay a consult or admission so that the oncoming resident from the service can take it instead of the off-going resident. Or, we are a little more lenient with long delays for response to admission/consults. There are policies that could make non-EM residents lives 10x worse if we strictly enforced them, but we don't because it's not usually necessary. Of course, we can't always do what is convenient for someone else. Labs and imaging results are not reported based on what is convenient to you and patients do not present at a time that is convenient to us or you.
Medicine is 24/7. Your and our responsibilities do not diminish at night or on weekends, no matter how much you or I want that to be. It is stupid and archaic to expect a hospital to be run differently at 3am as opposed to 3pm ,or on a Saturday as opposed to a Wednesday (yet, based on schedules and services in-house, most in medicine want medicine to be M-F, 9a-5p, despite that it never has been and never will be). Never forget that the specialty of Emergency Medicine grew to not only improve care for patients, but also to make lives EASIER for general practitioners and specialists alike. There was a time when the ER was a place YOU would get called to just to see a patient of yours primarily (as in an RN would assess the patient and then call you to come see them). Or, maybe an intern or 4th year med student would see the patient on your behalf without any attending oversight. Or, you would get a call at home from one of your patients and you would tell them to meet you at the ER, where you would see them. If you weren't available, then hopefully some other doc would come see them. I had the privilege of speaking to one of the pioneers of the EM specialty (a pediatric surgeon who began practicing in the late 50s), who at one time was the ONLY physician regularly assigned to the ER when he began practicing at a major academic hospital. He only worked one night a week. There's a reason why he ended up founding one of the first EM residencies and became one of the major influences upon the specialty's foundation. And he wasn't the only one who saw the horrendous organization and care of patients in the ED by physicians who were not dedicated to such care. It was internists and surgeons who saw the need for EM to be a specialty. Unfortunately, the physicians who practiced during that time are a rarity now. We could all use some historical insight, because it would certainly help us all to better appreciate what we have and why we have it, for better or worse.