Today at the ED, an attending brought his kid into the ED for viral syndrome. Well, we usually have those foam-dispenser outside the room. I used it before I walked in. When I was about to start the exam, he was like, "aren't you going to wash your hands?" I replied, "I used the foam outside the room" He said, "Well, I didn't see it" I further explained, "that's how I was shown when I was doing my peds last month and I religiously use it before I enter the room and after I exit" He said, "Well, I didn't see it" I mean, I just got off an AI at the Children's Hospital and that's what we do. Foam in and foam out. None of the attendings and residents wash their hands after they use the foam. Is that not a standard practice?