The docs shouldn’t have been showing up once they knew they weren’t getting paid.
Last year when I and a few docs refused to work after NES refused pay after a month of delayed wages this is what one of the older docs sent out via mass email:
"Your selfishness is going to hurt someone— and that person is Dr. *** (ED Director).
Plain and simple.
I sit back and just shake my head at how money has caused several of you to take a stance that somehow you think has any impact on NES. Well, it doesn’t. But it has incredible impact on your colleagues. It leaves your colleague who has been working for 12 hours straight- abandoned by your desire to not show up.
If this is your solution— you have certainly demonstrated how linearly you see your role in our emergency room. You have demonstrated how little you think about your value and the impact it has on your fellow physicians. You demonstrate clearly how self-centered you can be, that you leave it to Dr. Kong to try to find a solution to a real-world problem you created.
Where is your morality when you leave an emergency department for the other physicians and midlevels to try to cover the hole you left, while you sit at home taking your stance? Where are your ethics? Apparently it stops at the edges of the mighty dollar bill.
People, sometimes you are going to be caught in a dilemma, where your character is tested just as much as your will—this is one of those moments.
I know this is going to sound foreign to a lot of you. My promise to cover a shift is a promise. It’s about respect for others, its about service to a community of people that need the service, its about knowing these patient’s stories and their fears and their concerns and being the one person they hope to rely on. When I enter the ER to assume the responsibility as the physician of record, I represent myself, I represent my alma mater, I represent my training, I represent my parents and how they raised me, I represent my children and how I raised them.
—It’s not about you.
Now, go share your actions with the person in the mirror and your loved ones, how to act when you don’t get your way.
It’s chicken-****, and it’s unprofessional, and demonstrates your lack of character.
Dr. *** (ED Director), I thank you for every minute of every hour of every day that you have endured as the director of this emergency room, under such incredible pressures.
…and my name is Joe ***, MD."
This is the problem of division we face in Emergency medicine.