The "Hands On Physician"

this is a natural response to giving someone power unjustified for their degree of training.

It is the same root cause giving “specialist” NPs (eg. cardiology NPs, orthopedics NPs, neurosurgery NPs, etc.) such hubris that they feel they have such superior clinical acumen and bedside manner so horribly lacking among the evil and lowly primary care doctors.

Only when mid-levels have true liability will they even come close to understanding; and that point isn’t far away, with the inevitability of the expansion of minute-clinics.

http://docsontheweb.blogspot.com/2007/06/whither-generalist.html

My response would have to be “Good riddance! Thanks for quiting before I fire you!”

As a physician I too have done everything there is to do to keep a clinic going, including cleaning up. I was taught that getting the job of healthcare done is entirely my job–everyone else who works there is there to fascilitate that–and there is no room for “It’s not my job.” If it is needed to get the patient care, the ultimate responsibility for getting it done is mine. I was taught that is the fundamental difference between being a physician and any other member of the “team”. Having said that, I am not going to have anyone working for me who finds any task needed for patient care “beneath” them.