If you’re on a rotational call for indigent patients or patients without a doctor, how would you feel about having to see a patient in the ED whom you had dismissed from your practice?

"Although I would not choose to see this patient electively under non-acute circumstances, I would follow policy and accept him or her without any personal asides to the patient. An acute cardiac event doesn't lend itself the luxury of picking or choosing by the patient or the doctor. If the situation allowed and the patient chose not to accept me as his or her doctor for this episode, I would call the Patient Advocate and arrange a consultation with the patient to remedy the conflict."