[bgroat]

I'm not an Orson Scott Card fan generally, but I LOVED his Shadow Series (the world of Ender's Game from the perspective of Bean).

In one of the books in the Shadow Series Bean explains his leadership style as:

"I will always explain why something is important, and why we're doing it this particular way... The reason for this is that if we ever find ourselves in a situation where I CAN'T give orders you know what I prioritize and how I might think of something... furthermore, if we're in a situation where I CAN give orders but DON'T explain you will understand that it's simply because I do not have time, but presumably have good reasons, and will proceed to immediately execute said orders"

It appears this emergency room operated in a similar capacity