“There were periods when it became clear that our hospital administrators or the people making the decisions in the hospital were not in entire agreement with what was going on at the municipal level or even provincial level … their frustrations came through to us and left a lot of the house staff with a lot of questions and I think some of those things could have shaken our confidence. [In SARS II] there was a lot of uncertainty regarding how up-to-date information was going to get transmitted to us … we felt in urgent or emergent situations like this [there needs to be] clear, decisive leadership, there should be clear flow of information from the top levels down to the house staff in an efficient manner, and I didn't feel like it was happening for several days.”