One of the more challenging aspects of the initial round of vaccinations is deciding who gets the first doses of a limited supply. The need to have a functional medical system in the face of an out-of-control pandemic has meant that most places have prioritized doctors and nurses who provide most face-to-face patient care. But an apparent failure to prioritize those caregivers at Stanford Medical Center has caused many of its doctors to stage protests today.

Ars received a copy of an open letter sent by the Chief Medical Residents to the Stanford administration that outlines the problems that sparked these protests.

In the US, a residency occurs after the completion of medical school, and is a requirement for the practice of medicine. Residents typically operate under the supervision of a physician in a training program at teaching hospitals, and they learn to practice a specialized branch of medicine, such as internal medicine or pediatrics. In many cases, residencies are followed by fellowships, which are used to develop further specializations. Because these positions are both temporary and required for practicing medicine, however, those occupying them have little political weight within hospitals.