Graduation from an accredited medical school with an M.D., D.O., or MBBS degree and completion of an approved Emergency Medicine training program with board certification or board eligibility in Emergency Medicine, or completion of an approved Pediatric Residency training program with acute care experience, board certification or board eligibility in Pediatric Emergency Medicine, or completion of a Pediatric Emergency Medicine Fellowship training. A strong, positive and collaborative culture exists among the emergency medicine attending, the ED nursing staff, the private physicians, the hospitalist physicians, the physician assistants, the nurse practitioners, the emergency medical services staff, medical and PA students, the volunteers, and the ancillary/support staff.