Two campus community hospital, combined 535 beds and yearly average 100,000 ED visits. Accredited chest pain center, PTCA, advanced primary stroke center, accredited trauma center rotations, and 3 months of dedicated pediatrics ED plus month of PICU and Peds Anesthesia/Sedation. POCUS certification, quarterly SIM lab training, monthly oral board, ECG reviews and written exam, dedicated research director and supporting PhD. Previous presentations: ACEP,SAEM, ACOEP, MCEP, MSU SCS and MAOPS