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The Emergency Medicine Division of the University Hospital of the West Indies (Mona campus) is staffed by six consultants, five of whom are trained emergency medicine physicians, two chief residents who are fully trained emergency physicians, DM Emergency Medicine programme residents, non-programme residents, senior house officers, specialist emergency medicine nurses, non-specialist nurses, emergency room technicians, patient care assistants, administrative and janitorial staff. The development of emergency medicine in Jamaica as a specialty has been documented previously (1−3). The faculty has engaged in various courses over the years and, at present, members are trained in a wide range of specialty areas inclusive of research methods, sexual assault examination, sports medicine, trauma (4) and sonography. This has led to related publications, some of which appear in this issue of the West Indian Medical Journal. Other special endeavours include creation of protocols for emergency management of specified conditions and implementation of the Emergency Severity Index triage system in 2007. The consultants are Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS) instructors and one is a Paediatric Advanced Life Support (PALS) instructor. The medical director, Dr Jean Williams-Johnson, was a Fullbright scholar (2010) and has collaborated with investigators from Wayne State University to perform international multicentre research on hypertension (5, 6). Of note, she was a principal investigator for the Jamaican arm of the landmark CRASH trial which examined the use of tranexamic acid in trauma patients (7). Dr Nicole Hart completed a Trauma fellowship at the Toronto General Hospital, Dr Rhonda Hutson is a trained sexual assault examiner and Dr Simone French is a trained sonographer who was named director of the Prehospital Emergency Medical Services Unit (PHEMS) in 2010. This entity, which has existed since 1995, trains pre-hospital care providers. DM programme The postgraduate training programme in Emergency Medicine was started in 1997 under the guidance and vision of Professor Archibald McDonald. The curriculum has undergone changes with the introduction of parts 1 and 2 examinations and the introduction of formal rotations in ear, nose, and throat (ENT), radiology and ophthalmology. There has been a reduction of time spent out of the department so that at least six months each year are spent in the Emergency Department. Ultrasound training and research methods have now become a formal part of the training programme. The residents do research work as a compulsory part of the programme, which has resulted in two full publications (8, 9), eight abstracts (10−17) and two papers accepted for publication in this issue, all in peer reviewed journals. The residents continue to benefit from overseas Emergency Department elective experiences such as at the Jackson Memorial Hospital in Miami, Florida, the Hartford Hospital in Hartford, Connecticut, the Detroit Receiving Hospital in Michigan, the Hennepin County Medical Center in Minnesota, all in the United States of America (USA), the Toronto General Hospital and St Michael’s Hospital in Toronto, Canada. The Hennepin County Medical Centre had entered into a formal agreement with The University of the West Indies (UWI) which allowed the residents to have a hands-on experience once they were USMLE (United States Medical Licensing Examination) certified, with the hospital covering any state malpractice insurance costs for the residents. There are thirty-four graduates to date, mainly scattered all over Jamaica, at the major hospitals (Figure) as well

Emergency Medicine – Merging with Other Specialities: An Update