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Well after reading what he says, I can not see much wrong with the proposal in theory. The two specialties are moving closer together. If we proclaim that we are able to provide emergency care then why not for 24 hours. It is moving us to the Australasian system. Which has some benefits. But it would be more rewarding to see them in the first 24 hours of their admission than simply see and admit. If you look at the new SHO proposals there is no mention of an A&E SHO training program......only 4 months spent in A&E. In their pre-registration 2 years. Of course it needs to be properly resourced and not be 3 Acute emergency physicians looking after a huge department and 30 acute beds, with the laboratory staff, and radiology staff not providing 24 hour investigations to quickly move people through the system. Andy Webster SPR in A&E Does George want everybody to do MRCP to to increase exam revenue for his college??