Having watched emergency medicine develop in the United States over the last twenty years I realize how much I have seen of the foundation a major new specialty and what a critical role it plays. In addition, over the last decade I have had the privilege of being involved with a multitude international colleagues. This has been one of the most eye opening and professionally inspiring experiences I have had. The diverse nature of emergency practice and growth around the world highlights the basic principle of emergency medicine, any time, anything and for many this also includes anywhere. Multiple specialists practice emergency medicine around the globe and.