Nalidixic acid overdose and metabolic acidosis.

those who practise “less than” tertiary care medicine from our community is self-defeating. I believe that we will gain much more strength as a larger, more unified community. I would encourage CAEP and our EM community at large to engage in discussions about consolidated training, and wouldn’t argue against “fellowships” and other recognitions of distinction in training. I believe that our EM colleagues from smaller centres will continue to be interested in educational opportunities and research initiatives designed by those with more training and with experience in high acuity/high volume centres. I propose that we look at a broader educational strategy to support our whole EM community rather than attempt to define a one-size-fits-all definition of an emergency physician that cleaves the majority from our ranks.