AbstractEmergency medicine in the highly advanced world is traditionally performed in two different ways. The first is the well‐known Anglo‐American system with skilled EDs, and a pre‐hospital emergency medical service utilizing paramedics. The second is the so‐called Franco‐German system, with a highly developed pre‐hospital emergency physician service, but only a basic organization of hospital‐based emergency medicine. This gap is now closing fast because of the rapid advancement of hospital‐based emergency medicine in Europe. Four criteria might be used to measure this: the recognition as a specialty, the specialist training programme, the professional organization of emergency physicians and the presence of academic centres in Europe. Eleven of the 27 European countries recognize hospital‐based emergency medicine as a specialty already. These include Belgium, Czech Republic, Estonia, Hungary, Ireland, Italy, Malta, Poland, Romania, Slovenia and the United Kingdom. Other nations are striving to do so, for example Sweden, France, Germany and Greece. There is no doubt that emergency medicine is gaining momentum and other countries will follow. Training for the specialty of emergen
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