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interest in our discipline. Nurses are professionals who value the same things as physicians: We need to ensure that the ICU remains an environment in which professionalism is maintained, where ideas are valued, and where caregivers feel as safe and as cared for as the patients they treat. we should build a profession that people flock to because it is exciting and rewarding. West China Hospital, Sichuan University the physician assistant and nurse practitioner… For the lack of ICU physicians in the future, I very much believe in the applications of telemedicine. I think it is much better to have an ICU physician controlling the ICU at a distance This is not a matter of physician shortage so much as it is a strategy to use their training and wisdom most effectively. Advanced practice nurses who partner with intensive care physicians can provide outstanding care to critically ill patients. West China Hospital, Sichuan University Relationship between the ED and the ICU In our institution, we manage a socalled shock lab with the emergency doctors. This means that we are called immediately when a critically ill patient is admitted to the ED. Acute care medicine spans many areas of the modern medical center, Innovative training programs that lead to welltrained, hospitalbased medical specialists who practice safely and effectively across this continuum have great potential to improve professional satisfaction and patient care. West China Hospital, Sichuan University An ICU