Thus, one component to solving the impending patient care crisis in critical care medicine would be to reverse the recent ABIM ban on training EM residents. EM residents have not “usurped” critical care training positions from IM residency graduates, but rather allowed creation of broad, diverse training programs. EM residency graduates constitute a ready pool of high-quality fellowship candidates (note the National Resident Matching Program results for the last decade placing EM residencies as one of the top three most competitive to access for US medical school graduates). Since expanding the pool of candidates from within IM programs has limits, restoring the access to training of the highly skilled EM residency graduates would be a better step than seeking solutions elsewhere (including foreign-trained graduates). Separately, we encourage the ABMS to consider allowing EM graduates who have successfully completed a critical care fellowship to be eligible for certification after training. This would increase the pool of interested EM graduates and would assist in reaching the goal of expanding both the pool and number of critical care fellowship positions and trained intensivists. Ultimately, it is in the best interests of our patients.