Several models for crew configuration exist3; however, the absence of analysis of crews by their fundamental proficiency and ability levels makes it difficult to build an unbiased evaluation. Much of the discussion focuses on team members’ titles (ie, pediatric ICU registered nurse, critical care fellow, flight nurse, paramedic, respiratory therapist, etc). We propose a broader perspective that evaluates the chosen transport model by its depth regarding a “cognitive skill set” and a “tactile (procedural) skill set.” Within these two categories, one should list the necessary attributes required to care for a special type of patient (neonatal, pediatrics, cardiac, etc). Once agreement or negotiated consensus on the criteria encompassing those skill sets is achieved, a process for evaluating and matching the available titles and skill sets is undertaken—the objective being to most closely match the titles with the required skill set. From this point, extra training required for proficiency to achieve competency can be appropriately targeted.