Trainee Focus - Opinion Emergency medicine will stay big and become the acute decision-making nexus of future health systems Clare A. Skinner BSc, BA(Hons), MBBS, MPH, FACEM, AFRACMA, Corresponding Author Clare A. Skinner BSc, BA(Hons), MBBS, MPH, FACEM, AFRACMA Immediate Past President Australasian College for Emergency Medicine, Melbourne, Victoria, Australia Correspondence: Dr Clare Skinner, 34 Jeffcott Street, Melbourne, VIC 3003, Australia.