Abstract
Global has expanded a great deal in the past 10 to 15 years through expansion of training programs, implementation of best practices, funding and performance of clinical research, and in educational experiences for trainees. One aspect of health care, pediatric emergency medicine, has roots in many parts of the world; it is clear that there are many places where it is either not recognized as an important subspecialty and where the quality of care can be highly variable. Our article will describe how partnerships between institutions in the United States (Cincinnati Children's Hospital Medical Center) and Spain (Hospital Universitario de Cruces in Vizcaya) help in the development of pediatric emergency services as well as in the establishment of the subspecialty in Spain.
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