In this issue of Annals, Huang and coauthors, a multidisciplinary group of leaders in the fields of critical care medicine and emergency medicine, strongly advocate for increased educational cross-fertilization between these 2 disciplines. Specifically, they call on the American Board of Medical Specialties (ABMS) to permit emergency medicine graduates who complete accredited critical care fellowships access to critical care medicine subboard certification. Huang’s paper has been simultaneously published in Critical Care Medicine and has been endorsed by specialty organizations from both disciplines. Their arguments are persuasive ones. They cite literature that demonstrates improved clinical outcomes and cost savings through increased use of trained intensivists in ICUs. The statistics are staggering: an estimated 53,000 lives and $5.4 billion saved annually with this staffing pattern. Such a magical (and unusual) combination of improved quality at lower cost is the Holy Grail of public policymakers. Not surprisingly, numerous organizations, such as the Leapfrog Group, have jumped on the bandwagon, urging substantially increased staffing of ICUs by trained intensivists. Facing this demand for an increased intensivist workforce, the unfortunate reality is that the supply of intensivists is woefully inadequate, and the Graduated Medical Education pipeline minting new ones is similarly lacking. Like most such complex problems, this one will be best solved with multiple solutions. However, one obvious piece of the puzzle is to open access to critical care fellowship training and board certification to emergency medicine residency graduates. Interestingly, the Leapfrog Group has already acknowledged this rather obvious conclusion and explicitly includes emergency medicine–certified and critical care fellowship–trained (but not critical care–certified) physicians within their definition of acceptable intensivists. There seems to be little logical rationale to limit critical care fellowship training and board certification only to graduates of internal medicine, anesthesia, general surgery, and pediatric residencies. Unlike some other subspecialties, critical care medicine has always been a multidisciplinary field. Indeed,