Volume: 140k
Trauma 1
Triple coverage  (residents are also present)
28% of ED volume goes to  fast track
25% Pediatrics 
15% admission
Shifts times 7-3, 3-11,  11-7 (potentially have 7-7 shifts)
All specialty backup

 Volume:  40K
 MD hours:  36  hours (7a-7p; noon to midnight, 7p-7a)
 Midlevel:  36 hours (9a-9p, 11a-11p; 7p-7a)
 Level two stroke center – need to be stroke certified
 No cathlab 
All traumas are  transferred
Have all the other specialties, including a hospitalist