There are three academic faculties, six clinical faculties, 24 attending physicians and 13 residents at our Emergency Department, working with various subspecialties to provide 7/24 high quality emergency care, including cardiopulmonary emergency, trauma, head and spinal injury, fracture, burn, high-risk neonate, snakebite, acute psychosis, allergy, intoxication, near-drowning, and sexual or domestic violence or intentional assaults. There are 75 observation beds including resuscitation units for medical emergency, major trauma and critical pediatric patient. During these years, the percentage of admitting patients from Emergency department was more than 40% and the ratio of overstay (staying time is longer than 48 hours) is less than 2%. 　　In order to improve the pre-hospital care in Tainan, the fire department in Tainan city keeps a partnership with our department, in term of training, education and quality assurance. The prehospital caregiver performance is under the medical direction by our staff. Meanwhile, we are designated to be in charge of the Regional Emergency Medical Operational Center (REMOC) South Branch , and the National Disaster Medical Assistant Team (NDMAT) , South Branch by Ministry of Health and Welfare. Our faculties and experienced instructors provides abundant and professional training courses for students and healthcare personnel including residency /PGY/internship/medical students training programs ,disaster medicine, surgical emergency, toxicology, emergency medicine research, medical simulation, palliative emergency medicine, geriatric emergency medicine, trauma, ultrasound, TRM, CPR , ACLS, ATLS, ETTC, APLS.