The Colegios also do not compete in any way with the  well established Mexican national professional organizations, residency programs and regulatory agencies that are based in the three largest cities (Mexico City, Guadalajara, and Monterrey) and have a critically important effect, among which is setting national standards.

The 5 conditions for infrastructure development and wave propagation in less metropolitan states are as follows:

1) The return to their home states of residency trained emergency physicians coming from big centers such as Mexico City, Guadalajara, and Monterrey, to the less metropolitan states ( ¨las provencias¨) to create a space for their work.

2) The formation of State Level ¨Colleges of Emergency Medicine¨. These colleges are specialty based State Board of Medical Examiner equivalents which provide official recognition of the specialty among other medical specialists in each state. In Mexico, there are State Colegios for surgery and pediatrics, for example, but none exists yet for the specialty of Emergency Medicine. We have created the first one in the State of Guanajuato as a model for other states to create independent colegios. Other states are following suit. The colegio which we helped form defers to the National Consejo as the only legally sanctioned body which qualifies specialists and generalists. The PACEMD Program has been a central force in the development of the state colegio within the national Consejo model.

3) The creation of a series Emergency Physician controlled courses such as (PACE) courses for nurses, doctors and emergency medical technicians. PACE Physicians insure quality and relevance. We sponsor PACE courses and endorse similar high quality control courses using our trademark PACE logo.

4) The interest and support of all sectors of society in the development of emergency medicine to ensure social and economic well being and medical care efficiency through the development of Centros Colaborativos en Emergencias Medicas (PACE Centers).

 

5) The recognition that public health models need to be applied to the development of emergency medical care and the recognition by all  that many emergency medicine issues are transnational, including infectious diseases, disaster medicine and WMD and migrant and refugee care, and that these requires the development of infrastructure consistent with "Community Oriented Emergency Medicine" models..


The PACEMD Program has initiated a series of courses (Programa Actualizacion Continua en Emergencias) which will be directed and taught by residency trained emergency physicians from Mexico and elsewhere and which we label with the PACE trademark (below).