Every year 11 million people, or one in five of the population, attend
A & E departments for a wide variety of problems. The specialty of A
& E has therefore enormous scope for influencing health not only, in i
ts primary role of treating trauma and acute illness but also because
the number of patients seen gives scope for opportunistic screening an
d health promotion. This was the theme at a conference at the Royal Co
llege of Physicians on 14 and 15 December 1993; it was also the occasi
on of the first general meeting of the newly created intercollegiate F
aculty of Accident and Emergency Medicine.