The Tuscan Emergency Medicine Initiative (TEMI) is a collaborative effort between HMFP and the Tuscan Ministry of Health to create standardized training in emergency medicine for the region of Tuscany. Between 2007 – 2009, the program trained more than 625 Tuscan emergency physicians. The training resulted in a transition to a single-provider model of emergency medicine in the region. HMFP also collaborated with the local university system to develop a Master’s degree in Emergency Medicine and, subsequently, an emergency medicine residency program. This residency program was recognized by the Ministry of Health in Rome and has now been adopted at universities throughout Italy.