In 2013, we launched a collaborative project with the Region Sjaelland in Denmark and two of its emergency departments, located at the Slagelse and Nykobing Falster Hospitals. The goal of this project is to advance emergency care education and the status of emergency medicine in the Region Sjaelland. In 2015, the project grew to include two additional regional hospitals, Sjaelland University Hospital Køge and Holbaek Hospital. Danish and US physicians continue to collaborate on emergency physician education, clinical care best practices, and emergency department leadership. We are honored to work with this group of dedicated clinicians as they work to establish the specialty of emergency medicine in Denmark.