Abstract: The key point of development of emergency medicine is the professional training. What we need are "the emergency physicians who have well-knit theory and comprehensive technique" but "the internal physicians who could do some resuscitation". This is the goal of emergency medical education. To realize the goal, we need to improve our condition of training-bases, the content of curriculum，the level of trainer and the method of training. Besides, we should balance the effective and safety of training. We believe that the "four steps" course should be the most important and most effective method of emergency medical training.