Kolding Hospital was one of the first hospitals in Denmark to set up an Acute Admission Department (called AMA) receiving acute patients for all specialities. Traditionally the junior doctors have their internship in one specialized department and they are only seeing patients referred to that speciality. Often one doctor can be very busy and the patients waiting, while other doctors are being inactive. We introduced the junior doctors to the most common conditions in internal medicine, surgery and orthopaedic surgery and then allowed them receive, treat and admit patients regardless of the speciality they were referred to. A principle was made: "A doctor does not sleep if a patient is waiting".