My ER colleagues must be pretty good at airway management. They never call me for backup, or to bail them out. Pulm intensivists too. They only call for the really gnarly airways, and never ask for me to back them up (even though I sometimes can tell that is what they kind of want). If they call me for an airway that I find only has a moderate pucker factor, I will usually offer to back them up. Thanks guys. But don't get me started on the paramedic students. They are banned from my OR now.