I work in both a Level I and Level II and there is not a significant difference in terms of the quality of the experience in my opinion. It is interesting to occasionally see the wild traumas come through, but our role is pretty limited. During my shifts at the level I tend to see no more or less acuity because the ED physicians that I scribe for don't see level I patients - that is taken by the Trauma team. In the level II we do everything and I've found we tend to be busier and take on more, but I think it's totally location specific. In terms of trauma as an ED scribe if the level of trauma is very high they're usually shipped out to the trauma service immediately so we don't really manage them. While trauma is interesting I think that the better stuff to learn as a scribe is the core medicine in the septic patients, CHF exacerbations, etc... from an ED perspective (at least where I work) trauma means we might intubate, do a FAST exam, start stabilization and start labs and CXR, etc., but beyond that the rest of the work is done by ortho or the trauma surgeon. All of this is highly dependent on the individual hospital and providers you work for. If you're doing it just for the title though I don't think it's worth it.