I dare not ask for a letter of recommendation from my hospital. I am "flying under the radar." They require "board certification," and do not recognise BCEM. I have provided them with BCEM info in the past. They are essentially "looking the other way" in my case. If attention is brought to my case, I may not be allowed to work there. As long as ACEP is able to say that I am not qualified, then the hospital is going along with that. 