The healthcare climate has changed considerably over the last several years and transformation has been forced upon the profession, regardless of our readiness to accept its consequences. An inward look into the state of acute care education and practice is in order to determine if we are appropriately positioned to bring forth and to demonstrate our value to all constituents. While our successes should be celebrated, our gaps must be identified and addressed. Pivotal decisions must occur so that our identity can be clearly articulated, priorities appropriately established, and worth be undeniably evidenced. Lest not, we risk exclusion from populations and settings that could significantly benefit from functional reconciliation by movement experts knowledgeable in the management of acute illness complicated by chronic disease.