Objective. To design, implement, and measure the effectiveness of a critical care elective course for second-year students in a 3-year accelerated doctor of pharmacy (PharmD) program. Design. A critical care elective course was developed that used active-learning techniques, including cooperative learning and group presentations, to deliver content on critical care topics. Group presentations had to include a disease state overview, practice guidelines, and clinical recommendations, and were evaluated by course faculty members and peers. Assessment. Students' mean scores on a 20-question critical-care competency assessment administered before and after the course improved by 11% (p , 0.05). Course evaluations and comments were positive. Conclusion. A critical care elective course resulted in significantly improved competency in critical care and was well-received by students.