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ultrasound, regional anesthesia procedures can be performed safely and quickly while providing the patient a more complete level of analgesia. Therefore US-guided regional anesthesia is considered a core application within our US curriculum for our residents.Study Objectives: After completion of this curriculum, learners will be able to 1) determine the appropriate patient and injury pattern that would benefit from regional anesthesia, 2) demonstrate proficiency in performing the procedure and selection/ dosing of appropriate anesthetic and 3) predict, recognize, and treat any complications of said procedure.Methods: This training application is developed for emergency medicine interns. During their orientation month the learner will receive 2 hours of computer slide-based lectures which describe the pertinent anatomy and procedure. The didactic portion is split between two presentations, upper and lower extremity regional anesthesia. This will be immediately followed by 3 hours of practicals. This will include identifying the specific nerves on live models with ultrasound. The learner will then practice the procedures on "phantom" models. All of this will be under direct supervision of ultrasound faculty. During the second half of the year the learner will revisit this learning application on two separate occasions-splitting it between upper and lower extremity. They will be directed to review one of the previous video-recorded lectures in preparation for a 2-hour hand on session that will take place during their weekly didactic. During this practical the learner will be shown an injury. On a live model they will then have to name and identify the relevant nerve under US. Then they will describe the technique for blocking it and then finally, they will then have to demonstrate this on a "phantom."Evaluation: After their orientation month the residents will have the opportunity to perform these procedures on patients in the department. Until they have performed 25 US-guided regional anesthesia procedures, they will need to be under direct supervision of their attending physician. This will allow real-time evaluation and feedback. They will also receive feedback through overreading of their images. When the resident performs the procedure, they will submit the pertinent images and clips to be reviewed on Q-path. They will then fill out an accompanying worksheet describing the indication, any complications, and the overall success of the procedure. These images and worksheet will then be reviewed by ultrasound faculty who will then provide feedback through a QA worksheet rating the overall quality and accuracy. They will also be evaluated directly during the second practical session.Conclusion: By incorporating US-guided regional anesthesia into an emergency medicine ultrasound curriculum, learners will be prepared to manage painful conditions with an alternative technique that is both safe and convenient. This lecture series combined with hands on training provides the learners with the tools they need to gain pro...