An Active-Learning Resuscitation Leadership Curriculum for Emergency Medicine Residents.

Introduction: Effective leadership during emergency resuscitations is a core competency for emergency medicine physicians and is associated with improved patient outcomes. Despite its importance, formal training is often limited and informal. A needs assessment at our emergency medicine residency revealed gaps in leadership performance, particularly in communication and role delineation, motivating development of a structured curriculum. Methods: We developed a low-cost, active-learning curriculum for emergency medicine residents across all PGYs using Kern's 6-step framework. Educational objectives focused on resuscitation guidelines, role delineation, and team and situational management. The curriculum included 3 flipped-classroom sessions and 1 gamified review, incorporating case-based discussions and role-playing, delivered from July-December 2024. Impact was evaluated with pre- and postimplementation on-shift Leadership Behavior Description Questionnaire assessments and resident confidence surveys. Results: Forty-two residents were eligible; 38 (244 assessments) and 33 (136 assessments) residents contributed pre- and postcurriculum bedside assessments, respectively. Leadership performance improved significantly across multiple objectives ( Discussion: This low-cost, active-learning curriculum improved emergency medicine residents' resuscitation leadership skills and confidence, particularly among junior learners. Early, structured exposure may foster durable leadership development and enhance team communication. Future work should evaluate the curriculum's longitudinal impact and optimal timing across varied training sites to further refine resuscitation leadership education.