Our IM Residency Program provides comprehensive POCUS ultrasound, Ultrasound-guided procedures in the simulation for inpatient (paracentesis, thoracentesis, central venous catheter placement, and lumbar puncture), and an outpatient ultrasound-guided simulation curriculum which is an innovative musculoskeletal focus unique to our program. We implement active learning for all our learning experiences with special attention to quality improvement / research projects and community outreach events.