The advanced emergency ultrasound elective was developed by our own outstanding ultrasound faculty. We have developed a novel structured curriculum based on a flipped classroom model with the incorporation of up-to-date online content, including: podcasts, journal articles, blogs, and e-books. Content will include advanced echocardiography, ultrasound guided resuscitation and procedures. Rotators will have multiple opportunities each week to obtain hands-on bedside teaching and image review with ultrasound faculty. The advanced emergency ultrasound elective will allow resident rotators to solidify their knowledge of core concepts and applications and prepare them for the future of emergency ultrasound.