We are looking at the feasibility of redesigning the existing simulation education for first-year residents within the Children’s Hospital of Richmond at VCU’s pediatric residency program to increase learning opportunities and to enhance exposure to pediatric medical emergencies. Novel simulation scenarios were designed to provide an introduction to managing the first five minutes of commonly encountered emergencies on the inpatient wards. These shortened simulations allow for educational objectives to be tailored to the expected knowledge and responsibilities of first-year residents