We are pleased to begin training providers in PRIM-ER: Primary Palliative Care for Emergency Medicine, and begin instituting this into our main emergency department. This is an NIH, NINR-funded project in association with UCSF and Emory University that will evaluate patient outcomes after training providers on the use of evidence-based skills to communicate difficult information, including advanced disease and end-of-life care to patients. We are also excited to continue training in Emergency Neurologic Life Support (ENLS) to all residents and faculty again this year. ENLS consists of 14 protocols designed and written by neurointensivists and emergency medicine physicians that are designed to provide expert management in the first hours of neurologic emergencies. Our EMS department, led by Drs. Jason Jones and Torben Becker, have instituted a novel intubation protocol in coordination with Alachua County Fire Rescue, which includes EMS providers using I-Gel supraglottic airways and ketamine in the field. We hope that this new protocol allows for safer out-of-hospital airway management that leads to better outcomes for our patients. We are proud of our diverse class of interns, who are excelling and adapting well into their new roles. Our faculty remains dedicated to simulation, teaching and giving our residents the opportunity to learn and grow. We look forward to the coming educational year! ■