Topics and procedural skills imperative for all residents caring for ICU patients within our hospital were determined by a survey given to medical and surgical critical care colleagues and incorporated so that the curriculum would be applicable to all specialties. Included in these critical topic areas were important public health and system initiatives including the Surviving Sepsis campaign, target temperature management in postcardiac arrest patients, and expeditious use of thrombolytics in acute ischemic stroke care. Additionally, ethical and spiritual topics, such as medical error disclosure and death notification, were integrated to enhance communication skills perceived as lacking in residency education.