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American Heart Association's Pediatric Advanced Life Support (PALS) Course is an intensive course for instructor candidates who have already successfully completed the PALS Provider Course. The PALS Instructor Course uses a variety of teaching methods and adult learning principles in an environment that will mimic a real healthcare setting (eg, back of an ambulance, emergency department bed). From an educational perspective, the closer the simulated emergency is to a real-life case (eg, setting, equipment), the better the transfer of skills. Cognitive, psychomotor, and some affective domains will be accomplished through small-group teaching and case scenario practice on a manikin as a Team Leader and team members and the use of large- or small-group short video presentations with instructor-student interaction. Pre-requisite's include current AHA PALS Provider card and completion of AHA PALS Instructor Essentials Online course. This in-person course is one of the final steps to becoming an AHA PALS Instructor. Upon completion, the candidate must be monitored within the following 6 months. When all steps are complete, candidates will receive the PALS Instructor card, which is valid for two years.