This guide contains materials to teach internal medicine residents and rapid response team members the leadership and communication skills to run a rapid response team in management of acute medical problems. The enclosed instructor guide and the attached materials are designed to train an interdisciplinary team consisting of a floor nurse, an ICU nurse, a respiratory technician, and an internal medicine senior resident; in other words the core of a team who may be responsible for rapid response in the hospital wards. The training is designed to teach teams at regular, short intervals by applying intensive training with brief feedback cycles that are intended to be as unobtrusive to schedules as possible with the goal of assembling all members of a team to teach communication and leadership principles. This format is undertaken to accomodate those with ongoing clinical responsibilities.