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Abstract This resource is a tutorial aimed at refining the provider's skill at inserting an internal jugular central line in pediatric patients using ultrasound guidance. It is intended for use by medical students; residents and fellows in anesthesiology, surgery, emergency medicine, and pediatrics; practicing physicians who do not insert central lines routinely; attending physicians; and nurse anesthetists. The learner's prior knowledge and skill will determine if this learning activity is self-directed or supervised with directed instruction. The learning activity should be carried out in three phases: (1) The learner and instructor review the background material and the insertion procedure, and discuss them before application on a mannequin or patient; the provided quiz will help in such a discussion; (2) The learner applies the steps on a mannequin or patient as the instructor gives real-time feedback and comments. The instructor fills out the performance assessment tool provided to aid in the next step; (3) Following completion of central line insertion, the learner and instructor review the evaluation together focusing on strong or weak performance and discuss it in the form of feedback and/or debriefing. Having a structured procedure makes it replicable with the combination of any learner and faculty. The prestructured reading materials are designed to increase knowledge, decrease anxiety of the learner, and to better prepare them for the task, especially if a discussion between the learner and faculty occurs prior to or during the procedure. Pictures and detailed instructions are provided to illustrate the procedure. Using this learning activity we have noticed a higher success rate of central line insertion in pediatric patients and efficiency with the procedure.