We describe and evaluate a pilot course designed to teach rapid sequence intubation (RSI) to pediatric emergency physicians. A questionnaire was utilized to assess participants' self-assessment of knowledge and skills in defined areas related to rapid sequence intubation, before and after the course. Thirteen pediatric emergency physicians (nine attendings and four fellows) participated in the pilot course. A significant increase in self-assessment of knowledge and skills was found after the course for most parameters analyzed. These areas included: knowledge of indications and contraindications for RSI, knowledge of specific sedating and paralyzing agents, knowledge of complications of RSI and their management, and level of comfort performing RSI when indicated (P < 0.05). We conclude that a formal course can significantly enhance self-assessment concerning ability to perform rapid sequence intubation. Further study is required to determine if such a course improves performance of this procedure.