The hospital’s orthopedic department hired a surgeon with expertise in a novel approach to total hip replacement that was needed for the patients the unit served. The department invested in a new surgical suite, including tables and retractors that are needed for this surgical approach. The department of orthopedics worked with the CME unit to develop a training program incorporating didactic materials. The CME unit helped to schedule visits from other surgeons to the expert’s operating room to learn the approach, and then facilitated the expert’s supervision of the other surgeons in the unit. The expert surgeon provided one-on-one observation and direct feedback to improve surgical skill and problem solving.