The Emergency Medical Services Experiential Team Based Learning and Simulation (XTLS) conference is a unique learning experience hosted at the ETSU James H. Quillen College of Medicine in Johnson City, Tennessee. Our EMS Conference, now entering in it's fourth year, is bigger and better than ever before. The conference is sponsored by the Emergency Medicine Interest Group for EMS providers and others in the emergency community. XTLS brings highly skilled EMS providers and other emergency personnel from all over the region together to work on skills and gain knowledge through hands on simulation and experience. This year's conference will include 8 different learning stations. Through the use our state of the art simulation lab, virtual reality anatomy lab, and instruction from a group of physicians and other professionals that lead their fields, XTLS provides participants with an educational experience second to none.