As part of the Medical Education Scholar’s Program, I am developing a web-based course on the topic of guardianship for internal medicine (IM) and family medicine (FM) residents. Older adults with dementia or other medical conditions that impair rational thinking may ultimately require guardianship for protection. However, the incapacitated patient (ward) who is assigned a guardian loses the ability to make independent decisions, presenting a major threat to personal freedom of choice. Guardianship can pose an ethical dilemma for providers who must weigh the principals of nonmaleficence and autonomy. Although physicians may perform capacity assessments, serve as witnesses in guardianship hearings, and/or care for wards, they receive little, if any, formal education on this topic. Furthermore, guardianship is ultimately pursued in the probate court system, outside of the clinical realm. A curriculum targeted to the need of internists and family medicine physicians is needed to fill these educational gaps and allow physicians to understand the guardianship process, perform therapeutic alliances with guardians, and most importantly, understand alternatives to guardians such that guardianship is only pursued for those who truly require it. This curriculum is being developed with input from geriatricians, hospitalists, primary care providers, social work, and risk management. As a pilot project, it will be deployed to first year IM and FM residents. Their pre- and post-curriculum knowledge will be assessed and we will solicit feedback on the efficacy and clinical relevance of the content.