This article discusses the importance of reimagining procedural proficiency in emergency medicine residencies. The current landscape of procedural training primarily focuses on the number of procedures performed, but this does not necessarily reflect a resident's comfort, knowledge, and skill in performing those procedures. The article suggests a shift from quantity to quality by adopting proficiency-based skills training, which includes establishing a proficiency criterion, providing objective feedback, and assessing readiness for independent practice. The article also emphasizes the need for lifelong learning and calls for innovation in teaching and assessing procedural competency. [Extracted from the article]