en Budgeting for Breath: A Prospective Framework for Cost-Reflective CPR Training in Medical Education تخصصي Special <div style="text-align: left;">In-hospital CPR training faces a critical tension: the imperative to save lives versus the need to save resources. Traditional models prioritize certification compliance over longitudinal value, resulting in an annual wastage of $2.1B globally on low-retention training [1]. This analysis proposes a learner-centered, costreflective framework that aligns economic efficiency with clinical efficacy&mdash;ensuring &quot;teaching to breathe without breaking the bank.&quot; Certainly, countries with high-income levels have better technological infrastructure, and with this infrastructure, they can make greater financial savings in the health sector</div> In-hospital CPR training faces a critical tension: the imperative to save lives versus the need to save resources. Traditional models prioritize certification compliance over longitudinal value, resulting in an annual wastage of $2.1B globally on low-retention training [1]. This analysis proposes a learner-centered, costreflective framework that aligns economic efficiency with clinical efficacy&mdash;ensuring &quot;teaching to breathe without breaking the bank.&quot; Certainly, countries with high-income levels have better technological infrastructure, and with this infrastructure, they can make greater financial savings in the health sector 26 28 http://jrhms.thums.ac.ir/browse.php?a_code=A-10-101-3&slc_lang=en&sid=1 Masomeh Pormokhtar 10031947532846001315 10031947532846001315 No Ortopedy Department, Jahrom University of Medical Sciences, Jahrom, Iran Mohsen Keshavarz keshavarz_mohsen@yahoo.com 10031947532846001316 10031947532846001316 No Department of E-Learning in Medical Sciences, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Leili Mosalanejad mosallanejad@jums.ac.ir 10031947532846001317 10031947532846001317 Yes Medical Education Department, Jahrom University of Medical Sciences, Jahrom, Iran