Purpose: Inadequate skills for procedures during residency can cause complications and needless interventions. Usually, there is lack of structured training for it. The aims were to improve and check for retention of procedural skill using structured training. Methods: Anesthesiology residents who had done less than 5 procedures underwent structured training followed by evaluation for retention of skill after intervening gap of two months. They were evaluated for 15 steps with each step given 1 point for step done and 0 for step not done. Overall score of 12/15 was considered as competent while score of less than 9/15 would imply need for improvement. Analysis of number of steps done by residents, number of attempts taken, duration taken, number of complications, number of procedures done in intervening period, number of times video, power point watched was done. Feedback from the residents was taken after every procedure. Results: 10 residents underwent training and came for retention testing. Number of attempts and duration of procedure reduced during retention phase for all. The skill improved during retention phase. Fewer residents felt they needed improvement. More residents were competent and confident, while fewer would need supervision and practice. Structured module was accepted and found good but wanted improvement of video with detailed labeling, more anatomy lecture and demonstrations. Conclusion: Structured training improved skill and can be effective for testing retention of skill.