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For American Heart Association courses that include psychomotor skills such as CPR, students must complete a hands-on session to obtain an AHA course completion card. With AHA blended learning, students will practice and test skills to ensure competency during the hands-on session. ​ Hands-on sessions are conducted in person with an AHA Instructor by using a Voice Assisted Manikin (VAM), where available. These skills sessions focus on meaningful skills practice, debriefing, team scenarios, discussions of local protocols, and skills testing.