This document describes a pilot study that tested an ethical leadership training program for healthcare middle managers. The training included an ethics leadership course, projects to improve ethics in their departments, and weekly web-based reflections and feedback. Participants reported the feedback was most useful for motivating them and helping their projects succeed. Results indicated the blended learning approach can effectively stimulate moral reflection, experiential learning, and ethical leadership performance to benefit both patients and employees. The pilot informed the development of a new leadership education program.