Background Residents value feedback as a way to understand and improve their performance, however most trainees receive inadequate feedback. In our institution, one third of senior residents (SR) and interns report receipt of peer-to-peer feedback. Barriers to effective feedback include time, inadequate peer training, unactionable feedback, discomfort and lack of a reciprocal conversation. Implementation of a standardized process that limits these barriers may provide residents with an improved feedback experience. Aim Statement (1) To improve the frequency of feedback from SR to interns by 50% by March 2020. (2) To improve the quality of feedback such that 70% of encounters are perceived as timely, specific, actionable, and personalized by March 2020. Interventions We identified key drivers and conducted sequential Plan-Do-Study-Act (PDSA) cycles to improve the quantity and quality of peer-to-peer feedback. Interventions included (1) creation of intern learning objectives, (2) assessment of feedback, (3) SR orientation, and (4) bimonthly protected time to provide feedback. Measures The primary outcome measure was the percentage of feedback completed by interns and SR. A secondary outcome measure was the percentage of feedback that was perceived as at least very (4 out of 5 on a Likert Scale) timely, specific, actionable, and personalized. Results Surveys collected from June 2019 through Nov 2019 did not meet the 50% improvement goal for intern reported feedback frequency. SR reported feedback increased during one out of six rotations. However, after the first PDSA cycle, interns consistently perceived the feedback they received as very or extremely timely, specific, actionable, and personalized greater than 70% of the time (Fig 1). SR felt similarly about their delivered feedback, except they did not consistently feel that the feedback was actionable. Conclusions and Next Steps Implementation of a standardized feedback process did not result in increased feedback frequency but did effectively improve the quality of peer-to-peer feedback. Future steps include a PDSA cycle consisting of an on-demand educational video on effective feedback strategies for SR that may result in increased feedback frequency. Residents value feedback as a way to understand and improve their performance, however most trainees receive inadequate feedback. In our institution, one third of senior residents (SR) and interns report receipt of peer-to-peer feedback. Barriers to effective feedback include time, inadequate peer training, unactionable feedback, discomfort and lack of a reciprocal conversation. Implementation of a standardized process that limits these barriers may provide residents with an improved feedback experience. (1) To improve the frequency of feedback from SR to interns by 50% by March 2020. (2) To improve the quality of feedback such that 70% of encounters are perceived as timely, specific, actionable, and personalized by March 2020. We identified key drivers and conducted sequential Plan-Do-Study-Act (PDSA) cycles to improve the quantity and quality of peer-to-peer feedback. Interventions included (1) creation of intern learning objectives, (2) assessment of feedback, (3) SR orientation, and (4) bimonthly protected time to provide feedback. The primary outcome measure was the percentage of feedback completed by interns and SR. A secondary outcome measure was the percentage of feedback that was perceived as at least very (4 out of 5 on a Likert Scale) timely, specific, actionable, and personalized. Surveys collected from June 2019 through Nov 2019 did not meet the 50% improvement goal for intern reported feedback frequency. SR reported feedback increased during one out of six rotations. However, after the first PDSA cycle, interns consistently perceived the feedback they received as very or extremely timely, specific, actionable, and personalized greater than 70% of the time (Fig 1). SR felt similarly about their delivered feedback, except they did not consistently feel that the feedback was actionable. Implementation of a standardized feedback process did not result in increased feedback frequency but did effectively improve the quality of peer-to-peer feedback. Future steps include a PDSA cycle consisting of an on-demand educational video on effective feedback strategies for SR that may result in increased feedback frequency.