The Accreditation Council for Graduate Medical Education (ACGME) Pediatric Residency Program Requirements state that residents must demonstrate competence in immunization administration. Despite a required simulation immunization workshop, graduate survey results indicate that our residents do not feel prepared to perform this procedure. Residents identify a lack of opportunities to vaccinate in a non-simulation supervised environment as a contributor to their lack of confidence. The Center for Disease Control recommends, and hospital policy requires, that all residents receive the influenza vaccine unless contraindicated. This can be logistically challenging due to schedule restrictions. A just-in-time (JIT) immunization workshop followed by peer influenza vaccination could provide an opportunity for residents to receive their vaccination at work and gain experience vaccinating in a supervised environment. To assess the impact of a JIT immunization workshop preceding peer influenza vaccination on resident confidence in their immunization skills. We developed a voluntary session including a review of immunization administration and JIT simulated practice followed by supervised peer vaccination. All residents were surveyed one month post session rating their confidence administering immunizations on a 5-point Likert scale. Mann Whitney U test was used to compare residents who participated to those who did not. One third of residents participated in the session (N = 30). On one month follow up, residents who participated were more likely to report feeling confident in their immunization skills than those who did not (P = .02). A JIT immunization workshop followed by peer influenza vaccination provides an opportunity for residents to receive their required immunization at work and is associated with improved resident confidence in their procedural skills. Next steps include assessing if session implementation is associated with changes in ACGME graduate survey results and number of immunizations residents log.