Background Feedback is an essential and effective tool for resident learning and improvement. Our residency-wide quality improvement project is focused on feedback, after identifying this as an area for improvement on our annual ACGME survey. The Milestones Guidebook lists the five features of high quality feedback as timeliness, specificity, balance, reflection, and action plans. Our baseline data revealed that, on average, 55% of residents received weekly feedback, and the feedback was rated as 2.9 out of 5 on a Likert scale, with a 3 being moderately helpful. On assessment of quality measures, residents perceived their feedback as 69% timely, 75% specific, 42% balanced, 40% reflective, and 39% actionable. Aim Statement Our goal is to improve the verbal feedback for residents on all rotations by increasing the percentage of residents receiving weekly feedback by 30%, improving the average Likert score by 1, and improving each quality measure by 30%. Interventions We used the model for improvement, with resident-designed monthly PDSA cycles, led by the chief residents. PDSA cycle 1 focused on reminders. Biweekly emails were sent to all residents on setting expectations and asking for feedback, and one email was sent to faculty and fellows about the importance of weekly feedback. PDSA cycle 2 focused on education and incentives. Cards were provided to each resident with tips for receiving high quality feedback and a link to log the feedback, for which points were awarded towards the resident's “House Staff Cup” team. Measures Data are collected via weekly online surveys, which are disseminated through a QR code at grand rounds to provide protected time for survey response. Results We have shown improvement in every outcome measure, though not yet to our goal. The frequency of weekly feedback has improved from 55% to 65% after two PDSA cycles. The average Likert score has improved from 2.9 to 3.23. The five quality measures have improved by an average of 28% from baseline. Conclusions and Next Steps Our largest gains after two PDSA cycles have been in the quality measures, which were likely impacted by improved awareness of what constitutes high quality feedback. The frequency of feedback has improved, but not to our 30% goal. Additional cycles will be designed with input from residents with a goal of overcoming barriers such as time constraints and faculty culture. We hope to see improvements in the evaluation and feedback components on our ACGME survey this year.