The ACGME requires programs to educate residents and facilitate competence in systems based practice, and these skills are also required for continuing certification. Our department has created a resident specific Quality Improvement and Patient Safety Program, which includes a didactic curriculum, and mentorship with faculty and peers on resident led PQI projects. This program has been a success, with numerous completed projects, several of which have been presented at national meetings. Two resident representatives are selected to serve on this committee each year. An overview of the MUSC Quality Initiative Program was published in Academic Radiology to serve as a model for other institutions.