Students on this elective will work with a faculty advisor with quality improvement expertise to: - Assess and systematically address a problem previously identified in QI Elective I using quality improvement tools - Actively participate and/or lead the design and implementation of a quality improvement project to address that quality problem - Complete a quality improvement project abstract and summary To provide the knowledge and skills needed for medical students to develop future quality improvement efforts that will be required for residency. At the completion of the elective the expectation is that the student will have completed a quality improvement project involving two tests of change (PDSA). QI projects will be used to create an abstract and project summary that can be submitted for presentation at a local/national meeting, funding for further support of QI project, and/or certification from the Institute for Healthcare Improvement Open School's QI Practicum Certificate.