METHODS: Pre-intervention rates of quality measure adherence were determined by review of the records of 451 AIM clinic patients with a billing code of COPD from 2010-2014. Smoking cessation counseling, pneumococcal vaccination, and diagnosis of COPD by spirometry or pulmonary function testing (PFT) were identified as measures requiring improvement. A resident-led QI intervention was initiated, consisting of a 15-minute PowerPoint presentation on COPD quality measures, an e-mail to residents presenting baseline performance data, and cards with quality targets posted in the resident teaching clinic. Adherence to the above quality measures in the subsequent 119 patients following QI intervention with a diagnosis of COPD was assessed and compared to pre-intervention data. Stata 10 (Stata Corp, College Station, Texas) was used for statistical analysis and P value < 0.05 was considered statistically significant.