Graduate medical education is expected to teach clinical knowledge and skills, but more recently, also expected to teach topics in systems thinking and quality improvement. We sought to determine the best path for teaching these topics to medical residents while also developing faculty knowledge on the same topics. Family medicine residents were trained to complete six root cause analysis (RCA) projects on hospital readmissions during Spring and Summer of 2018. These RCA projects were then reviewed for systematic process failures. This initiative has resulted in several outcomes (1) medical faculty were trained in root cause analysis and techniques for teaching RCA to students; (2) medical residents were trained in quality improvement and root cause analysis techniques by leading RCA projects; (3) the hospital gains knowledge on systematic problems in chronic readmissions cases. Formal collaboration between medical faculty and business faculty can benefit both faculty and students. In addition, the results of RCA projects can lead to improvement efforts at the hospital.