Objective: A resident-led patient continuity case conference was initiated with the goals of improving communication among providers and increasing cohesion among residents. Methods: A monthly case conference focusing on patient continuity of care was held over the course of the academic year. Residents were surveyed for feedback about the role of the conference in both improving their competency in navigating transitions of care and building cohesion among residents. Results: The conference improved resident knowledge of care transitions and communication during transitions in care in addition to increasing comfort, cohesion, and exchange of knowledge between residents. Conclusions: Implementing a resident-led patient continuity case conference can improve resident competency during care transitions while improving cohesion among residents.