BACKGROUND: Family medicine residency clinics and underserved Federally Qualified Health Center clinics often have lower rates of cervical cancer screening (CCS). METHODS: A series of resident-run, team-based quality improvement projects were conducted to iteratively improve CCS rates in an urban Federally Qualified Health Center in a high-need and high-demand region. RESULTS: The authors were able to improve CCS rates from 52.2% to 66.3% through 6 quality improvement projects. CONCLUSION: Improving the clinical workflows and systems to promote better rates of CCS likely requires a series of changes, however, promoting CCS in the usual clinic workflow, regardless of the reason for visit, demonstrated the greatest gains in CCS in our setting. [ABSTRACT FROM AUTHOR]