Dr. Jonathan Revels and Dr. Jennifer Weaver speak with guests Dr. Rachel Bass and Dr. Steven Rothenberg about their innovative use of pulse surveys to improve communication, engagement, and wellness within large radiology departments. Together, they explore how small, frequent feedback habits can shape culture, strengthen leadership transparency, and drive meaningful departmental change. Quality Improvement Report: PulseSurveys for Departmental Engagement—Finding the Pebble in Your Shoe. Bass and Smith et al. RadioGraphics 2026; 46(2):e250080.