Our residents participate in a formal Quality Improvement/Patient Safety (QI/PS) curriculum during each of their “+1” weeks. The Institute for Healthcare Improvement (IHI) Open School provides the foundation of the curriculum, with each resident earning the Basic Certificate by the end of their PGY-2 year.  Most  importantly, in small groups of 6-7, residents design and implement a QI/PS project with faculty mentorship. The project culminates in a poster or oral presentation at UMKC’s Quality and Patient Safety Day each Spring.  Groups develop a new QI/PS project each year, which means that each categorical resident completes at least 3 QI projects during residency.