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There has been a growing emphasis on increasing resident involvement in quality improvement (QI) in the accreditation standards, and through a new type of institutional visit to assess quality and safety in the learning environment under the Clinical Learning Environment Review (CLER). CLER site visits to sponsoring institutions, among other focal areas, ‘‘review residents involvement in institutional quality improvement and patient safety initiatives.’’ In the face of this growing emphasis on QI, departments, programs, and residents have reported barriers to meeting this requirement. They include difficulty balancing educational demands with clinical workload, variability in faculty and trainee enthusiasm, and lack of faculty expertise. This Rip Out describes a strategy for implementing a QI curriculum to meet Accreditation Council for Graduate Medical Education common requirements and expectations under an evolving Pathways to Excellence approach for CLER.

Promoting Resident Involvement in Quality Improvement Initiatives Through Faculty Involvement and Curriculum