In 2008 the GME office, along with program directors and residents, created curricula to address the Accreditation Council for Graduate Medical Education (ACGME) core competencies of Systems Based Practice and Practice Based Learning and Improvement. Materials such as presentations, videos and reading materials were created to deliver quality improvement education. In addition, residents worked on QI projects in their respective residency programs. To compliment this education, the Institute created its own and first Institute for Healthcare Improvement (IHI) Open School Chapter in Minnesota. Residents gained access to online tools and coaching in a very flexible environment and had access to the chapter faculty and leader. Residents reported to have learned from the QI curricula and tools, but felt they needed more mentors and coaches on-site, thus creating a need to train faculty.