Resident and Fellow Performance Improvement Incentive Program

UCSF Residents and Fellows at ZSFG

While at ZSFG, residents and fellows participate in the Resident and Fellow Performance Improvement Incentive Program, whose primary goal is to engage trainees in quality improvement initiatives that are aligned with the health system's True North goals.  Trainees participate in both hospital-wide projects and program-specific projects and will receive a financial incentive (up to $1200) for meeting their targets. This year, in addition to improvement work, trainees have an opportunity to propose and complete a climate sustainability project as part of this incentive program. 


Hospital-wide projects for 2023-2024


Hospital Flow

1. Increase patient discharges before 2PM for hospitalized patients 


2. Improve patient flow by reducing consult to decision time for emergency department (ED) patients requring a consultant 

Hospital Equity

3. Increase naloxone prescribing for discharged patients who are  prescribed an opioid

Climate Sustainability Projects for 2023-2024


  • Anesthesia: Increase percentage cases with inhaled gas flow <2L/m 
  • Emergency Medicine: Increase recycling of instruments in bedside procedure kits 
  • Radiology: Improve waste sorting in Radiology work rooms 


  • EM project won the QI challenge submission @ ACEP
    • American College of Emergency Physicians national QI innovations challenge for reducing health disparities category (October 2023): "Lost in interpretation: addressing gaps in interpreter use documentation" EM resident QI project for 2022-2023
    • EM project got recognition at Stanford
      • Lean Healthcare Academic Conference @ Stanford: "Lost in interpretation: addressing gaps in interpreter use documentation" EM resident QI project for 2022-2023 won special recognition at the conference



  • Dermatology project won thei QI challenge for the 2022-2023 incentive project
    • American Academy of Derbatology's 2024 Excellence in Patient Care Award: Resident Quality Improvement Award [Kira Seiger, Fiatsogbe Dzuali]



Kira Seiger, MD


Fiatsogbe Dzuali, MD




  • Internal Medicine resident QI project from 2019-2020 was accepted for publication in BMJ Open Quality "Initiating pre-exposure prophylaxis in the inpatient setting: quality improvement project" [Sarah Flynn, Meredith Adamo, Marta Kochanska, Ilana Garcia-Grossman]
Sarah Flynn, MD, MPhil


Meredith Adamo, MD


Marta Kochanska, MD


Ilana Garcia-Grossman, MD, MAS






Esther Chen, MD

ZSFG Site Director of Graduate Medical Education and Professor of Emergency Medicine

[email protected]