The Accreditation Council for Graduate Medical Education (ACGME) encourages graduate and undergraduate medical education programs to include the Quality Improvement and Patient Safety (QIPS) curriculum. This review summarizes the status of QIPS programs in the United States. Program length varied widely, from two simulation-based sessions to a two-year QIPS fellowship. Only a quarter of programs used a standardized, validated QIPS evaluation tool, and resident satisfaction and information retention was mixed.