Incident reporting systems are ubiquitous in hospitals and one of the primary methods for capturing potential quality and safety issues. Physicians traditionally underutilize incident reporting systems, and in teaching institutions, the ability to engage trainees in reporting is particularly challenging. This study developed a financial incentive (i.e., retirement benefit of 1.5% of resident salary) and a multifaceted educational campaign to promote resident reporting of adverse events. Following implementation, there was a 5.6-fold increase in resident reporting with a 21% increase in near miss reports. A past AHRQ WebM&M commentary discussed the importance of reporting and creating a safe environment to encourage it.