Purpose
Improving healthcare quality has become essential in medical education, yet structured training for residents is often lacking, especially in resource-limited settings like Haiti. This paper outlines the development, implementation, and outcomes of a mentorship program for medical residents across multiple specialties at Zanmi Lasante. The goal is to equip first-year residents with the skills to lead improvement initiatives in their clinical environments.

Methods
Since its inception in 2012, the medical education department's quality improvement initiative has been continuously refined, reaching its final version in 2022. The program expanded, covering nine residency programs, including two nursing programs across two university hospitals. First-year residents from various specialties participate in a 15-hour introductory seminar followed by an 8-month structured mentorship. The curriculum covers problem-solving, leadership, and hands-on project work. Residents conduct at least two cycles of improvement projects within their clinical services, with ongoing mentor support to ensure implementation during protected mentorship time.

Results
From 2022 to 2024, 138 residents participated in the program. Test scores showed significant improvement between the pre-test and post-test (p <0.0001) across all cohorts. Post-mentorship evaluations indicated further enhancement in residents' ability to implement quality improvement projects. In the 2022-2023 cohort, 20 projects were completed, with three presented at international conferences such as the IHI forum. The 2023-2024 cohort completed 21 projects, with 5 selected for presentation at 2025 international conferences.

Conclusion
This mentorship program has proven effective in developing key skills among first-year residents in a resource-limited setting. By combining theoretical learning with practical mentorship, the program has facilitated meaningful changes in clinical practice and fostered leadership in healthcare improvement. This model can serve as a template for other institutions seeking to enhance healthcare outcomes through resident-led initiatives.