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Clinical Learning Environment Review (CLER)

The Accreditation Council for Graduate Medical Education (ACGME) recognizes the public's need for a physician workforce capable of meeting the challenges of a rapidly evolving health care environment.

The ACGME has responded to this need by implementing the CLER program as a part of its Next Accreditation System. The CLER program is designed to provide US teaching hospitals, medical centers, health systems, and other clinical settings affiliated with ACGME-accredited institutions with periodic feedback that addresses the following six focus areas: patient safety; health care quality; care transitions; supervision; fatigue management and mitigation; and professionalism.

The feedback provided by the CLER program is designed to improve how clinical sites engage resident and fellow physicians in learning to provide safe, high quality patient care.

The only accreditation requirement associated with this new program is that each SI must undergo a CLER visit every 24 to 36 months to maintain accreditation.

News and Announcements

CLER Pathways to Excellence Version 1.1

May 15, 2017- Reflective of the ACGME’s prioritization of and focus on physician well-being, the CLER Program is pleased to announce the release of the CLER Pathways to Excellence Version 1.1. In this latest version, the focus area of Duty Hours, Fatigue Management, and Mitigation has evolved into Well-Being, addressing four interrelated topics: work/life balance; fatigue; burnout; and support of those at risk of or demonstrating self-harm. This new focus area recognizes the important role of clinical learning environments in designing and implementing systems that monitor and support physician well-being.

Webinar – CLER Pathways to Excellence Version 1.1

May 15, 2017- Drs. James Bagian and Kevin Weiss, co-chairs of the CLER Evaluation Committee, present an overview of this latest version of the CLER Pathways to Excellence.

View Webinar

Call for CLER Volunteers

The ACGME is currently seeking volunteers for the Clinical Learning Environment Review (CLER) Program to assist CLER Field Representatives on visits to ACGME-accredited Sponsoring Institutions and their participating sites.

CLER Volunteer applicants should have working knowledge of the CLER focus areas and professional experience in the clinical learning environment. Potential Volunteers may include designated institutional officials (DIOs), GMEC Chairs, program directors, senior quality and patient safety leaders with GME experience, and CMOs with GME experience.

CLER visits typically include arriving in the city of the site visit for a late afternoon meeting on a Monday, and visiting the clinical site Tuesday, Wednesday, and Thursday. CLER Field Representatives and Volunteers return home on Thursday after the visit ends mid-morning. Volunteers should be prepared for cross-country travel.

Training for new CLER Volunteers will take place at the ACGME Headquarters in Chicago, Illinois in early 2018, and will last one to two days. Each Volunteer will then be scheduled for an initial CLER visit to enhance his or her skills.

After the training in Chicago and their initial visit, CLER Volunteers will participate in three visits per year over the course of approximately four years. CLER Volunteers will participate in all aspects of the visit, including walking rounds, and will offer important input into the report of the visit. The ACGME emphasizes that the CLER Volunteers are critical members of the team, and once a CLER visit is scheduled, the Volunteer’s participation is expected. It is also essential to recognize the visit days are full, with no time to attend to other activities.

To apply, please download the application and return by e-mail with a copy of your CV to by June 23, 2017.

If you have questions, please contact CLER Site Visit Program Administrative Assistant Caroline Simpson: or 312.755.5025.

Interested parties should apply early, as openings are limited.

Contact CLER Staff:
Vice President, Clinical Learning Environment Review (CLER)
Robin Wagner, RN, MHSA
Director, CLER Site Visit Operations
Betsy Kimball, MA

Staff Listing

Other CLER Resources
Council for
Accreditation Council for Graduate Medical Education
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    401 North Michigan Avenue
    Chicago, IL 60611
  • Telephone: 312.755.5000
    Facsimile: 312.755.7498
  • Data Systems Technical Support: 312.755.7474
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