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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; clinical experience and education (formerly duty hours) and 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

Webinar – Themes in Health Care Disparities from the CLER National Report

In collaboration with the Alliance of Independent Academic Medical Centers (AIAMC) and the Association of American Medical Colleges (AAMC), Dr. Kevin Weiss will present the fourth in a series of presentations around the six CLER focus areas. The speakers will discuss key themes and data from the National Report of Findings 2016 relating to health care disparities.

Register today!

National Report of Findings 2016 Issue Brief No. 3: Health Care Quality
January 24, 2017- The ACGME has released the third in a series of issue briefs relating to the CLER National Report of Findings 2016.

This third report highlights findings in four major areas: resident, fellow, and faculty member awareness of the clinical learning environment (CLE)’s health care quality priorities; knowledge of health care quality terminology and methods; engagement in quality improvement (QI) activities; and involvement in developing and implementing the CLE’s strategies for health care quality.

Webinar – Themes in Health Care Quality from the CLER National Report
This webinar is the third in a series of presentations designed around the six CLER focus areas. The presenters will examine data from the recent CLER National Report of Findings 2016 and engage the community in a dialogue about health care quality.

View Webinar!

Webinar – Themes in Patient Safety from the CLER National Report
Follow link below to access a recording of the November 29, 2016 webinar by the ACGME’s Dr. Kevin Weiss and Dr. Tejal Gandhi of the National Patient Safety Foundation, where they examined data from the recent CLER National Report of Findings 2016 and engaged the GME community in a dialogue about patient safety.

View Webinar!

National Report of Findings 2016 Issue Brief No. 2: Patient Safety
November 29, 2016- The ACGME has released the second in a series of issue briefs relating to the CLER National Report of Findings 2016.

This second report discusses the current understanding of if, how, and where patient safety is integrated into graduate medical education. This issue brief highlights findings in four major areas: resident and fellow education; patient safety event reporting; patient safety event review; and the role of the clinical learning environment in monitoring/governance around patient safety.

CLER National Report of Findings 2016
May 2, 2016 - The first report of national findings from the Clinical Learning Environment Review (CLER) Program, released as the supplement to the May 2016 issue of the Journal of Graduate Medical Education, is now available online.

The report presents aggregate, de-identified data from CLER visits to participating sites of nearly 300 ACGME Sponsoring Institutions and provides a first look at important cross cutting areas of focus in the clinical learning environments of resident and fellow physicians.

Read the editorial The Importance of an Environment Conducive to Education by George E. Thibault, MD, President of the Josiah Macy Jr. Foundation.

Contact CLER Staff:
Vice President, Clinical Learning Environment Review (CLER)
Robin Wagner, RN, MHSA
312.755.5054
Director, CLER Site Visit Operations
Betsy Kimball, MA
312.755.7133

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