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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

National Report of Findings 2016 Issue Brief No. 8: Professionalism

September 20, 2017 - The CLER Program presents a series of Issue Briefs to supplement the CLER National Report of Findings 2016.  Each issue in the series features one of the Focus Areas of the CLER Program, supplementing the key challenges and opportunities highlighted in the National Report and enhancing the discussion as to their relevance and potential impact on GME and patient care.

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.

Contact CLER Staff:
Vice President, Clinical Learning Environment Review (CLER)
Robin Wagner, RN, MHSA
Director, CLER Operations
Betsy Kimball, MA
Other CLER Resources
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Accreditation Council for Graduate Medical Education
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