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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; Well-Being; 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 program is that each Sponsoring Institution must undergo a CLER site visit every 24 months (+/-6) to maintain accreditation.

News and Announcements

The Pursuing Excellence initiative is pleased to announce the newest Pathway Leaders who will form the next Patient Safety Collaborative.

  • Community Health Network (Indianapolis, Indiana)
  • Gundersen Lutheran Medical Foundation (La Crosse, Wisconsin)
  • Maine-Dartmouth Family Medicine Residency (Augusta, Maine)
  • Sidney Kimmel Medical College (Philadelphia, Pennsylvania)
  • UCLA David Geffen School of Medicine (Los Angeles, California)
  • University of Louisville School of Medicine (Louisville, Kentucky)
  • University of Maryland (Baltimore, Maryland)
  • University of North Dakota (Grand Forks, North Dakota)
  • University of South Florida Morsani College of Medicine (Tampa, Florida)
  • University of Tennessee Health Sciences (Memphis, Tennessee)

The launch of this Collaborative kicks off the fourth Learning Community in the Pursuing Excellence in Clinical Learning Environments initiative.

Learn More

CLER National Report of Findings 2019

August 22, 2019 - The CLER Program is pleased to announce the release of its third National Report of Findings. The report includes a new set of insights into the clinical learning environments associated with ACGME-accredited Sponsoring Institutions that have two or fewer core residency programs.The full report and Executive Summary are available below.

CLER National Report of Findings 2019: Initial Visits to Sponsoring Institutions with Two or Fewer Core Residency Programs

Executive Summary - CLER National Report of Findings 2019: Initial Visits to Sponsoring Institutions with Two or Fewer Core Residency Programs


CLER National Report of Findings 2018

August 23, 2018 - The Clinical Learning Environment Review (CLER) Program is pleased to announce the release of its second National Report of Findings, published as a supplement to the August 2018 issue of the Journal of Graduate Medical Education. The report presents findings from the second cycle of CLER visits to participating sites of nearly 300 ACGME Sponsoring Institutions, as well as a first look at changes over time since the first cycle of CLER visits.

CLER National Report of Findings 2018 (JGME 2018)

Executive Summary of the CLER National Report of Findings 2018

Contact CLER Staff:
Director, CLER Site Visit Program
Kristen Ward Hirsch
312.755.7133
Senior Vice President, Clinical Learning Environment Review (CLER)
Robin Wagner, RN, MHSA
312.755.5054
Other CLER Resources
Accreditation
Council for
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Medical
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Accreditation Council for Graduate Medical Education
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