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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 Quality Improvement in Health Care Disparities Collaborative.

The nine Sponsoring Institutions chosen are:

  • Children's Hospital Los Angeles (Los Angeles, California)
  • Citrus Health Network, Inc. (Hialeah, Florida)
  • HealthPartners Institute (Bloomington, Minnesota)
  • Icahn School of Medicine at Mount Sinai (New York, New York)
  • Kaiser Permanente Northern California (Oakland, California)
  • Newark Beth Israel Medical Center (Newark, New Jersey)
  • Ohio State University Hospital (Columbus, Ohio)
  • University of Michigan Health System (Ann Arbor, Michigan)
  • VA Caribbean Healthcare System (San Juan, Puerto Rico)

The launch of this Collaborative marks the third learning community in the Pursuing Excellence in Clinical Learning Environments initiative.

Press Release

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

Webinar: CLER Program Launches Sub-Protocol

July 27, 2018 - After more than a year of development and pilot testing the CLER Program is pleased to announce that on August 13, 2018 it will launch the sub-protocol for Operative and Procedural Areas. This sub-protocol focuses on Sponsoring Institutions with ACGME-accredited programs in surgical specialties and/or anesthesiology and will be delivered as an enhancement to the regular CLER visit. The first cycle of this sub-protocol will take place in Sponsoring Institutions with > 30 total programs. Click here to access a recorded presentation outlining the background and logistics for this new sub-protocol. For questions or additional information, please contact cler@acgme.org.

Contact CLER Staff:
Vice President, Clinical Learning Environment Review (CLER)
Robin Wagner, RN, MHSA
312.755.5054
Director, CLER Operations
Betsy Kimball, MA
312.755.7133
Other CLER Resources
Accreditation
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Graduate
Medical
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Accreditation Council for Graduate Medical Education
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