ACGME Releases CLER National Report of Findings 2021

October 6, 2021

The ACGME is pleased to present the CLER National Report of Findings 2021. The report presents a national look at the health care environments that serve as clinical learning environments for resident and fellow physicians. It reveals both strengths, such as increased engagement in reporting patient safety events, as well as challenges as seen in the lack of a systems-based approach to addressing well-being.

This report and prior reports of the Clinical Learning Environment Review (CLER) Program provide key information that can be used to start or enhance conversations among leadership of the nation’s health care organizations serving as clinical learning environments for graduate medical education (GME) programs, promoting positive changes in infrastructure, processes, and outcomes that will benefit both patient care and the experiences of residents and fellows.

“The 2021 CLER Report prompts the ACGME to reimagine how to best assess, understand, and inspire clinical learning environments through an outcomes-oriented perspective that promotes the best possible patient care,” said ACGME President and Chief Executive Officer Thomas J. Nasca, MD, MACP.

“With findings from site visits to more than 550 clinical sites throughout the United States, the CLER National Report of Findings 2021 informs the GME community of leaders of what defines successful improvements within our nation’s clinical learning environments, and provides a roadmap for future areas of enhancement,” said ACGME Chief Sponsoring Institutions and Clinical Learning Environments Officer Kevin B. Weiss, MD.

The ACGME’s CLER Program provides leaders of hospitals, medical centers, and other clinical settings with formative feedback through site visits that explore six Focus Areas: Patient Safety; Health Care Quality; Care Transitions; Supervision; Well-Being; and Professionalism. For more information, visit the CLER web page.