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Clinical Learning Environment Review (CLER)

Healthcare Industry

Organizations Involved

Occupations Involved

Workforce Development Focus

Workforce Issues Addressed


Accreditation Council for Graduate Medical Education (ACGME)

Other: residents, other: fellows, physician group

Improving the quality of healthcare workforce

Training current healthcare professionals in new techniques or practices


The Clinical Learning Environment Review (CLER) Program is run by the Accreditation Council for Graduate Medical Education (ACGME). It provides health organizations and clinical settings with periodic feedback about their graduate medical education (GME) for medical residents and fellows in six focus areas: patient safety, healthcare quality, teaming, supervision, well-being and professionalism. Members from the ACGME take site visits to settings affiliated with the organization to meet with leadership, groups of residents and fellows, faculty members, program directors and clinical staff and then share their observations of resident and fellow engagement in the six focus areas. The feedback is designed to help improve physician education and quality of patient care within the organizations.

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