CALL FOR APPLICANTS: Clinical Learning Environment Quadruple Aim Initiative
September 2024 - The CLER Program is seeking up to 10 teams from clinical learning environments (CLEs) of ACGME-accredited Sponsoring Institutions to participate in a 15-month pilot cycle of a new improvement network, the CLE Quadruple Aim Initiative, which aims to enhance graduate medical education (GME) integration into CLE efforts to optimize patient care and advance the Quadruple Aim of simultaneously improving patient outcomes, enhancing patient experience, improving health care practitioner well-being, and reducing cost of care. Selected teams will learn from one another by participating in joint learning sessions while engaging in a clinical quality improvement project of strategic priority to their clinical site. The application deadline is October 18, 2024.
Click here to learn more about the pilot and preview the application
Click here to access the application (must be completed online)
CLER Program Announces Participants in Clinical Learning Environment Toolkit for Formative Assessment Pilot
August 2024 - The CLER Program is pleased to announce its selection of 10 Sponsoring Institutions that will test the first modular component of the new Clinical Learning Environment Toolkit for Formative Assessment. The toolkit’s first module will address the CLER Focus Area of Patient Safety.
The following Sponsoring Institutions will participate in 2024-2025 pilot testing:
- Arnot Ogden Medical Center
- Carolinas Medical Center
- Christiana Care Health Services, Inc.
- Creighton University School of Medicine
- Geisinger Health System
- John Peter Smith Hospital (Tarrant County Hospital District)
- Kaiser Permanente Southern California
- Old Dominion University
- Tripler Army Medical Center
- University of Vermont Medical Center
The toolkit, which is one of four components of CLE Program future directions, will provide clinical learning environment executive and graduate medical education leaders with a framework with which they can continuously conduct their own assessment of all their clinical learning environments to identify improvement opportunities, innovate, and monitor performance in the CLER Focus Areas. Use of the toolkit will be voluntary, and its use is intended to complement, rather than replicate, the CLER site visit process.
For more information about the toolkit and CLER Program future directions, see CLER Program Future Directions: Optimizing the Clinical Learning Environment.
CALL FOR APPLICANTS: Clinical Learning Environment Toolkit for Formative Assessment
May 2024 - The CLER Program is seeking up to 10 ACGME-accredited Sponsoring Institutions to test the first modular component on the Clinical Learning Environment (CLE) Toolkit for Formative Assessment. The first module will address the CLER Focus Area of patient safety. The toolkit will provide CLE executive and graduate medical education leaders with a framework with which they can continuously conduct their own assessment of all their CLEs to identify improvement opportunities, innovate, and monitor performance in the CLER Focus Areas. The ACGME will select two Sponsoring Institutions for an alpha test group and eight Sponsoring Institutions for a beta test group. The application deadline is June 14, 2024.
Click here to learn more about the toolkit and to apply.
Just Released: CLER Pathways to Excellence Version 3.0
March 2024 - The CLER Program is pleased to announce the release of the CLER Pathways to Excellence Version 3.0. The Pathways outline expectations for optimizing the clinical learning environment across the six CLER Focus Areas, and serve to guide and promote dialog between graduate medical education leaders and executive leaders of clinical sites. Version 3.0 introduces the new Focus Area of Diversity, Equity, and Inclusion.
The CLER Pathways to Excellence Version 3.0 will be the basis for the next cycle of CLER visits anticipated to launch in mid-2025.
Click here to view the report.
New! The CLER Program Launches the Patient Perspective Subprotocol
March 2024 - The CLER Program’s Patient Perspective Subprotocol is officially launched. The new subprotocol assesses the clinical learning environment from the patient perspective as related to the six CLER focus areas. Use the link below to access a recorded webinar in which Drs. Kevin Weiss, Robin Newton, and Robin Dibner describe the subprotocol’s design and provide information on key logistics for site visits. The webinar also highlights some of the questions asked during patient interviews.
Click here to access the recording.
Click here to access the full patient questionnaire.
Teaming in the Clinical Learning Environment Virtual Workshop
August 2023 - A recording of a CLER workshop that explores the concept, purpose, and value of teaming in the clinical learning environment as defined in the CLER Pathways to Excellence framework is now available. The session explores the characteristics of effective teaming while providing patient care, and the benefits of optimizing teaming in rapidly evolving health care environments.
Click here to access the recording.
Just Released: CLER National Report of Findings 2022: The COVID-19 Pandemic and Its Impact on the Clinical Learning Environment
December 2022 - The CLER Program is pleased to release CLER National Report of Findings 2022: The COVID-19 Pandemic and Its Impact on the Clinical Learning Environment, which details results from an 18-month site visit protocol that assessed the impact of the COVID-19 pandemic on the clinical learning environment. This report identifies opportunities to optimize patient care and graduate medical education in addressing challenges that are likely to persist as clinical sites recover from the pandemic’s acute phases.
Click here to view the report
CLER National Report of Findings 2021
October 2021 - The CLER Program is pleased to announce the release of the CLER National Report of Findings 2021. This report presents findings from the third cycle of CLER visits conducted from June 2017-February 2020. It is the first CLER report to include data from the clinical learning environments (CLEs) of both large and small Sponsoring Institutions in the same document (encompassing 566 Sponsoring Institutions in total). The report features an enhanced section on trend data as well as information on the new CLER Focus Area of Well-being. Of note, the report presents a snapshot of our nation’s CLEs in the years leading up to the start of the Covid-19 pandemic—an important lens through which to view the current opportunities and challenges facing those US healthcare care organizations that serve as CLEs.
Click here to view the report
CLER Zoom Call Series
October 2021 - Recordings are available for the ACGME National Learning Community for Sponsoring Institutions’ special CLER Zoom Call Series highlighting findings and trends from the various CLER site visit protocols. These recordings are available to watch in Learn at ACGME. Click the title of each presentation to watch the recordings.
CLER National Report of Findings 2021
Wednesday, October 13, 2021
Catherine Kuhn, MD; Robin Newton, MD; Robin Wagner, RN, MHSA; Kevin Weiss, MD
CLER COVID-19 Protocol Interim Findings
Thursday, November 18, 2021
Staci Fischer, MD; Nancy Koh, PhD; Robin Wagner, RN, MHSA; Elizabeth Wedemeyer, MD; Kevin Weiss, MD
CLER Subprotocol for Operative and Procedural Areas
Tuesday, December 7, 2021
Stanley Ashley, MD; Marian Damewood, MD; Alice Krumm, RN, DNP; Robin Newton, MD; M. Christine Stock, MD; James Zaidan, MD
Email questions to CLER@acgme.org.
CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas
February 2021 - The CLER Program is pleased to announce the release of a special report of findings from the CLER Subprotocol for Operative and Procedural Areas. The report provides new insights into these key clinical areas through the lens of their roles as clinical learning environments for our nation’s resident and fellow physicians. As with the larger CLER national reports, the key findings of the subprotocol highlight a mixture of strengths and opportunities for improvement, some unique to the perioperative environment, and some that are similar to other places the clinical learning environment.
Click here to view the report
