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Single GME Accreditation System

ACGME Releases National Report of Findings 2018

The Accreditation Council for Graduate Medical Education (ACGME) recently released its Clinical Learning Environment Review (CLER) Program National Report of Findings 2018 in the Journal of Graduate Medical Education on August 23, 2018. It contains updated information since the last report which was published in 2016. The ACGME wrote an executive summary with key insights from the overall report.

Rowen K. Zetterman, MD, MACP, MACG, writes in the 2018 report foreword, “this second report provides a follow-up look at the nearly 300 larger Sponsoring Institutions (SIs) in which ACGME accredits residency and fellowship training across the United States. It includes the first evidence of trends and the possible impact of this formative learning experience on the clinical learning environment.”

Some highlights from the report include:

  • In-depth explanations of the four overarching themes found throughout the National Report of Findings 2018
  • Nearly 90 percent of the CLER visits found that residents and fellows perceived their faculty members and program directors as experiencing burnout
  • Evidence of improvement was found within several of the focus areas—especially resident and fellow engagement in patient safety and quality improvement

Read the report at the Journal of Graduate Medical Education and learn more about the CLER program on the ACGME website.

The ACGME will also be hosting an webinar on the report on September 18 at 1:00 PM ET. Register for the webinar today.

Background of CLER from the ACGME

The 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.