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ACGME releases report of CLER findings

Residency Program Insider, August 31, 2018

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The ACGME recently finished its second round of clinical learning environment reviews and has released an executive summary of its findings. For this round of visits, which were held from March 2017 to June 2017, the ACGME visited 287 sponsoring institutions, which in total oversee 9,167 residency and fellowship programs. The ACGME’s executive summary identified six overarching themes. They are:

1. Clinical learning environments vary in their approach and capacity for addressing patient safety and healthcare quality
2. Clinical learning environments vary in how they align and collaborate with graduate medical education in developing the organization’s strategic goals aimed at improving patient care
3. A limited number of clinical learning environments have designed and implemented educational programs to ensure that all graduate medical education faculty members and program directors have the knowledge, skills, and attitudes necessary for their respective roles in training residents and fellows in patient safety and quality improvement
4. Clinical learning environments vary in the degree to which they coordinate and implement interprofessional collaborative learning in the context of delivering patient care
5. In general, clinical learning environments lack the mechanisms to identify and eliminate organizational factors that contribute to burnout.
6. Health care system consolidation and the concomitant organizational changes in infrastructure, governance, priorities, and values are creating new challenges for clinical learning environments to align graduate medical education with initiatives to improve patient care.

Source: ACGME

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