Clinical Learning Environment Review (CLER)
Evaluates the Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care
Visits are every 18 months
Minimal announcement - no less than a 10-day notice
Focus on DIO, CEO, CMO, CIO, CNO
Monitor Sponsoring Institution (SI) maintenance of a clinical learning environment that promotes the six focus areas.
Emphasizes the responsibility of the SI for the quality and safety of the environment for learning and patient care.
Increase resident knowledge of and participation in safety activities and quality improvement.
Intent to improve physician integration into quality and safety goals after graduation.
The optimal clinical learning environment continually provides experiences that residents and fellows need to engage with the clinical site’s efforts to address patient safety. It is important that the clinical site . . .Â
The optimal clinical learning environment supports high-performance teaming. The concept of teaming recognizes the dynamic and fluid nature of the many individuals of the clinical care team that come together . . .
The optimal clinical learning environment provides experiential and interprofessional training in all phases of quality improvement aligned with the quality goals of the clinical site. In this way, it ensures that residents . . .
The optimal clinical learning environment is engaged in systematic and institutional strategies and processes to cultivate and sustain the well-being of both its patients and its clinical care team. The delivery . . .
The optimal clinical learning environment provides all members of the clinical care team and patients with mechanisms to raise supervision concerns. It also continuously monitors resident and fellow supervision . . .Â
The optimal clinical learning environment recognizes that attitudes, beliefs, and skills related to professionalism directly impact the quality and safety of patient care. It has mechanisms in place for . . .
Site Visitor(s) will visit one or more participating site(s) per Sponsoring Institution (SI)
Site Visitor(s) choice of visiting more than one site would be possible if within walking distance
Organizational Charts
Policies: Supervision, Duty Hours, Transitions of Care
Patient Safety and Quality Protocols
Quality and Safety Committee membership rosters including residents/fellows
CEO, COO, CMO, CNO
Patient Safety and Quality Officers
Resident/Fellow Program personnel
All Program Directors
Key Faculty from all programs
Peer selected resident/fellows form all programs
Walk Arounds
Led by Residents
Nurses and Medical assistants