Be ready: Clinical Learning Environment Review coming in 2018

May 3, 2018  //  FOUND IN: Updates & Resources

Please be advised that Michigan Medicine will be visited by representatives from the Accreditation Council for Graduate Medical Education (ACGME) to conduct a Clinical Learning Environment Review (CLER) later this summer.

These site visits — which take place every 18-24 months — are an opportunity for the organization to gain valuable feedback on how well its learning environment is preparing future physicians to join the workforce. The specific date of this year’s visit is not yet known; the last took place in September 2016.

“Getting periodic feedback on what we do well — and what we need to improve — allows us to do our jobs better and improve how we prepare our physicians for the future,” said Terri Schork, an accreditation specialist with Graduate Medical Education. “Therefore, not only is a visit like this welcomed at Michigan Medicine, it is integral to the way we construct our learning environment and gives us the ability to demonstrate leadership in patient safety, quality improvement and reduction in health care disparities.”

ACGME assesses sponsoring institutions in the following six focus areas:

  • Patient safety: This includes opportunities for residents to report errors, unsafe conditions and near misses, and to participate in interprofessional teams to promote and enhance safe care.
  • Quality improvement:This includes how sponsoring institutions engage residents in the use of data to improve systems of care, reduce health care disparities and improve patient outcomes.
  • Transitions in care:This includes how sponsoring institutions demonstrate effective standardization and oversight of transitions of care.
  • Supervision: This includes how sponsoring institutions maintain and oversee policies of supervision concordant with ACGME requirements in an environment at both the institutional and program level that assures the absence of retribution.
  • Duty hours oversight, fatigue management and mitigation: This includes how sponsoring institutions demonstrate effective and meaningful oversight of duty hours across all residency programs institution-wide, design systems and provide settings that facilitate fatigue management and mitigation, and provide effective education of faculty members and residents in sleep, fatigue recognition and fatigue mitigation.
  • Professionalism: This includes factors in how sponsoring institutions educate for professionalism, monitor behavior on the part of residents and faculty and respond to issues concerning accurate reporting of program information, integrity in fulfilling educational and professional responsibilities, and veracity in scholarly pursuits.

“During the organization’s last visit, we were able to showcase our accomplishments in care transitions and how well we involve residents and fellows in quality improvement projects,” Schork said. “We look forward to highlighting our successful programs again when visitors arrive later this year.”

Stay tuned to Headlines for more information on the upcoming site visit. Thank you for your help and cooperation!

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