Don’t forget: Clinical Learning Environment Review now underway

June 5, 2018  //  FOUND IN: Updates & Resources

Every two years or so, Michigan Medicine has a chance to demonstrate how it provides an exceptional learning environment to future physicians.

Another such opportunity began earlier today, as surveyors from the Accreditation Council for Graduate Medical Education — or ACGME — arrived on campus. They will be conducting a Clinical Learning Environment Review (CLER) through Thursday, June 7, and will evaluate the institution on the quality and safety of the environment for learning and patient care.

“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 institutionwide, 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.

Your role during the visit

Michigan Medicine facilities attached to University Hospital, including CVC, C.S. Mott Children’s Hospital, Von Voigtlander Women’s Hospital and the Rogel Cancer Center, will likely be visited this week. Therefore, all faculty and staff in those areas may interact with a surveyor, whether it’s being asked questions regarding the learning environment or helping them find their way to various locations.

If you are asked to assist a surveyor, here are tips on the most effective ways to respond:

  • Answer specific questions as concisely as possible.
  • Don’t be afraid to say you are unfamiliar with a process or issue. If you are not sure of an answer because it does not fall within your scope of work, simply tell the surveyor, “I am not familiar with that because it is not part of the work that I do.”
  • If you feel you should know an answer, but cannot remember at the moment, tell the surveyor, “I don’t have the answer off-hand, but I know where to find it.” This shows that our employees have the resources they need to succeed.
  • Always treat the surveyor with kindness and respect and do not ignore a visitor who is approaching you.

“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 during this week’s visit!”

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