CLER Program

Clinical Learning Environment Review (CLER)


The Accreditation Council for Graduate Medical Education (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 six focus areas (see below).

CLER data is not being used in accreditation decisions by the Institutional Review Committee (IRC). The ACGME’s goal is to ensure that residents and fellows are key participants in these six focus areas and that residents and fellows work hand-in-hand to safeguard and improve these areas. 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. 

To maintain compliance with ACGME Essential Area 2, all activities must be developed in the context of desirable physician attributes as those designated by the Institution of Medicine (IOM) and American Board of Medical Specialties (ABMS)/ Accreditation Council of Continuing Graduate Medical Education (ACGME) Competencies.

SIX ACGME Core Competencies:
CLER assesses sponsoring institutions in the following SIX focus areas:

The Wright Center embraces the six focus areas throughout our organization in delivering high quality patient care and education with complete infrastructure support. Download org chart.

Want to learn more about CLER? Visit CLER Pathways to Excellence and CLER National Report of Findings 2021.