CLER and CLER Site Visit Information

Clinical Learning Environment Review (CLER)

CLER Overview

  • CLER is a way that the Accreditation Council for Graduate Medical Education (ACGME) assesses the learning and working environment of our sponsoring institution and participating sites for residency and fellowship programs.
  • CLER emphasizes quality and safety of the environment in which patient care and learning occur.. 
  • CLER site visits are designed to help us learn, continually improve and enhance interprofessional team-based care. 
  • The focus of CLER is institution-wide, not on individual programs.

Our 4th CLER site visit:  October 1-3, 2024

During the site visit, please answer all questions honestly.  If you are unsure or do not know the answer, please don’t hesitate to the tell the site visitors so.  If the answer is no, please tell them that as well.  The site visitors expect honest answers and appreciate concise answers.

  • 3rd CLER site visit:  November 27-29, 2018
  • 2nd CLER site visit:  February 14-16, 2017.  
  • 1st CLER site visit:  December 2-4, 2014.  

CLER NUTS and BOLTS and SAMPLE SITE VISIT QUESTIONS

ACGME CLER LINKS

UF HEALTH BIG AIMS

  1. Zero harm
  2. Reduce variation
  3. Transform our culture
  4. Increase Value
  5. Perfect Patient Experience

UF HEALTH SHANDS LINKS

QUALITY TOOLS AND TEMPLATES

UF GME LINKS

Other Handouts/Reports/Presentation/Articles

Most Recent Site Visit Information/Logistics (10/1/2024 – 10/3/2024) HVN 8th Floor Executive Conference Room

CLER Site Visit Expectations/Logistics

What to expect during Large Group Meetings (PDs, Faculty, Resident/Fellow Sessions)

Large group meetings (PD, Faculty, Resident/Fellow) will consist of 30 people each plus the ACGME CLER site visitors. Meetings are relatively low key.  You will be asked questions, asked to participate in discussions and to provide examples of activities or situations related to CLER. 

  • Log in 10 minutes prior to meeting.  If you are late, you may not be admitted to the meeting. 
  • You will be required to have two devices:  1) a laptop/desktop to join via zoom and 2) a phone/tablet to participate in polling. 
  • Each person must log in to their own laptop/desktop and be in a place where a private conversation can be held.  Groups may not log in on or share one laptop/desktop.

What to expect during Walking Rounds

Senior Level Housestaff  Executive Committee or Quality and Patient Safety Committee (PGY3 or higher) and/or Chief Residents will be asked to take a site visitor to various parts of the institution during specified times when and where ambulatory care occurs.  During this time, the site visitors will speak to residents/fellows, faculty members, nursing staff, other staff and patients.

Please answer questions honestly during the site visit.  If you are unable to answer, please say so.

Last updated on September 11, 2024