The Accreditation Council for Graduate Medical Education (ACGME), the accrediting body for all residency programs, has created a new accreditation program called Clinical Learning Environment Review (CLER). Stony Brook Medicine received its first site visit from CLER surveyors in January.
The CLER program assesses Stony Brook’s learning environment and commitment to developing a culture of quality, patient safety and performance improvement for both resident education and patient care. The site visit is designed to evaluate trainee, faculty and care provider experience and education with an emphasis on six areas of focus — patient safety, quality improvement/healthcare disparities, transitions in care, duty hours and fatigue management, supervision and professionalism — and to suggest potential areas for improvement.
“The goal of the CLER program is to create alignment with residents and fellows; hospital leadership, physicians, nurses and other caregivers; faculty; and residency program directors to ensure that they all work together in carrying out our strategic initiatives for safe and high-quality patient care,” said Frederick Schiavone, MD, Vice Dean and Designated Institutional Official (DIO), Graduate Medical Education.
During the visit, a team of three physicians held meetings with the hospital’s senior leadership, including graduate medical education leaders, nursing leaders, patient safety and quality officers, residents and fellows, program directors and faculty. They also conducted four sessions of rounds throughout the patient care areas of the hospital to speak with physicians, nurses and other clinicians.
The next CLER visit will take place in approximately 15 to 21 months and will measure Stony Brook’s progress related to the recommendations made during the initial site visit.
To learn more about CLER, visit ACGME or call Stony Brook’s Graduate Medical Education office at