The CLER Program Field Representative (CLER-FR) conducts site visits at ACGME-accredited sponsoring institutions and their participating sites. These visits assess how sponsoring institutions fulfill their responsibility to integrate residents and fellows in the quality and safety of the environment for learning and patient care. The CLER-FR produces reports following each visit that describe his/her findings from semi-structured interviews with institutional leaders, residency/fellowship program and other clinical and administrative personnel, faculty members, and residents and fellows, and from direct observations in the clinical environment. The CLER-FR also assesses how sponsoring institutions oversee practices around transitions of care, supervision, duty hours oversight, fatigue management/mitigation, resident wellbeing, and specified aspects of professionalism in the clinical and learning environment.
We seek candidates who have held GME leadership roles (Program Director/DIO) and who have demonstrated leadership in advancing patient safety and quality initiatives in training residents and fellows. The CLER visits will soon include a subprotocol review in the operating room of sponsoring institutions.
The CLER-FR is responsible for periodic direct follow-up discussion with the CLER Evaluation Committee. The CLER-FR also participates in ongoing professional development activities to cultivate, maintain, and enhance the knowledge and skills required for these tasks.
A full-time CLER-FR will conduct approximately 36 CLER site visits annually.
Accreditation Council for Graduate Medical Education (ACGME) is a private professional organization responsible for the accreditation of 8,887 residency education programs. The ACGME’s volume of accredited programs makes it one of the largest private accrediting agencies in the country, if not the world.
ACGME at a Glance
• The Accreditation Council for Graduate Medical Education is a pri...vate, non-profit council that evaluates and accredits residency programs in the United States.
• The ACGME was established in 1981 from a consensus in the academic medical community for an independent accrediting organization. Its forerunner was the Liaison Committee for Graduate Medical Education, established in 1972.
• The mission of the ACGME is to improve healthcare by assessing and advancing the quality of resident physicians’ education through exemplary accreditation.
• In academic year 2010-2011, there were 8,887 ACGME-accredited residency programs in 133 specialties and subspecialties. The number of active full-time and part-time residents for academic year 2010-2011 was 113,142.
• The ACGME has 28 Review Committees (one for each of the 26 specialties, one for a special one-year transitional-year general clinical program, and one for institutional review). Each Review Committee comprises about 6 to 15 volunteer physicians. Members of the Residency Review Committees are appointed by the AMA Council on Medical Education and the appropriate medical specialty boards and organizations. Members of the Institutional Review Committee and Transitional Year Committee are appointed by the ACGME Executive Committee and confirmed by the Board of Directors.
• The ACGME has implemented the Next Accreditation System (NAS), an outcomes-based system of accreditation designed to rapidly adapt to new knowledge, technology, and capabilities while being responsive to the public’s needs. One component of the NAS is the Clinical Learning Environment Review (CLER) program. CLER assesses graduate medical education engagement in hospital and medical center strategies to improve patient safety, quality, and other important areas of focus. The CLER program is in the second set of visits reviewing institutions that sponsor GME programs.
• The ACGME’s member organizations are the American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges, and the Council of Medical Specialty Societies. Member organizations each nominate four members to the Board of Directors, which also includes two resident members (the chair of the Council of Review Committee Residents and a resident member appointed by the Resident and Fellow Section of the AMA), three public directors, the chair of the Council of Review Committees, one to four at-large directors, and a non-voting federal representative.