Version 1 - ACGME

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CLER PATHWAYS TO EXCELLENCE. Expectations for an optimal clinical learning environment to achieve safe and high quality patient care Version CLER Pathways Version The CLER Program is pleased to present this updated Version of the CLER. Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High Quality Patient Care. This Version keeps most of the original document intact with the exception of changes to one focus area. The focus area formerly called Duty Hours, Fatigue Management, and Mitigation is now called Well-being and has evolved to address four interrelated topics: work/life balance, fatigue, burnout, and support of those at risk of or demonstrating self-harm.

The CLER Program The Clinical Learning Environment Review (CLER) Program is a component of the NAS.3 As such, it is designed to provide US teaching hospitals, medical centers, health systems, and other clinical settings affiliated with ACGME-accredited institutions with

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