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. 2018 Aug;10(4 Suppl):49-68.
doi: 10.4300/1949-8349.10.4s.49.

Detailed Findings From the CLER National Report of Findings 2018

Nancy J Koh, Robin Wagner, Robin C Newton, Baretta R Casey, Hongling Sun, Kevin B Weiss; CLER Program

Detailed Findings From the CLER National Report of Findings 2018

Nancy J Koh et al. J Grad Med Educ. 2018 Aug.
No abstract available

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Figures

FIGURE 1
FIGURE 1
Percentage of Residents and Fellows Who Reported a Near Miss/Close Call Event, by Specialty Group
FIGURE 2
FIGURE 2
Percentage of Residents and Fellows Who Reported Receiving Feedback on the Outcome of a Patient Safety Event Report Submitted, by Level of Training Abbreviation: PGY, postgraduate year.
FIGURE 3
FIGURE 3
Percentage of Residents and Fellows (Postgraduate Year 3 and Above) Who Reported Participating in an Interprofessional Patient Safety Investigation, by Specialty Group
FIGURE 4
FIGURE 4
Percentage of Clinical Learning Environments by Proportion of Resident and Fellow Knowledge of Basic Quality Improvement Concepts
FIGURE 5
FIGURE 5
Percentage of Clinical Learning Environments by Proportion of Resident and Fellow Quality Improvement Projects With Components of a Complete Quality Improvement Cycle
FIGURE 6
FIGURE 6
Percentage of Residents and Fellows Who Reported Receiving Aggregated or Benchmarked Quality Performance Data About the Care of Their Own Patients, by Type of Clinical Learning Environment (CLE) Ownership
FIGURE 7
FIGURE 7
Percentage of Residents and Fellows Who Reported Receiving Cultural Competency Training Specific to Populations at Risk for Health Care Disparities at Their Clinical Site, by Type of Clinical Learning Environment (CLE) Ownership
FIGURE 8
FIGURE 8
Percentage of Residents and Fellows Who Reported Participating in a Quality Improvement Project Focused on Reducing Health Care Disparities, by Specialty Group
FIGURE 9
FIGURE 9
Percentage of Residents and Fellows Who Reported Following a Standardized Process for Handoffs Between Shifts and Using a Standardized Written Template, by Clinical Learning Environment (CLE) Bed Size
FIGURE 10
FIGURE 10
Percentage of Clinical Learning Environments With Handoff Processes That Were Standardized Across Programs, Based on Direct Observation
FIGURE 11
FIGURE 11
Percentage of Residents and Fellows Who Reported Being Placed in a Situation or Witnessing 1 of Their Peers in a Situation Where They Believed Supervision Was Inadequate, by Level of Training Abbreviation: PGY, postgraduate year.
FIGURE 12
FIGURE 12
Percentage of Residents and Fellows Who Reported Encountering a Physician (Attending Physicians or Consultants) Who Made Them Feel Occasionally or Frequently Uncomfortable When Requesting Assistance, by Clinical Learning Environment (CLE) Bed Size
FIGURE 13
FIGURE 13
Percentage of Clinical Learning Environments by Mechanism Used for Identification of Resident and Fellow Competency to Perform Clinical Procedures, as Reported by Nurses
FIGURE 14
FIGURE 14
Percentage of Residents and Fellows Who Reported They Would Power Through When Maximally Fatigued, by Clinical Learning Environment (CLE) Bed Size
FIGURE 15
FIGURE 15
Reported Awareness of a Patient Safety Event Related to Resident or Fellow Fatigue
FIGURE 16
FIGURE 16
Percentage of Clinical Learning Environments Where Residents and Fellows Observed Some Signs of Burnout Among Faculty Members and Program Directors
FIGURE 17
FIGURE 17
Percentage of Residents and Fellows Who Reported Having Felt Pressured to Compromise Their Honesty or Integrity to Satisfy an Authority Figure During Their Training at the Clinical Site, by Clinical Learning Environment (CLE) Region
FIGURE 18
FIGURE 18
Percentage of Clinical Learning Environments Where Chronic Disrespectful or Disruptive Behavior Was Reported Across More Than 1 Clinical Unit
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References

    1. Weiss KB, Bagian JP, Wagner R. CLER Pathways to Excellence: expectations for an optimal clinical learning environment [executive summary] J Grad Med Educ. 2014;6(3):610–611. - PMC - PubMed
    1. Weiss KB, Wagner R, Nasca TJ. Development, testing, and implementation of the ACGME Clinical Learning Environment Review (CLER) Program. J Grad Med Educ. 2012;4(3):396–398. - PMC - PubMed
    1. Weiss KB, Bagian JP, Nasca TJ. The clinical learning environment: the foundation of graduate medical education. JAMA. 2013;309(16):1687–1688. - PubMed
    1. Koh NJ, Wagner R, Weiss KB, CLER Program The methodology for the CLER National Report of Findings 2016. J Grad Med Educ. 2016;8(2 suppl 1):15–20. - PMC - PubMed
    1. Koh NJ, Wagner R, Sun H, Weiss KB, CLER Program The methodology for the CLER National Report of Findings 2018. J Grad Med Educ. 2018;10(4 suppl 1):13–18. - PMC - PubMed

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