International Clinical Learning Environment Pathways to Excellence
ACGME International (ACGME-I) and the Accreditation Council for Graduate Medical Education (ACGME) present the International Clinical Learning Environment Pathways to Excellence: Expectations to Achieve Safe and High-Quality Patient Care. This document is a tool for promoting discussions and actions to optimize graduate medical education (GME) and patient care. It frames each of the pathways and properties from the health system’s perspective, recognizing that health care organizations create, and are therefore primarily responsible for, the clinical learning environment (CLE). This focus emphasizes the importance of the interface between GME and the hospitals, medical centers, ambulatory sites, and other health care settings across the continuum of care that serve as CLEs.
This document, an adaptation of the ACGME’s CLER Pathways to Excellence, reflects the review and input of a working group of international GME leaders from ACGME-I-accredited Sponsoring Institutions to contextualize the document for greater applicability and acceptability in the international environment. The goal of this document is to foster discussions within the ACGME-I and wider global GME community on the important topics around CLEs; it is not designed as a prelude to introducing a formal Clinical Learning Environment Review Program for ACGME-I.