The Overarching Themes from the CLER National Report of Findings 2016.

The initial visits of the Clinical Learning Environment Review (CLER) Program revealed a number of findings that appeared to be common across many of the clinical learning environments (CLEs) and six focus areas The CLER protocol did not directly assess for these overarching themes To derive them, the CLER staff generated a list of findings that were common to many CLEs and presented them to the CLER Evaluation Committee 1 The Committee then prioritized and selected the four overarching themes listed below, all of which they believed could provide graduate medical education (GME) and CLEs with opportunities for high-leverage improvement