Transforming the Clinical Learning Environment: The ACGME's Commitment to Collaborative Action

Accreditation Council for Graduate Medical Education (02/04/19)

The Accreditation Council for Graduate Medical Education (ACGME) is playing a key role in two initiatives with wide-ranging implications for clinicians, healthcare organizations, and patients. The council set up Pursuing Excellence in Clinical Learning Environments to work with healthcare quality and education organizations to promote transformative improvements in the clinical learning environments of ACGME-accredited institutions. The initiative's main elements, Pathway Innovators and Pathway Leaders, are gaining momentum, with Pathway Innovators teams focusing on positioning GME with strategic value and realizing that transformational change in the clinical learning environment demands cooperation between GME and institutional leaders. The initial Pathway Leaders' objective is to contribute to individual and collective learning by devising a framework and plan for engaging all residents and fellows in patient safety in their first year of clinical training and education. The ACGME also is part of the National Collaborative for Improving the Clinical Learning Environment (NCICLE), which convenes more than 30 major healthcare organizations working to improve the educational experience and patient care outcomes within clinical learning environments, developing a patient safety guide to prepare new clinicians. NCICLE recently issued "The Role of the Clinical Learning Environment in Preparing New Clinicians to Engage in Quality Improvement Efforts to Eliminate Health Care Disparities" as a platform for the newest Pathway Leaders Collaborative. This guide offers a framework for healthcare leaders who want to engage new clinicians in eliminating healthcare disparities via a systems-level approach.

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