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With regard to issues of mistreatment, there may be situations in which residents or fellows are uncomfortable pursuing resolution within the GME administrative structure. In these situations the resident or fellow and the CLE are at high risk for an unfavorable outcome. While all CLEs have established confidential, non-punitive reporting mechanisms for handling unprofessional behavior, this does not ensure residents and fellows are familiar and comfortable with the reporting mechanisms outside of GME.

CLER National Report of Findings - Challenges and Opportunities