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The ACGME defines each CLER focus area in CLER Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment (Executive Summary). Journal of Graduate Medical Education: September 2014, Vol. 6, No. 3, pp. 610-611.

HQ Pathway 1: Education on quality improvement
HQ Pathway 2: Resident/fellow engagement in quality improvement activities
HQ Pathway 3: Residents/fellows receive data on quality metrics
HQ Pathway 4: Resident/fellow engagement in planning for quality improvement
HQ Pathway 5: Resident/fellow and faculty member education on reducing health care disparities
HQ Pathway 6: Resident/fellow engagement in clinical site initiatives to address health care disparities

Access CLER Issue Brief #3 - Health Care Quality

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