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.

S Pathway 1: Education on supervision

S Pathway 2: Resident/fellow perception of the adequacy of supervision

S Pathway 3: Faculty member perception of the adequacy of resident/fellow supervision

S Pathway 4: Roles of clinical staff other than physicians in resident/fellow

S Pathway 5: Patients and families and graduate medical education supervision

S Pathway 6: Clinical site monitoring of resident/fellow supervision and workload

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