Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals?

Myers JS, Nash DB. Acad Med. 2014;89:1328-1330.

The Clinical Learning Environment Review (CLER) program was developed to evaluate the performance of teaching institutions in six key areas that affect patient outcomes. This commentary describes how poor safety culture in clinical practice can counteract the effect of educating medical students about quality and safety principles. The authors note unintended consequences of the CLER program and strategies to avoid them.

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