PMID- 27303228
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160615
LR  - 20201001
IS  - 1524-5012 (Print)
IS  - 1524-5012 (Linking)
VI  - 16
IP  - 2
DP  - 2016 Summer
TI  - Preparing Academic Medical Centers for the Clinical Learning Environment Review: 
      Alliance of Independent Academic Medical Centers National Initiative IV Outcomes 
      and Evaluation.
PG  - 166-71
AB  - BACKGROUND: Driven by changes to improve quality in patient care and population 
      health while reducing costs, evolvement of the health system calls for 
      restructuring health professionals' education and aligning it with the healthcare 
      delivery system. In response to these changes, the Accreditation Council for 
      Graduate Medical Education's Clinical Learning Environment Review (CLER) 
      encourages the integration of health system leadership, faculty, and residents in 
      restructuring graduate medical education (GME). Innovative approaches to 
      achieving this restructuring and the CLER objectives are essential. METHODS: The 
      Alliance of Independent Academic Medical Centers National Initiative (NI) IV 
      provided a multiinstitutional learning collaborative focused on supporting GME 
      redesign. From October 2013 through March 2015, participants conducted relevant 
      projects, attended onsite meetings, and participated in teleconferences and 
      webinars addressing the CLER areas. Participants shared best practices, 
      resources, and experiences. We designed a pre/post descriptive study to examine 
      outcomes. RESULTS: Thirty-three institutions completed NI IV, and at its 
      conclusion, the majority reported greater CLER readiness compared with baseline. 
      Twenty-two (88.0%) institutions reported that NI IV had a great impact on 
      advancing their efforts in the CLER area of their project focus, and 15 (62.5%) 
      reported a great impact in other CLER focus areas. Opportunities to share 
      progress with other teams and the national group meetings were reported to 
      contribute to teams' success. CONCLUSION: The NI IV learning collaborative 
      prepared institutions for CLER, suggesting successful integration of the clinical 
      and educational enterprises. We propose that national learning collaboratives of 
      GME-sponsoring health systems enable advancement of their education mission, 
      leading ultimately to better healthcare outcomes. This learning model may be 
      generalizable to newfound programs for academic medical centers.
FAU - Wehbe-Janek, Hania
AU  - Wehbe-Janek H
AD  - Academic Research Integration, Baylor Scott & White Health, Temple, TX, and 
      Department of Obstetrics & Gynecology and Internal Medicine, College of Medicine 
      at Texas A&M Health Science Center, Temple, TX.
FAU - Markova, Tsveti
AU  - Markova T
AD  - Office of Graduate Medical Education and Department of Family Medicine and Public 
      Health Sciences, Wayne State University School of Medicine, Detroit, MI.
FAU - Polis, Rachael L
AU  - Polis RL
AD  - Department of Pediatric and Adolescent Gynecology, Kosair Children's Hospital, 
      Louisville, KY.
FAU - Peters, Marguerite
AU  - Peters M
AD  - Office of Graduate Medical Education, Baylor Scott & White Health, Temple, TX.
FAU - Liu, Yang
AU  - Liu Y
AD  - Office of Biostatistics, Baylor Scott & White Health, Temple, TX.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Ochsner J
JT  - Ochsner journal
JID - 101125795
PMC - PMC4896662
OTO - NOTNLM
OT  - Academic medical centers
OT  - competency-based education
OT  - cooperative behavior
OT  - education-medical-graduate
OT  - patient safety
OT  - quality improvement
EDAT- 2016/06/16 06:00
MHDA- 2016/06/16 06:01
PMCR- 2016/06/01
CRDT- 2016/06/16 06:00
PHST- 2016/06/16 06:00 [entrez]
PHST- 2016/06/16 06:00 [pubmed]
PHST- 2016/06/16 06:01 [medline]
PHST- 2016/06/01 00:00 [pmc-release]
AID - TOJ-15-0100 [pii]
PST - ppublish
SO  - Ochsner J. 2016 Summer;16(2):166-71.