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April 24, 2013

The Clinical Learning EnvironmentThe Foundation of Graduate Medical Education

Author Affiliations

Author Affiliations: Institutional Accreditation (Dr Weiss) and Clinical Learning Environment Review Committee (Drs Weiss and Bagian), Accreditation Council for Graduate Medical Education (Dr Nasca), Chicago, Illinois; and Center for Healthcare Engineering and Patient Safety, University of Michigan, Ann Arbor (Dr Bagian).

JAMA. 2013;309(16):1687-1688. doi:10.1001/jama.2013.1931

More than a decade after the Institute of Medicine reported problems with the quality and safety of US health care,1,2 formal training of the health care workforce in quality and patient safety is still inadequate. A recently released survey of hospital leaders from the American Hospital Association3 (AHA) highlighted the need to educate US physicians and trainees regarding quality improvement. The AHA report identified deficiencies in newly trained physicians in systems-based practice, communication skills, and the ability to work within teams.

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