Table. ACGME/CLER Milestones.

Milestone	Description
SBP 2	Identify the potential for error within the system and the importance of learning how to effectively engage the system at multiple levels.
PBLI 2	Identify areas in resident's own practice and local system that can be changed to improve the processes and outcomes of care.
CLER PSP 2	Residents must engage in patient safety activities where systems-based challenges are presented and techniques for implementing changes are discussed.
CLER PSP 3	Residents perceive that the clinical site provides a supportive culture for discussing and reporting patient safety events.
CLER PSP 4	Residents must participate in real or simulated patient safety investigations (such as root cause analysis).

Abbreviations: ACGME, Accreditation Council for Graduate Medical Education; CLER, Clinical Learning Environment Review; PBLI, Problem-Based Learning and Improvement; PSP, Patient Safety Pathway; SBP, System-Based Practice.