Va Form 10-0094d - Dental Education Affiliation Agreement Between Department Of Veterans Affairs (Va) And A School Of Dentistry As The Sponsoring Institution - 2015 Page 3

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3. VA has the following responsibilities:
A. Operate and manage the VA facility and maintain accreditation by the Joint Commission and other
accrediting entities as appropriate.
B. Appoint qualified dentists and other healthcare professionals, as appropriate, to full-time and part-time
staff of the facility. These staff will supervise trainees and provide Veterans with patient care.
C. Encourage nominations from the school of dentistry and the affiliated participating institutions for
appointments to VA as consultants.
D. Encourage faculty appointments at the sponsoring institution for VA staff.
E. Participate with the school of dentistry and the affiliated participating institutions in the academic
programs of education and research, provide a quality learning environment, and supply sufficient resources for
appropriate conduct of such programs.
F. VA will ensure that all trainees and faculty who will be assigned to VA receive VA appointments, to
include issuance of appropriate letters of appointment documenting their appointment as VA employees.
G. Orient trainees and faculty to the VA facility and inform them that they are subject to VA rules and
regulations while in a VA facility.
H. Participate in the supervision of integrated academic programs. VA staff members who are also faculty
members of one of the affiliated institutions are responsible for student and resident supervision for educational
purposes, but may delegate responsibility to non-faculty VA staff members under unusual circumstances. VA will
communicate with the affiliated institutions when trainees will be or have been supervised by non-faculty VA
staff.
I. Establish qualifications and credentials for dental residents on VA assignments.
J. Evaluate the trainee’s performance and conduct in mutual consultation with the program director and
according to the guidelines outlined in the approved curriculum and accepted standards.
K. Assure that trainees with occupational injuries (including exposure to infectious or environmental
hazards), will be assessed and, in emergency cases, initially treated at VA. Workers compensation coverage for
trainees will be that which is provided under the Federal Employees’ Compensation Act.
L. Dismiss any trainee from VA assignment in accordance with VA Handbook 5021, Part VI, Paragraph 15
or Paragraph 18, whichever paragraph applies.
M. Review and sign appropriate educational program letters of agreement for resident training prepared by
the school of dentistry and the affiliated participating institutions.
N. Appoint members to the Affiliations Partnership Council.
O. Conduct periodic reviews of academic programs and policies according to VA policies.
TERMS OF AGREEMENT
Ultimate responsibility for the control and operation of VA facilities and programs rests with VA. Ultimate
responsibility for academic education rests with school of dentistry and its affiliated institutions. Through this
affiliation agreement, a collaboration is created with VA to enhance patient care, education, and research.
The affiliated institutions comply with Title VI of the Civil Rights Act of 1964, section 504 of the
VA FORM 10-0094d
June 2015
PAGE 3 OF 6

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