Va Form 10-0094a - Medical Education Affiliation Agreement Between Department Of Veterans Affairs (Va), And Institutions Sponsoring Graduate Medical Education And Their Affiliated School Of Medicine Page 4

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and their affiliated school of medicine. Through this affiliation agreement, a collaboration is created with VA to
enable enhanced patient care, education, and research.
The affiliated institutions comply with Title VI of the Civil Rights Act of 1964, section 504 of the
Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, Public Law 104-191, the Age
Discrimination Act of 1975, and all related regulations, and assures that they do not, and will not, discriminate
against any person on the basis of race, color, sex, disability, or age under any program or activity receiving
federal financial assistance.
Nothing in this agreement is intended to be contrary to state or federal laws. In the event of conflict between
terms of this agreement and any applicable state or federal law, that state or federal law will supersede the terms
of this agreement. In the event of conflict between state and federal law, federal law will govern.
When providing professional services covered by this agreement, protection of properly appointed faculty
members (except those providing services under a contract with VA) and properly appointed trainees of the
affiliated institutions from personal liability while at a VA health care facility will be that which is provided under
the Federal Employees Liability Reform and Tort Compensation Act 28 U.S.C.2679 (b)-(d). The liability, if any,
of the United States for injury or loss of property, or personal injury or death shall be governed exclusively by the
provisions of the Federal Tort Claims Act.
With respect to the Liaison Committee for Medical Education (LCME) accreditation standard which centers
on professionalism and the learning environment of students and residents, the parties to this agreement recognize
the obligation of each to develop and nurture professional behavior among faculty staff, medical students, and
residents by promoting a learning environment that provides opportunities in both formal and informal clinical
education settings for the modeling and integration of appropriate professional attitudes and values.
Amendments must be bilaterally executed in writing, signed by authorized representatives of both agencies.
No oral or unilateral amendments will be effective. Only terminations done in accordance with the terms of this
agreement may be done unilaterally.
Should disagreement arise as to the interpretation of the provisions of this agreement that cannot be resolved
between the parties’ designated Points of Contact, the area(s) of disagreement will be reduced to writing by each
party and presented to the authorized officials at both participating entities. If settlement cannot be reached at this
level, the disagreement will be raised to the next level in accordance with the parties’ procedures for final
resolution. Both parties will proceed diligently in performing their obligations under this agreement pending final
resolution of any dispute arising hereunder.
TERMINATION OF AFFILIATION AGREEMENT
[insert a date that is not to exceed ten
This affiliation agreement is in force until _______________
years in the future and that allows for completion of the last training cycle during that period]
and
supersedes any previous affiliation agreement. It may be terminated in writing at any time by mutual consent with
due consideration of patient care and educational commitments, or by written notice by either party 6 months in
advance of the next training experience.
VA FORM 10-0094a
PAGE 4 OF 6

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