Va Form 10-0094b - Medical Education Affiliation Agreement Between Department Of Veterans Affairs (Va), And A School Of Osteopathic Medicine
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7MEDICAL EDUCATION AFFILIATION AGREEMENT
BETWEEN DEPARTMENT OF VETERANS AFFAIRS (VA),
AND A SCHOOL OF OSTEOPATHIC MEDICINE
AND ITS AFFILIATED PARTICIPATING INSTITUTIONS
Use when trainees are enrolled in an academic program accredited by the American Osteopathic Association
Bureau of Professional Education or the Executive Committee of the Council on Postdoctoral Training (ECCOPT)
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VA NETWORK
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VA MEDICAL CARE FACILITY (including city and state)
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SCHOOL OF OSTEOPATHIC MEDICINE (including city and state)
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AFFILIATED PARTICIPATING INSTITUTION # 1 (including ECCOPT ID number, city, and state)
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AFFILIATED PARTICIPATING INSTITUTION # 2 (including ECCOPT ID number, city, and state)
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AFFILIATED PARTICIPATING INSTITUTION # 3 (including ECCOPT ID number, city, and state)
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AFFILIATED PARTICIPATING INSTITUTION # 4 (including ECCOPT ID number, city, and state)
This agreement, when duly executed and approved by the Department of Veterans Affairs (VA), establishes
an affiliation between VA, its Veterans Integrated Service Networks, the listed VA facilities, and the school of
osteopathic medicine and its affiliated participating institutions for the academic purposes of enhanced patient
care, education, and research. The osteopathic medical school and its affiliated participating institutions that are
signatories to this document are collectively referred to as “partner institutions.” All parties to this agreement have
a shared responsibility for the academic enterprise. The partner institutions accept primary responsibility for the
integrated education programs conducted with VA while VA retains full responsibility for the care of VA patients
and administration of its operation. Additional responsibilities are delineated below.
BACKGROUND
The provision of education for future health care providers and the conduct of research are statutorily defined
as VA missions. By virtue of the close relationships between VA and the nation’s academic institutions, VA plays
VA FORM 10-0094b
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