Va Form 10-0094f -Dental Education Affiliation Agreement Between Department Of Veterans Affairs (Va) And Institutions Sponsoring Dental Education Page 2
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5Faculty members and trainees of the sponsoring institutions, when at VA health care facilities or on VA
assignment at offsite facilities and while furnishing professional services covered by this agreement, will have
personal liability protection by the provisions of the Federal Employees Liability Reform and Tort Compensation
Act, 28 U.S.C. 2679 (b)-(d).
RESPONSIBILITIES
1. The affiliated participating institution has the following responsibilities:
A. Operate, manage, and assume overall educational responsibilities for the dental educational program.
B. Maintain accreditation for the dental program through the Council on Dental Accreditation (CDA).
C. Encourage appointments of VA staff to the dental educational program.
D. Select trainees that meet qualifications as agreed upon by the dental educational program and VA.
E. Develop educational program letters of agreement for each VA health care facility that provides a resident
with educational experience that is one month or longer in duration. These agreements must identify faculty who
will teach, supervise, and evaluate resident performance; oversee duty hours; outline resident educational
objectives; specify periods of resident assignment; and establish policies and procedures for maintaining resident
education during the assignment.
2. VA has the following responsibilities:
A. Operate and manage the VA facility and maintain accreditation by the Joint Commission on Accreditation
of Healthcare Organizations (JCAHO) and other accrediting entities.
B. Appoint qualified health care professionals, as appropriate, as full-time or part-time staff of the facility,
which will provide supervision of trainees and provide veteran patient care.
C. Participate with the sponsoring institution in the academic programs of education and research, provide an
appropriate learning environment, and supply sufficient resources for appropriate conduct of such programs.
D. Establish minimal qualifications for trainees coming to VA for academic programs.
E. Review and sign appropriate educational program letters of agreement prepared by the sponsoring
institution for trainees.
F. Ensure that all trainees who will be assigned to VA receive appropriate VA appointments.
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. 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.
I. Dismiss any trainee from VA assignment in accordance with VA Handbook 5021, Part VI, Paragraph 15 or
Paragraph 18, whichever paragraph applies.
J. Assure that staff with appropriate credentials will supervise trainees.
K. Encourage faculty appointments at the sponsoring institution for VA staff.
L. Appoint VA and appropriate sponsoring institution program faculty to the VA Partnership Council and its
subcommittees. Program faculty will be chosen based on the extent of involvement in the VA training program
and geographic proximity to the VA facility.
M. Conduct periodic reviews of academic programs and policies according to VA policies.
VA FORM 10-0094f
PAGE 2 OF 5
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