D. Enable school of medicine faculty appointments, appointments to school of medicine committees, and
administrative positions for VA-based staff.
E. Recommend members for appointment to the VA Affiliation Partnership Council and its subcommittees.
Members will include the medical school dean and senior faculty members from appropriate divisions of the
medical school and affiliated participating institutions.
2. The school of medicine and its affiliated participating institutions (partner institutions) have the
A. Maintain accreditation by the Accreditation Council for Graduate Medical Education (ACGME) for
B. Authorize VA to receive from ACGME, and ACGME to provide VA, pursuant to a Memorandum of
Understanding between VA and ACGME, letters of notification sent by ACGME to each institution having
graduate medical education programs with which VA is affiliated.
C. Participate in the supervision of integrated academic programs at VA.
D. Select residents for academic programs involving VA, the school of medicine, and the affiliated
participating institutions. Residents accepted for assignment at VA facilities must have the qualifications and
credentials as agreed upon by the school of medicine, the affiliated participating institutions, and VA.
E. Develop educational program letters of agreement for each VA health 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.
3. 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,
who 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. Assure that staff with appropriate credentials will supervise trainees.
E. Establish minimal qualifications for trainees coming to VA for academic programs.
F. 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.
G. Review and sign appropriate educational program letters of agreement prepared by the sponsoring
institution for trainees.
H. Ensure that all trainees who will be assigned to VA receive appropriate VA appointments.
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.
J. Dismiss any trainee from VA assignment in accordance with VA Handbook 5021, Part VI, Paragraph 15
or Paragraph 18, whichever paragraph applies.
K. Encourage faculty appointments at the sponsoring institution for VA staff.
VA FORM 10-0094a
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