Va Form 10-0094d - Dental Education Affiliation Agreement Between Department Of Veterans Affairs (Va) And A School Of Dentistry As The Sponsoring Institution Page 2
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6research, and staff appointments. The parties to the affiliation agreement also seek to avoid duplication of
academic assets. The parties enter into this affiliation in a spirit of mutual benefit to be achieved through an
equitable contribution of resources. The affiliation agreement is crucial to the partnership because it forms the
philosophical and, in some cases, the legal basis for numerous specific agreements that may be executed between
components of the affiliate and VA.
In entering into any agreements, VA and the affiliate have a responsibility to comply with federal laws and
VA policies concerning conflicts of interest. The existence of an affiliation agreement does not guarantee that VA
and the affiliate will enter into additional agreements. However, some institutions may have other agreements
including contracts, memoranda of understanding, or other written agreements.
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 partnership is created to enable enhanced patient care, education, and research.
The partner 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, 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, national origin, 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 faculty members (except those
providing services under a contract with VA) and trainees of the affiliated institution 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).
RESPONSIBILITIES
1. The school of dentistry has the following responsibilities:
A. Operate and manage the school of dentistry and its associated residency programs and assume overall
responsibility for the educational programs.
B. Maintain accreditation by the nationally recognized accreditation entity, the Commission on Dental
Accreditation (CDA).
C. Encourage school of dentistry to accept positions as VA dental staff/consultants and assure that academic
standards are met.
D. Enable school of dentistry faculty appointments, appointments to school of dentistry 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 dental school dean and senior faculty members from appropriate divisions of the dental
school and affiliated participating institutions.
VA FORM 10-0094d
PAGE 2 OF 6
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