Va Form 10-0094d - Dental Education Affiliation Agreement Between Department Of Veterans Affairs (Va) And A School Of Dentistry As The Sponsoring Institution Page 3
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62. The school of dentistry and their affiliated institutions (partner institutions) have the following
responsibilities:
A. Maintain accreditation by the Commission on Dental Accreditation (CDA) for dental students and
residents.
B. Participate in the supervision of integrated academic programs at VA.
C. Select residents for academic programs operated jointly by VA and the school of dentistry 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 dentistry, the affiliated participating institutions, and VA.
D. 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.
3. VA has the following responsibilities:
A. Operate and manage the VA facility and maintain accreditation with such organizations as the Joint
Commission on Accreditation of Healthcare Organizations (JCAHO).
B. Appoint qualified dentists and other health care professionals, as appropriate, to full-time and part-time
staff of the facility. These staff will supervise trainees and provide veterans with patient care.
C. Encourage nominations from the school of dentistry and the affiliated participating institutions for
appointments to VA as consultants.
D. Encourage faculty appointments at the sponsoring institution for VA staff.
E. Participate with the school of dentistry and the affiliated participating institutions in the academic
programs of education and research, provide an appropriate learning environment, and supply sufficient resources
for appropriate conduct of such programs.
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. Participate in the supervision of integrated academic programs. VA staff members who are also faculty
members of one of the partner institutions are responsible for student and resident supervision for educational
purposes, but may delegate responsibility to non-faculty VA staff members under unusual circumstances. VA will
communicate with the partner institutions when trainees will be or have been supervised by non-faculty VA staff.
I. Establish qualifications and credentials for dental residents on VA assignments.
J. 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.
K. Dismiss any trainee from VA assignment in accordance with VA Handbook 5021, Part VI, Paragraph 15
or Paragraph 18, whichever paragraph applies.
L. Review and sign appropriate educational program letters of agreement for resident training prepared by the
school of dentistry and the affiliated participating institutions.
M. Appoint members to the Affiliations Partnership Council.
N. Conduct periodic reviews of academic programs and policies as necessary under the auspices of VA’s
Chief Academic Affiliations Officer.
VA FORM 10-0094d
PAGE 3 OF 6
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