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ppt VA Medical Center slideshow - Orientation 2010 - powerpoint


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  • It is a pleasure today, on behalf of Dr. Nicoll, our Medical Center director, Larry Carroll and my fellow faculty members to provide this briefing of VA GME.
  • The VA is the largest funder of GME in the country. It is safe to say that each of you, coming from your medical school, has been in a VA system . We here in SF are a medium size VA as far as patient volume goes but has one of the bigger number of residents assigned to its center. As one of four statutory missions, the Department of Veterans Affairs (VA) conducts an education and training program for health professions students and residents to enhance the quality of care provided to veteran patients within the Veterans Health Administration (VHA) healthcare system. In accordance with this mission, “To educate for VA and for the Nation”, education and training efforts are accomplished through coordinated programs and activities in partnership with affiliated U.S. academic institutions. Program History: Title 38 U.S.C. mandates that VA assist in the training of health professionals for its own needs and those of the nation. For the last fifty years, in accordance with VA’s 1946 Policy Memorandum No. 2, VA has worked in partnership with this country’s medical and associated health professions schools to provide high quality health care to America’s veterans and to train new health professionals to meet the patient care needs within VA and the nation. This partnership has grown into the most comprehensive academic health system partnership in history.
  • Operation irazi and enduring freedom
  • You will be learning about HIPAA later today. Rest assured that the VA takes this very seriously, especially in terms of papers laying around which seems to happen even more with an EMR. Our ISO is relentless in inspections and draconian in measures. This has been the brunt of many a housestaff skit! We do though recommend home access;
  • It is important to understand that all care provided by trainees is under the supervision of attendings. The only time you can get into trouble is for gross lapses in professionalism or failing to keep your attending informed of changes in status. We also ask that you document your attendings involvement in the care of the pt by filling in the name of your attending in your progress notes.
  • Point out the special sensitivity we have for oef/oif veterans and the importance of sensitivity in helping these individuals. We devote a lot of resources to these veterans including dedicated social workers, psychiatric help, etc.
  • Brand new VA initiative starting essentially now, creating multidisciplinary teams for primary care management. This should be visible to medical residents and potentially subspecialty medical clinic fellows. This comes with added resources. They also are focused on residents working in PCMH
  • Life is in general pretty good at the VA. Besides the view, we have cheap parking, an expanded shuttle service and a neighborhood restaurant meal program. I show this picture to point out though the abysmal parking particularly bad after 9 am We are fortunate to have just expanded the shuttle system with earlier hours in the morning and late afternoon thanks to the gme and som support. I would also mention that we have a program with local restaurants to provide food vouchers for residents covering over night or on the weekends.
  • In closing , we do welcome you, hope that you enjoy your time here at UCSF and specifically at the VA. WE take great pride in our commitment to patient care, education and research
  • Transcript

    • 1. VA SAN FRANCISCO: 20010/11:GME Orientation
          • San Francisco VA Medical Center
    • 2. VA Office of Academic Affiliations
      • VA: 4 Core Missions
        • To fulfill President Lincoln's promise “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s veterans
        • To Educate for the VA and Nation
      • Office of Academic Affiliations
        • Partnered since 1946 with medical schools
          • 107 affiliations with medical schools
        • Agreements with>1200 educational institutions
        • >100,000 trainees annually
        • 10% GME costs nationally
    • 3. VA Organization
      • VA’s aligned in regions or VISNS
      • VISN 21
        • San Francisco (UCSF)
        • Palo Alto (Stanford)
        • Reno
        • Northern California (UC Davis)
        • Hawaii
        • Guam
        • Fresno
    • 4. Eureka Ukiah Santa Rosa San Francisco VAMC/Nursing Home Unit 3 rd and Harrison South San Francisco
    • 5. VA San Francisco (AKA Ft Miley)
      • Patient Care
        • 55,000 primary care patients
        • 5000 annual admissions
        • 436,000 outpatient visits
      • Education
        • 326 paid faculty, all with UCSF appts
        • 622 volunteer faculty
        • UME
          • Approximately ¼ student programs
        • GME
          • 33 specialties/subspecialties
          • 178 positions
          • Designated a VA Education Innovation Site
          • Associated Health programs
            • Nursing, dental, podiatry, psychology
      • Research
        • #1 VA in research dollars, 76 million dollars
    • 6. VASF Strengths
      • VA Centers of Excellence
        • Cardiac Surgery
        • HIV Medicine
        • PTSD
        • Epilepsy
        • Dialysis
      • Western Pacific Region Emergency Center
      • National Referral Center
        • Pacemakers/EP
        • Movement Disorders
        • Robotic Surgery
      • Regional Referral Center
        • Hematologic malignancies
        • Cardiovascular diseases
        • Pathologic diagnoses
        • ENT
        • GI surgeries
        • Etc……
    • 7. Federal Government Specific Issues
      • Information Security
      • Resident/Fellow Supervision
      • Care of OIF/OEF Veterans
      • PCMH
    • 8. Information Security
      • Residents/Fellows are consideredVA employee
        • Must adhere to VA regulations in regards to information security
        • Affirm your acceptance at first computer log in
      • ISO/IG inspections
      • Home access highly recommended
    • 9. Resident/Fellow Supervision
      • All care (except moonlighting) provided by residents/fellows is under the supervision of attendings
      • Document attending involvement
      • Keep your attending informed of changes in patient status
    • 10. OEF/OIF Veterans
      • Performance measures related to timely care of OEF/OIF veterans
      • Dedicated social workers
      • Sensitive to returning combat veteran issues
        • Traumatic brain injuries
        • PTSD
    • 11. Patient Centered Medical Home
      • New VA national initiative
      • Resources
      • Focus on resident education
    • 12. The Good Life at the VA
      • Shuttles
      • Cheap Parking
      • Meal program
    • 13.
          • San Francisco VA Medical Center
    • 14. Additional Trainee Resources
      • Simulation Center
      • Evening food program