VA SAN FRANCISCO: 200910:GME Orientation

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VA SAN FRANCISCO 2009/10GME Orientation
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VA Office of Academic Affiliations

• VA 4 Core Missions
• To Educate for the VA and Nation
• OAA
• Partnered since 1946 with medical schools
• 107/126 medical schools
• Agreements with gt1200 educational institutions
• gt76,000 trainees
• 10 GME costs nationally

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VA Organization

• VAs aligned in regions or VISNS
• VISN 21
• San Francisco (UCSF)
• Palo Alto (Stanford)
• Reno
• Northern California (UC Davis)
• Hawaii
• Guam
• Fresno

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Eureka
Ukiah
Santa Rosa
San Francisco VAMC/Nursing Home Unit
3rd and Harrison
South San Francisco
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VA San Francisco

• Patient Care
• 46,000 primary care patients
• Education
• 326 paid faculty, all with UCSF appts
• 171 volunteer faculty
• UME
• Approximately ¼ student programs
• GME
• 33 specialties/subspecialties
• 171 positions
• Designated a VA Education Innovation Site (1 of
  6)
• Associated Health programs
• Nursing, dental, podiatry, psychology
• Research
• 1 VA in research dollars, 78.6 million dollars

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Clinical Strengths

• VA Centers of Excellence
• Cardiac Surgery
• HIV Medicine
• PTSD
• Epilepsy
• Dialysis
• National Referral Center
• Pacemakers/EP
• Movement Disorders
• Robotic Surgery
• Regional Referral Center
• Hematologic malignancies
• Cardiovascular diseases
• Pathologic diagnoses
• ENT
• GI surgeries
• Etc

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Federal Government Specific Issues

• Security
• More stringent than HIPAA!
• Be aware of paper, computer screens
• Resident/fellow Supervision
• Documentation of attending supervision

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Documentation of Resident Supervision
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Additional Trainee Resources

• Simulation Center
• Education Center
• Evening food program

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EDUCATION
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