VA SAN FRANCISCO: 20010/11:GME Orientation

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VA SAN FRANCISCO 20010/11GME Orientation
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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 Americas
  veterans
• To Educate for the VA and Nation
• Office of Academic Affiliations
• Partnered since 1946 with medical schools
• 107 affiliations with medical schools
• Agreements withgt1200 educational institutions
• gt100,000 trainees annually
• 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 (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

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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

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Federal Government Specific Issues

• Information Security
• Resident/Fellow Supervision
• Care of OIF/OEF Veterans
• PCMH

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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

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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

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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

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Patient Centered Medical Home

• New VA national initiative
• Resources
• Focus on resident education

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The Good Life at the VA

• Shuttles
• Cheap Parking
• Meal program

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Additional Trainee Resources

• Simulation Center
• Evening food program