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San Francisco VA Medical Center

San Francisco VA Medical Center. VA SAN FRANCISCO: 20010/11:GME Orientation. VA Office of Academic Affiliations. VA: 4 Core Missions

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San Francisco VA Medical Center

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  1. San Francisco VA Medical Center VA SAN FRANCISCO: 20010/11:GME Orientation

  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 3rd 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

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