San Francisco VA Medical Center

VA SAN FRANCISCO: 2009/10:GME Orientation

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 >1200 educational institutions

– >76,000 trainees

– 10% GME costs nationally

I J 2002

N ANUARY

W ERE INTEGRATED AND

RENAMED

VISN 13 14

VISN 23

S AND

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

I J 2002

N ANUARY

W ERE INTEGRATED AND

RENAMED

VISN 13 14

VISN 23

S AND

Eureka

Ukiah

Santa Rosa

San Francisco VAMC/Nursing Home Unit

3rd and HarrisonSouth San Francisco

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

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……

Federal Government Specific Issues

• Security– More stringent than HIPAA!– Be aware of paper, computer screens

• Resident/fellow Supervision– Documentation of attending supervision

Documentation of Resident Supervision

Additional Trainee Resources

• Simulation Center• Education Center• Evening food program

EDUCATIONEDUCATION

P ro g ra m D ire c to rs

D e a n s C o m m itteeA ca d em ic Issu es

M e d ica l E xecu tive C o m m itteeP a tien t C a re ,S a fe ty,

T re a tm e ntE d u ca tion /S u p e rv is ion N e e ds

V A G M EA C O S -E /S ite D ire c to rs

E z ra S a fd ie , A c tin g M e d ica l C en te r D ire c to rD ia n a N ico ll, C h ie f o f S ta ff, A ssoc ia te D e an

U C S F G M E

San Francisco VA Medical Center