Results of a Nationwide Veterans Affairs Initiative to Align Graduate Medical Education and Patient Care

Abstract

In this case study of GME realignment, national policy was driven more by local patient care issues than by a perceived national need for primary care or specialty positions.

Extreme Makeover: Transformation of the Veterans Health Care System

“…The VHA's second mission is to train health care professionals (222,223). Approximately 50% of all American medical students and onethird of all postgraduate physician residents receive training at VA facilities each year.…”

“…Likewise, the VHA's educational programs were realigned (222,223); the proportion of primary care positions in the 9000 residency positions funded by the VHA increased from 34% in 1994 to 49% in 2000 (222).…”

Extreme Makeover: Transformation of the Veterans Health Care System

“…The VHA's second mission is to train health care professionals (222,223). Approximately 50% of all American medical students and onethird of all postgraduate physician residents receive training at VA facilities each year.…”

“…Likewise, the VHA's educational programs were realigned (222,223); the proportion of primary care positions in the 9000 residency positions funded by the VHA increased from 34% in 1994 to 49% in 2000 (222).…”

Extreme Makeover: Transformation of the Veterans Health Care System

“…The VHA's second mission is to train health care professionals (222,223). Approximately 50% of all American medical students and onethird of all postgraduate physician residents receive training at VA facilities each year.…”

“…Likewise, the VHA's educational programs were realigned (222,223); the proportion of primary care positions in the 9000 residency positions funded by the VHA increased from 34% in 1994 to 49% in 2000 (222).…”

Extreme Makeover: Transformation of the Veterans Health Care System

“…The VHA's second mission is to train health care professionals (222,223). Approximately 50% of all American medical students and onethird of all postgraduate physician residents receive training at VA facilities each year.…”

“…Likewise, the VHA's educational programs were realigned (222,223); the proportion of primary care positions in the 9000 residency positions funded by the VHA increased from 34% in 1994 to 49% in 2000 (222).…”