Improvements Needed in the VA Medical Residency Training Program

HRD-79-86: Published: Jun 22, 1979. Publicly Released: Jul 2, 1979.

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A review examined the extent to which the Veterans Administration (VA) has assumed responsibility for the graduate medical education of physicians and the effectiveness of VA management of the graduate medical program. Aspects studied included the authority for conducting graduate education in VA medical facilities, the adequacy of VA policies and regulations in guiding VA medical centers, and the extent to which VA monitors the program to insure that it is administered properly.

Improvements are needed in the overall management and administration of the VA residency program. Unclear VA regulations governing the assignment and pay of residents resulted in residents being assigned without exchange or replacement to non-VA facilities for significant periods of time with no VA pay loss, and residents participating in numerous educational activities in non-VA facilities at VA expense. Two of the medical centers assumed greater financial responsibility for training and educating residents than intended by existing VA regulations.

Recommendation for Executive Action

  1. Status: Closed

    Comments: Please call 202/512-6100 for additional information.

    Recommendation: The Administrator of Veterans Affairs should: revise existing regulations to clearly define VA central office and medical center responsibilities for resident training that insure accountability and control by VA medical centers; consider eliminating the use of the educational detail provision for affiliated and associated residency programs; establish an effective monitoring and reporting system to assure that VA centers administer their resident training programs consistently; and take corrective action at those medical centers where VA regulations on residency training programs are being inconsistently applied.

    Agency Affected:


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