The role of the Veterans Affairs Medical Centers in patient care, surgical education, research and faculty development

Walter E. Longo, William Cheadle, Aaron Fink, Robert Kozol, Ralph DePalma, Robert Rege, Leigh A Neumayer, John Tarpley, Margaret Tarpley, Ray Joehl, Thomas A. Miller, Douglas Rosendale, Kamal Itani

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Veterans Administration (VA) medical centers have had a long history of providing medical care to those who have served their country. Over time, the VA has evolved into a facility that has had a major role in graduate medical education. In surgery, this had provided experience in the medical and surgical management of complex surgical disease involving the head and neck, chest, and gastrointestinal tract, and in the fields of surgical oncology, peripheral vascular disease, and the subspecialties of urology, orthopedics, and neurosurgery. The VA provides a venue for the attending physician and resident to work in concert to allow the resident to shoulder increasing accountability in decision-making and delivery of care in the outpatient arena, the operating room, and the intensive care unit. Medical students assigned to a VA hospital are afforded a great opportunity to be exposed to preoperative planning, discussions leading to informed consent for surgery, the actual operation, and postoperative care. Numerous opportunities at the VA are available for novice and experienced medical faculty members to develop and/or enhance skills and abilities in patient care, medical education, and research. In addition, the VA offers unique opportunities for academic physicians and other healthcare professionals to administer its many programs, thereby developing leadership skills and experience in the process. The VA is uniquely situated to design and conduct multicenter clinical trials. The most important aspect of this is the infrastructure provided by the VA Cooperative Studies Program. Of the four missions of the Department of Veterans Affairs, research and education is essential to provide quality, state of the art clinical care to the veteran. The National Surgical Quality Improvement Program (NSQIP) is an example of how outcomes based research can favorably impact on patient outcome. Looking across the horizon of information solutions available to surgeons, the options are limited. This is not the case for the Department of Veterans Affairs. With the congressionally mandated charge for the VA to compare its quality to private clinicians, the advent of the "Surgery Package" became possible. The VA will continue its leadership position in the healthcare arena if it can successfully address the challenges facing it.

Original languageEnglish (US)
Pages (from-to)662-675
Number of pages14
JournalAmerican Journal of Surgery
Volume190
Issue number5
DOIs
StatePublished - Nov 2005
Externally publishedYes

Fingerprint

United States Department of Veterans Affairs
Veterans
Patient Care
Education
Research
Delivery of Health Care
Physicians
Veterans Hospitals
Graduate Medical Education
Medical Faculties
Aptitude
Peripheral Vascular Diseases
Postoperative Care
Social Responsibility
Neurosurgery
Urology
Operating Rooms
Ambulatory Care
Quality Improvement
Medical Education

Keywords

  • Faculty development
  • National Surgical Quality Improvement Program
  • Research
  • Surgical education
  • Veterans Administration Medical Center

ASJC Scopus subject areas

  • Surgery

Cite this

The role of the Veterans Affairs Medical Centers in patient care, surgical education, research and faculty development. / Longo, Walter E.; Cheadle, William; Fink, Aaron; Kozol, Robert; DePalma, Ralph; Rege, Robert; Neumayer, Leigh A; Tarpley, John; Tarpley, Margaret; Joehl, Ray; Miller, Thomas A.; Rosendale, Douglas; Itani, Kamal.

In: American Journal of Surgery, Vol. 190, No. 5, 11.2005, p. 662-675.

Research output: Contribution to journalArticle

Longo, WE, Cheadle, W, Fink, A, Kozol, R, DePalma, R, Rege, R, Neumayer, LA, Tarpley, J, Tarpley, M, Joehl, R, Miller, TA, Rosendale, D & Itani, K 2005, 'The role of the Veterans Affairs Medical Centers in patient care, surgical education, research and faculty development', American Journal of Surgery, vol. 190, no. 5, pp. 662-675. https://doi.org/10.1016/j.amjsurg.2005.07.001
Longo, Walter E. ; Cheadle, William ; Fink, Aaron ; Kozol, Robert ; DePalma, Ralph ; Rege, Robert ; Neumayer, Leigh A ; Tarpley, John ; Tarpley, Margaret ; Joehl, Ray ; Miller, Thomas A. ; Rosendale, Douglas ; Itani, Kamal. / The role of the Veterans Affairs Medical Centers in patient care, surgical education, research and faculty development. In: American Journal of Surgery. 2005 ; Vol. 190, No. 5. pp. 662-675.
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