VAFORMS.NET – VA Form 10-9054 – Medical Education Affiliation Agreement Between VA and Institutions with Undergraduate Medical Education (UME) – The Veterans Affairs (VA) Form 10-9054 – Medical Education Affiliation Agreement is a contract between the VA and an institution with undergraduate medical education. The purpose of the agreement is to establish the terms and conditions under which the institution will provide medical education and training to VA employees. The agreement includes provisions for the payment of tuition and fees, as well as the provision of educational and clinical resources.
Download VA Form 10-9054 – Medical Education Affiliation Agreement Between VA and Institutions with Undergraduate Medical Education (UME)
| Form Number | VA Form 10-9054 |
| Form Title | Medical Education Affiliation Agreement Between VA and Institutions with Undergraduate Medical Education (UME) |
| Edition Date | September 2022 |
| File Size | 786 KB |
What is a VA Form 10-9054?
If you’re a medical student considering completing your residency at a VA hospital, you’ll need to sign a VA Form 10-9054. This form is an agreement between the Department of Veterans Affairs and the institution where you’ll be completing your undergraduate medical education (UME).
The purpose of the form is to ensure that you understand the terms of your affiliation with the VA. By signing it, you agree to abide by the rules and regulations set forth by the VA. These include things like completing your residency within four years and notifying the VA if you plan to take leave from your program.
If you have any questions about the form or your affiliation with the VA, be sure to ask before you sign it. Once you do, you’ll be on your way to completing your residency and becoming a licensed physician!
Where Can I Find a VA Form 10-9054?
The Department of Veterans Affairs (VA) Form 10-9054 is used to establish an affiliation agreement between a VA facility and an institution with an accredited undergraduate medical education (UME) program. This form is required for any rotation or clerkship involving medical students at a VA facility.
The form must be completed by the educational coordinator or designee at the VA facility and signed by the chief of staff or designee. The completed form should be sent to the Education Service at the Veterans Health Administration Central Office.
Institutions with UME programs that wish to establish an affiliation agreement with a VA facility should contact their local Education Service representative.
VA Form 10-9054 – Medical Education Affiliation Agreement Between VA and Institutions with Undergraduate Medical Education (UME)
The Department of Veterans Affairs (VA) and institutions with Undergraduate Medical Education (UME) have a longstanding affiliation agreement. This agreement allows for the placement of medical students in VA hospitals and clinics for their clinical rotations. The VA Form 10-9054 is the agreement that outlines the terms and conditions of this affiliation.
The purpose of this article is to provide an overview of the VA Form 10-9054, including its key components and how it benefits both the VA and UME institutions. The VA Form 10-9054 is an important document that helps to ensure that both parties are able to provide quality medical care to our nation’s veterans.
VA Form 10-9054 Example
