Bailey David N
Department of Pathology, University of California, San Diego, La Jolla, CA, USA.
Acad Pathol. 2020 Jul 14;7:2374289520939265. doi: 10.1177/2374289520939265. eCollection 2020 Jan-Dec.
A survey was conducted to evaluate the relationship between Veterans Affairs Healthcare Systems and academic departments of pathology in their respective affiliated schools of medicine. Most (73%) of the responding academic departments were within 5 miles of their Veterans Affairs Healthcare Systems; 60% of Veterans Affairs Healthcare Systems supported 1 to 5 full-time pathologist positions at the Veterans Affairs Healthcare Systems while 70% provided 1 to 5 full-time resident positions; only 34% of academic departments had "without compensation" appointments at the Veterans Affairs Healthcare Systems while 20% had fee-based consulting appointments; 62% of academic departments granted academic appointments to full-time Veterans Affairs Healthcare Systems pathologists while few (26%) had split appointments between the academic department and the Veterans Affairs Healthcare Systems; only half of academic departments granted the same academic privileges to Veterans Affairs Healthcare Systems pathologists as they did to full-time university faculty; 60% of the Veterans Affairs Healthcare Systems pathologists were not involved in recruitment of medical school faculty while 58% of medical school faculty were not involved in recruitment of Veterans Affairs Healthcare Systems pathologists; most academic departments reported no research space at the Veterans Affairs Healthcare Systems (68%) and no Veterans Affairs Healthcare Systems research support (72%); only 23% of academic departments reported a sharing agreement that allows the Veterans Affairs Healthcare Systems to perform clinical work for the academic department while 36% reported an agreement that permits the academic department to perform clinical work for the Veterans Affairs Healthcare Systems; only 32% of academic departments indicated that the Veterans Affairs Healthcare Systems Chief of Pathology and Laboratory Medicine Service is a member of the academic department leadership team. All academic departments reported that the Veterans Affairs Healthcare Systems plays a significant role in education of medical students, residents, and fellows. Strengths and weaknesses of the Veterans Affairs Healthcare Systems/academic department relationships are identified.
开展了一项调查，以评估退伍军人事务医疗系统与其各自附属医学院的病理学学术部门之间的关系。大多数（73%）做出回应的学术部门距离其退伍军人事务医疗系统不到5英里；60%的退伍军人事务医疗系统在退伍军人事务医疗系统中支持1至5个全职病理学家职位，而70%提供1至5个全职住院医师职位；只有34%的学术部门在退伍军人事务医疗系统有“无报酬”任命，而20%有基于费用的咨询任命；62%的学术部门授予退伍军人事务医疗系统全职病理学家学术任命，而很少（26%）在学术部门和退伍军人事务医疗系统之间有联合任命；只有一半的学术部门给予退伍军人事务医疗系统病理学家与全职大学教师相同的学术特权；60%的退伍军人事务医疗系统病理学家不参与医学院教师的招聘，而58%的医学院教师不参与退伍军人事务医疗系统病理学家的招聘；大多数学术部门报告在退伍军人事务医疗系统没有研究空间（68%）且没有退伍军人事务医疗系统的研究支持（72%）；只有23%的学术部门报告有一项共享协议，允许退伍军人事务医疗系统为学术部门开展临床工作，而36%报告有一项协议允许学术部门为退伍军人事务医疗系统开展临床工作；只有32%的学术部门表示退伍军人事务医疗系统病理学和检验医学服务主任是学术部门领导团队的成员。所有学术部门都报告说，退伍军人事务医疗系统在医学生、住院医师和研究员的教育中发挥着重要作用。确定了退伍军人事务医疗系统/学术部门关系的优势和劣势。
