The Veterans' Administration Medical Center (VAMC) (Ken McQuaid, M.D., Interim Chief of Medicine) is a major center for the Veterans' Integrated Service Network (VISN) serving Northern California and parts of other western states. It provides primary and tertiary care to veterans, coordinates outreach efforts throughout the entire region, and has 135 housestaff in all specialties on site. It is located in the northwest corner of San Francisco with gorgeous views (when not too foggy) of the ocean and Golden Gate Bridge..
The VAMC is a 220-bed facility, including an 18-bed ICU and a telemetry unit. The hospital is connected to the outpatient clinics, and many housestaff have their primary care clinic here and rotate through the subspecialty clinics. Through its PRIME program (see description in AOD/Pathways section), the VA is also the site of unique training opportunities in clinical outcomes research and the "new center of Excellence in Primary Care Education." At the VA, Internal Medicine residents rotate on inpatient general medicine and ICU medicine and many have their continuity clinic here.
Resident Reflections on the Experience at the VA:
With extensive past medical histories that would level mere mortals, these patients have some of the most unbelievable stories and intriguing management issues.