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Round V Announcement of the U.S. Department of Veterans Affairs GME Enhancement Under VACAA

March 07, 2018

VA Facilities Must Submit Applications by May 1, 2018

AACOM is pleased to notify the osteopathic medical education (OME) community of an important opportunity to expand graduate medical education (GME) positions, as authorized by the Veterans Access, Choice, and Accountability Act of 2014 (VACAA), through collaboration with the U.S. Department of Veterans Affairs (VA). 

Administered by the Veterans Health Administration’s Office of Academic Affiliations (OAA), the Request for Proposals (RFP) is seeking applications from VA facilities that want to expand their current GME programs or affiliations and those that do not currently have a GME program. The resident positions awarded in this round will be eligible for training during Academic Year 2019-2020, which begins July 1, 2019.     

Important note: VA facilities must be affiliated with an accredited physician resident training program, and more information regarding the affiliation is described in the RFP. Members of the OME community that are interested in partnering with the VA are encouraged to thoroughly review the RFP and the OAA website, then contact the OAA officials listed below for more information. All formal applications are due on May 1, 2018.

AACOM continues to strongly support the expansion and sustainability of GME positions at the VA created by VACAA. The intent of this announcement is to work to enhance the number of osteopathic affiliations with the VA and to increase GME positions. AACOM will continue to partner with the OAA to inform and engage the OME community and its GME partners on this important initiative.  


Authorized in 2014 and subsequently revised in 2016, VACAA directed the VA to affiliate with new medical residency programs or to ensure existing GME programs have an adequate number of residency positions by adding a total of 1,500 medical residency positions over 10 years, through 2024. The current RFP is the fifth phase of implementation and will build on approximately 700 positions already awarded. 

VACAA targets residency positions in primary care, mental health, and in certain defined geographic and high need areas. Specific priorities include:

  • Primary Care (family medicine, internal medicine, and geriatrics);
  • Mental Health (psychiatry and psychiatry subspecialties);
  • New sites for GME, whether those sites are medical centers or Community Based Outpatient Clinics; and/or
  • Critical Access Needs, which are locations within Health Professional Shortage Areas, having a documented shortage of physicians, in a program/area where there are delays in veteran access to care, such as rural areas, or locations with high concentrations of veterans.

For further background on the VACAA GME expansion, individuals may view the informational webinar in which AACOM hosted with the OAA in November.

VA OAA Points of Contact

To learn more about this opportunity and how to coordinate with your local VA facility, please contact the designated OAA leads for the VACAA GME Enhancement RFP:

AACOM will continue to collaborate with the OAA to facilitate the dissemination of information and resources on VACAA GME. For details about AACOM’s activities on this issue or to request assistance connecting with the VA, please visit AACOM’s VA GME webpage or email VA_GME@aacom.org.