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San Francisco VA Health Care System Primary Care Nurse Practitioner (NP) Residency Program The San Francisco VA Nurse Practitioner Residency Program was one of seven nationwide VA Centers of Excellence in Primary Care Education (COE) funded by the Office of Academic Affiliations (OAA), known locally as the EdPACT program. The mission of EdPACT is to prepare health care professionals to become future leaders in patient-centered, team-based care, to ensure that our nation's Veterans receive top quality health care in the years ahead. Our program offers a unique opportunity to strengthen clinical, diagnostic, leadership and scholarship skills as a primary care nurse practitioner within an interprofessional team of faculty and trainees. NP residents work as a member of an interdisciplinary team in collaboration with internal medicine, pharmacy and psychology residents, social workers, dieticians and other allied health professionals. Teams collaborate to provide excellent care for veterans using a patient centered approach. Nurse Practitioner residents are responsible for a panel of approximately 200 primary care patients with supervision. Primary care clinics are mentored by NP and MD faculty to facilitate the development of skills in patient-centered and team-based care and communication, clinical reasoning and diagnostic skills, continuous quality improvement, and scholarship activities. Specialty placements are a requirement of the program with the option of either longitudinal or rotation-based experiences. Options may be available in cardiology, dermatology, pulmonology, palliative care, gastroenterology, liver, long-term care, pain, hematology/oncology, emergency department, homeless medicine, wound care, nephrology, endocrinology, or infectious disease, and every effort will be made to match the resident with the specialty experience of their choosing. As a health care system, the San Francisco VA and its training programs strive to support a learning environment that is diverse, inclusive, and equitable for all trainees and staff, including those who identify with one or more groups that are underrepresented in the health professions. We aim to recruit and retain trainees and faculty from diverse backgrounds and to support a learning environment that welcomes, honors, and respects the identities of patients, trainees, faculty, and staff through continuous dedicated training and systems improvement. Benefits: $91,936/ for 2020-2021 (subject to change as 2021-2022 stipend rate has not yet published) Health Care Insurance with optional dental, vision and life insurance. 10 paid federal holidays 4 hours of PTO and 4 hours of sick leave accrued per two-week pay period No call or weekend shifts Requirements to Begin the SFVA Residency Program: A current unencumbered RN license A current unencumbered NP license and furnishing license, (if applicable in state of licensure), or proof of pending license(s) application(s) from a state board of registered nursing (all Residents must receive state licensure within 90 days of program start date to continue in the program). If applicant already holds an NP license, should have a DEA license or proof of pending application by start date AANP or ANCC board certification or proof of pending application to sit for board certification (all Residents must receive board certification within 90 days of program start date to continue in the program). Current BLS certification Graduation from a Family Nurse Practitioner or Adult-Gerontology Nurse Practitioner Primary Care Program 12 months prior to the start of the program US Citizen or Naturalized US Citizen and proficiency in written and spoken English Completion of the following by program start: drug screen, background investigation, lab and physical exam, tuberculosis skin testing, Hep B vaccination

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Page 1: ^ v & v ] } s , o Z ^ Ç u W ] u Ç E µ W ] ] } v ~EW Z ] v Ç W } P u · 2021. 1. 25. · Application Process: Please complete the checklist and send the completed application electronically

San Francisco VA Health Care System Primary Care Nurse Practitioner (NP) Residency Program

The San Francisco VA Nurse Practitioner Residency Program was one of seven nationwide VA Centers of Excellence in Primary Care Education (COE) funded by the Office of Academic Affiliations (OAA), known locally as the EdPACT program. The mission of EdPACT is to prepare health care professionals to become future leaders in patient-centered, team-based care, to ensure that our nation's Veterans receive top quality health care in the years ahead. Our program offers a unique opportunity to strengthen clinical, diagnostic, leadership and scholarship skills as a primary care nurse practitioner within an interprofessional team of faculty and trainees.

NP residents work as a member of an interdisciplinary team in collaboration with internal medicine, pharmacy and psychology residents, social workers, dieticians and other allied health professionals. Teams collaborate to provide excellent care for veterans using a patient centered approach. Nurse Practitioner residents are responsible for a panel of approximately 200 primary care patients with supervision. Primary care clinics are mentored by NP and MD faculty to facilitate the development of skills in patient-centered and team-based care and communication, clinical reasoning and diagnostic skills, continuous quality improvement, and scholarship activities.

Specialty placements are a requirement of the program with the option of either longitudinal or rotation-based experiences. Options may be available in cardiology, dermatology, pulmonology, palliative care, gastroenterology, liver, long-term care, pain, hematology/oncology, emergency department, homeless medicine, wound care, nephrology, endocrinology, or infectious disease, and every effort will be made to match the resident with the specialty experience of their choosing.

As a health care system, the San Francisco VA and its training programs strive to support a learning environment that is diverse, inclusive, and equitable for all trainees and staff, including those who identify with one or more groups that are underrepresented in the health professions. We aim to recruit and retain trainees and faculty from diverse backgrounds and to support a learning environment that welcomes, honors, and respects the identities of patients, trainees, faculty, and staff through continuous dedicated training and systems improvement.

Benefits: $91,936/ for 2020-2021 (subject to change as 2021-2022 stipend rate has not yet

published) Health Care Insurance with optional dental, vision and life insurance. 10 paid federal holidays 4 hours of PTO and 4 hours of sick leave accrued per two-week pay period No call or weekend shifts

Requirements to Begin the SFVA Residency Program: A current unencumbered RN license A current unencumbered NP license and furnishing license, (if applicable in state of licensure), or proof of pending

license(s) application(s) from a state board of registered nursing (all Residents must receive state licensure within90 days of program start date to continue in the program).

If applicant already holds an NP license, should have a DEA license or proof of pending application by start date AANP or ANCC board certification or proof of pending application to sit for board certification (all Residents must

receive board certification within 90 days of program start date to continue in the program). Current BLS certification Graduation from a Family Nurse Practitioner or Adult-Gerontology Nurse Practitioner Primary Care Program 12

months prior to the start of the program US Citizen or Naturalized US Citizen and proficiency in written and spoken English Completion of the following by program start: drug screen, background investigation, lab and physical exam,

tuberculosis skin testing, Hep B vaccination

Page 2: ^ v & v ] } s , o Z ^ Ç u W ] u Ç E µ W ] ] } v ~EW Z ] v Ç W } P u · 2021. 1. 25. · Application Process: Please complete the checklist and send the completed application electronically

Application Process: Please complete the checklist and send the completed application electronically to Harumi Murata ([email protected]) by February 1, 2021:

San Francisco VA Health Care System Primary Care Nurse Practitioner (NP) Residency Program

July 1, 2021 – June 30, 2022 Application Deadline: February 1, 2021

CHECKLIST

PLEASE INCLUDE THE FOLLOWING ITEMS IN YOUR APPLICATION PACKET:

☐ Personal Data Information Form

☐ Application Essay

☐ A copy of current CV including a list of publications or quality improvement projects if applicable

☐ 3 names and contact information for letters of recommendation

☐ This signed Checklist

☐ Original transcripts from College and Graduate School (s)

I attest that I hold an active, unencumbered license to practice as a registered nurse, will hold an active, unencumbered license to practice and furnish medications as a nurse practitioner (or have a license actively pending with a state board of registered nursing) by the program start date, will have passed board certification by the program start date, and am in good standing and have no current disciplinary action pending in any jurisdiction. I attest that the information given on all submitted forms is true and accurate to the best of my knowledge and belief.

___________________________________________ Date: ____________________

Signature of the Applicant

Thank for applying to the San Francisco VA NP Residency Program. We look forward to reviewing your application. You should hear back from us by mid-March.

Page 3: ^ v & v ] } s , o Z ^ Ç u W ] u Ç E µ W ] ] } v ~EW Z ] v Ç W } P u · 2021. 1. 25. · Application Process: Please complete the checklist and send the completed application electronically

San Francisco VA Health Care System Primary Care Nurse Practitioner (NP) Residency Program

July 1, 2021 – June 30, 2022 Application Deadline: February 1, 2021

PERSONAL DATA FORM PERSONAL INFORMATION:

Your Name (Last, First, Middle):

Alternative Name or Nickname (if any):

Present Address:

Primary Phone:

Primary Email Address:

U.S. CITZEN: ☐YES ☐ NO

U.S. Military Duty Status

Are you now in the U.S. Military? ☐YES ☐NO

Are you in the Reserves or National Guard? ☐YES ☐NO

Brach of Service: _______________________________________

CERTIFICATION:

List your current certifications (if applicable):

LICENSURE:

RN LICENSE #: __________ STATE: ________ Exp. Date: _______

NP LICENSE #: __________ STATE: ________ Exp. Date: _______ or Date of Submitted Application: ________

Furnishing #: __________ STATE: ________ Exp. Date: _______ or Date of Submitted Application: ________ * if applicable in state of NP Licensure

Page 4: ^ v & v ] } s , o Z ^ Ç u W ] u Ç E µ W ] ] } v ~EW Z ] v Ç W } P u · 2021. 1. 25. · Application Process: Please complete the checklist and send the completed application electronically

San Francisco VA Health Care System Primary Care NP Residency Application

Essay Questions (250 words or less per question)

1) Describe your previous nursing experience.

2) What are your three most important professional goals and how will these goals will be furthered by

participation in the EdPACT NP Residency program?

3) What are your current/potential interests in clinical practice (population, setting, care deliverymodel)?

(Page 1 of 2)

VHASFCMURATH
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Page 5: ^ v & v ] } s , o Z ^ Ç u W ] u Ç E µ W ] ] } v ~EW Z ] v Ç W } P u · 2021. 1. 25. · Application Process: Please complete the checklist and send the completed application electronically

4) Tell us about a success you’ve seen in either a clinical or educational setting welcoming diversity

and/or inclusion and improving health equity and how you might bring that success to our program?

5) Include any additional information that you think should be considered by the selection committee.

(Essay: Page 2 of 2)

San Francisco VA Health Care System Primary Care NP Residency Application

Essay Questions (250 words or less per question)

VHASFCMURATH
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Page 6: ^ v & v ] } s , o Z ^ Ç u W ] u Ç E µ W ] ] } v ~EW Z ] v Ç W } P u · 2021. 1. 25. · Application Process: Please complete the checklist and send the completed application electronically

San Francisco VA Health Care System Primary Care Nurse Practitioner (NP) Residency Program

LETTERS OF RECOMMENDATION

Please ask three individuals (one academic advisor, one preceptor, one employer/supervisor/co-worker) to complete the letter of recommendation letter template (below) commenting on your clinical competence, educational background, achievements, and potential. E-mail the template to each of your three references and ask them to e-mail the completed form directly to Harumi Murata ([email protected]) by February 1, 2021. Your application will not be considered complete without the 3 letters.

Please provide the name, e-mail address and phone numbers of your references below.

Phone

Phone

Phone

3. Name

2. Name

1. Name Email:

Email:

Email:

mailto:[email protected]

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