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Editor’s Note: This article was originally featured in the Spring 2009 edition (Volume 101) of the NAACLS news. The article was referenced frequently in the question and answer session of  the 2012 CLEC workshop, and often mentioned by program directors as a helpful resource. With this in mind, we are republishing the article with the hope that those that missed it can benefit from the information.

Many program directors have found obtaining a signed current Veterans Affairs (VA) Hospital affiliation agreement that clearly meets the intent of Standard 1 to be a lengthy and frustrating process. Some resolute program directors have spent countless hours navigating through code of federal regulations, VHA directives and VA Handbooks to draft proposed addendums which are then funneled into a prolonged legal review and concurrence process. If the medical center director or legal counsel reviewers have significant concerns, it is often unclear how program directors can successfully resolve the issue. Unfortunately, this can result in needlessly abandoning potential VA training sites for laboratory science students.

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