Education in Patient Aligned Care Teams (EdPACT) - San Francisco VA Health Care System
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San Francisco VA Health Care System


Education in Patient Aligned Care Teams (EdPACT)

EdPACT logo

Nurse Practitioner (NP) Primary Care Residency Program

The San Francisco VA Nurse Practitioner Residency is a one-year, full-time program in one of seven nationwide VA Centers of Excellence in Primary Care Education (CoEPCE) funded by the Office of Academic Affiliations (OAA).

The mission of the VA CoEPCE 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. The 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. Our center offers unique foci on structured clinical collaboration with interprofessional colleagues, advanced training in team-based care and patient-centered communication, and opportunities for leadership in quality improvement, education and curriculum development, and precepting training.

NP residents work as a member of an interdisciplinary team in collaboration with internal medicine, pharmacy and psychology residents, social workers, dieticians and other health professionals. Teams collaborate to provide excellent longitudinal care for veterans using an innovative patient centered approach.

The NP residency program is valued as a transformative initiative within NP education and serves as an example of a creative and innovative training model within the CoEPCE. The NP residency program was developed based on feedback from NP student trainees and a need for a structured learning experience to transition into advanced practice in complex care settings after graduation.

Program Goals:

ADVANCED PRACTICE:  Utilize evidence-based practice to care for complex, diverse Veteran populations across the adult life span.  Clinical continuity will support sustained relationships and shared decision making with patients and families while providing patient centered care.

CLINICAL INQUIRY: Provide clinical training necessary for practice improvement, quality improvement and population management.

LEADERSHIP:  Apply leadership strategies that support collaborative practice, team effectiveness, and systems improvements.

MENTORSHIP: Offer guided support to transition from novice provider to proficient clinician.

SCHOLARSHIP: Receive mentorship from interprofessional faculty to develop skills in academic presentations, curriculum development, precepting, and other academic or scholarship interests and pursuits.

Who's Eligible to Apply:

Ideal candidates have excelled academically, come highly recommended from their home institutions, and are interested in gaining experience not only in clinical care, but also in team-based care, quality improvement, leadership, academics, and patient-centered communication.  We are especially seeking applicants who wish to train in primary care and serve the Veteran population in an interprofessional workplace learning environment.

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.

How to Apply:

Online application for hte 2020-21 residency is now closed. The 2021 residency application will be available in December 2020. 

Applications include:

  • Curriculum Vitae/Résumé, including but not limited to:
    • Current Licensure and certifications
    • Education & Awards/Honors
    • Work Experience
    • Research & Publications
    • Leadership Service
    • Life Experience/Professional membership
  • 3 names with contact information for letters of recommendation
    • One from an academic instructor
    • One from a preceptor
    • One from an employer/supervisor/co-worker
  • Original transcripts from College and Graduate School (s)

Salary and Benefits

  • Salary competitive with local new NP graduate salaries- FY 19-20 $90,532/year
  • Salary is paid by the VA Office of Academic Affiliations (OAA) and rates may increase depending on the current year allocation rate. 

For more information about Federal Employment Health benefits Other benefits include: 

  • Government Health Care Medical Plan with optional dental, vision, and life insurance
  • 10 paid holidays
  • 4 hours of PTO and 4 hours of sick leave accrued per pay period
  • No call or weekend shifts


Primary Care

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 care, clinical reasoning, diagnostic skills, and collaborative practice. NP residents work in a patient-centered medical home model (called PACT: Patient-Aligned Care Team with in the VA) with a team consisting of resident physician practice partners, a registered nurse case manager, licensed vocational nurse, and clerical staff. A pharmacy resident, behavioral health psychology fellow, social work intern or dietetics fellow may also be included in their clinical care team. NP residents conduct routine follow-up, new patient, telephone care, women’s health, musculoskeletal/joint injection, and urgent care visits.


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, wound care, nephrology, endocrinology, infectious disease.


  • Provide primary care for a panel of approximately 200 patients with mentorship from faculty
  • Provide urgent care for the primary care clinic
  • Provide minimal clinic back-up during one or more UCSF academic breaks
  • Specialty rotations
  • Interprofessional curriculum and training with internal medicine, pharmacy, behavioral health psychology, social work, and dietetics trainees
  • Mentoring role on a performance improvement project with an interprofessional trainee team with faculty support
  • Clinical teaching assignments
  • Curricular, scholarly, and systems improvement projects in support of the trainee’s goals
  • Co-precepting with clinical faculty

Sample Curricular Interprofessional Sessions

  • Clinical Case Conferences
  • Panel Management
  • Team Retreats
  • Motivational Interviewing, Shared Decision-Making
  • Advanced Patient-Centered Communication
  • Conflict Resolution
  • Diversity Training
  • Panel Management
  • Qualitive Improvement & Patient Safety

EdPACT Faculty

Education in Patient Aligned Care Teams (EdPACT)  



COE Co-Director, NP Residency Program Director
Anna Strewler, AGNP-BC
4150 Clement St., Bldg. 6, room 209
SF, CA 94121

Program Manager 
Harumi Murata, MPA
4150 Clement St., Bldg. 6, room 209
SF, CA 94121