In 2010, the Veterans Health Administration (VHA) launched a program to transform its primary care system into a patient-centered, team-based care medical home model in which all Veterans were assigned to Patient Aligned Care Teams (PACTs) in more than 900 primary care clinics nationwide. For those VA medical centers with health professions education programs and therefore responsibility for achieving VA’s statutory educational mission, this transformation offers the additional challenge of integrating clinical trainees into an Academic PACT environment.
An "Academic PACT" is defined as a primary care clinical practice that includes educating health professions trainees as an integral component of its mission. Academic PACTs must fulfill the dual missions of delivering patient-centered, team-based, high quality care and providing education that prepares health professions graduates for patient-centered care practice. An Academic PACT can be distinguished from other PACT's through the incorporation of meaningful roles in delivering care for trainees from medicine, mental health, undergraduate nursing, advanced practice nursing, pharmacy, and other health professions.