The VA San Diego Healthcare System (VASDHS) has a long standing affiliation with the University of California San Diego, and serves as a training site for UCSD medical students and multiple UCSD residencies and fellowships. The VASDHS is a 304-bed care center, including skilled nursing beds and several specialty regional referral centers including cardiovascular surgery and spinal cord injury. The VASDHS provides medical, surgical, mental health, geriatric, spinal cord injury, palliative, gynecologic and pre-transplant services to patients in inpatient and outpatient settings, including multiple community based clinics. The VASDHS also has one of the largest research programs in the VA nationally. The richness of the academic setting will allow for mentoring and supervision in a wide range of clinical experiences including a scholarly project.