2018; it is the largest U-M medical facility outside the main medical campus. U-M emergency medicine physicians staff the emergency rooms at several local hospitals, and U-M physicians provide specialized services at other hospitals for patients with specific cardiovascular issues, cancer and other diseases. Outreach clinics – Among the clinics that UMHS operates alone or in conjunction with other entities are the New Hope Outreach Clinic operated by the Geriatrics Center at the New Hope Baptist Church in Ann Arbor, and the Regional Alliance for Healthy Schools clinics for low-income children and teens in Ann Arbor, Flint and Ypsilanti. The Medical School's students and faculty operate a weekly Student Run Free Clinic in Pinckney, Michigan. The VA Ann Arbor Health Care System opened in 1953 and underwent $150 million expansion in 1998. The 145-bed facility houses a surgical suite containing 9 operating rooms. In 2011, the facility conducted 455,000 outpatient visits to veterans in 15 Michigan counties and portions of Indiana, northern Ohio. The hospital has an annual research budget of $10.6 million and all physicians are faculty of U-M Medical School. Center for Clinical Management Research, housed at the U-M North Campus Research Complex, evaluates outcomes of alternative treatments and monitors quality measures Serves as Research Coordinating Center for the national Quality Enhancement Research Initiative - Diabetes Mellitus (QUERI-DM) Home to Center for Bioethics and Social Sciences in Medicine (CBBSM), a collaboration with U-M Medical School Home to the Patient Safety Enhancement Program, a collaboration with the U-M Medical School Medical School Under a leadership and organization structure introduced in January 2016, the position of dean of the medical school is held by the individual serving as the university's executive vice president for medical affairs. The two positions previously had been separate. All physicians who are part of the U-M Medical School faculty group practice, known as the U-M Medical Group, hold faculty positions. The medical group has a membership of more than 2,000 physicians and other health professionals practicing in 20 specialties. Patients at many hospitals and clinics in southeastern Michigan also receive U-M physicians' care through affiliations with other health institutions, including the VA Ann Arbor Healthcare System. A total of 708 medical students, 1100 house officers (interns/residents), 588 graduate students, and 604 postdoctoral research fellows are currently in training at the medical school, and more than 15,000 practicing physicians and health professionals receive continuing medical education