"Page Ins" are pages read into memory from disk -- but not necessarily the VM file on the disk... it could be as simple as launching a program that hasn't been launched before on this login, causing portions of the program to be read into memory, or "paged in."
"Page outs" are memory pages written to the disk, which is always (eh, 99.9%) the VM file. "Page outs" are one thing keep an eye on to gauge memory usage -- if your page outs are high, then you're swapping a lot of RAM to disk, which could indicate that you need or could use more.