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Ultimate guide to…programs that encourage rural medical practice

  • 1.  Ultimate guide to…programs that encourage rural medical practice

    Posted 02-24-2022 08:11:00 AM

    Encouraging young doctors to take up rural practice is challenging. Rural areas may have fewer opportunities for working spouses, school systems with fewer resources, and offer lower salaries that make it harder to pay off student debt. But many medical schools have created rural training programs to attract and retain students to rural practice. We’re highlighting just a few of them here. 

    But we’d also like to hear from you: does your institution have a successful program to attract and retain a rural healthcare workforce? 

    • In 2017, University of South Dakota Sanford School of Medicine received the AAMC Spencer Foreman Community Service Award in acknowledgement of the institution’s leading work in retaining physicians to work in rural communities. Learn about what works for the Sanford School of Medicine.
    • University of North Dakota School of Medicine and Health Sciences Rural Opportunities in Medical Education (ROME) program sends medical students to live and learn in rural communities.
    • University of Wisconsin School of Medicine and Public Health’ Wisconsin Academy for Rural Medicine takes third and fourth year students to do their clinical experiences at regional sites that serve as gateways to rural communities.
    • The Rural Physician Associate Program at the University of Minnesota Medical School places third-year medical students in nine-month rural immersions and has been around for 50 years. 
    • University of Kansas School of Medicine Scholars in Rural Health program identifies and encourages undergraduate students from rural parts of the state to apply for the program. Qualified candidates are guaranteed admission to the medical school contingent on successfully completing college. 

    A recent AAMC study examined what moves physicians to work in rural areas. Researchers found that rural origin is a powerful and reliable predictor for rural practice, and that new and experienced physicians have different priorities regarding location choice. Physicians choosing rural practice locations are more likely to be motivated by compensation, the resemblance of the environment to the one they grew up in, patient needs, and pre-negotiated service obligations or visa/immigration status. They are less likely to attribute their location choice to social network proximity. 

    And, of course, the National Health Service Corps is an essential funder of federal scholarship and loan repayment programs for physicians who work in underserved rural, tribal and urban communities. Read more about NHSC recipients.

    @Carolyn Pointer, @Wei-Chen Lee, and @Heather-Lyn Haley, this subject came up for you last spring. Any thoughts, nearly a year later?​​​​​​​​

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    Penny Schnarrs
    Virtual Communities Program Manager
    Association of American Medical Colleges
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  • 2.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 02-25-2022 12:08:00 PM

    In 2020, we launched a rural track, the Lincoln Scholars Program, where they do all their training in rural Southern Illinois.  Our usual track has them in Southern IL (Carbondale) for 1 year, and then 3 years in Springfield, a small city, for years 2-4.  Since it just began, we don't yet have data on how well it works.  Prior to this, we had focused our efforts on selecting students from downstate Illinois, which is fairly rural.

    https://www.siumed.edu/lincoln-scholars-program  



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    Carolyn Pointer
    Assistant Professor
    Southern Illinois University School of Medicine
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  • 3.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 02-28-2022 12:19:00 PM

    The Medical College of Wisconsin – Central Wisconsin matriculated its inaugural class in 2016 with a mission to develop community-focused physicians who will meet the healthcare needs of Central Wisconsin and surrounding regions – a largely rural area.  Our admissions process focuses on attracting students from rural communities and has been successful in this regard.  Our campus uses an accelerated model that allows motivated students to complete graduation requirements in three calendar years, helping to build workforce and reduce debt.  We emphasize family medicine, primary care, psychiatry, and general surgery as the disciplines most needed in our rural communities.  We have a longitudinal integrated clerkship model that fosters strong relationships between students, patients, preceptors and communities.  Our first graduates will begin finishing residency programs this summer.

     

    Best,

     

    Jake

     

    -- 

    Jacob Prunuske, MD, MSPH

    Professor of Family and Community Medicine

    Assistant Dean for Clinical Learning

    Medical College of Wisconsin – Central Wisconsin

    1900 Westwood Drive, Suite 3100

    Wausau, WI  54401

     

    Phone: 715-870-0910

    Twitter: @jprunuske

    Pronouns: He/Him

     






  • 4.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 02-25-2022 02:04:00 PM
    Great post, Penny! It's cool to hear about some of the different rural programs at medical schools around the country. A few things from the University of Utah to include here:
    • University of Utah has the Rural and Underserved Utah Training Experience (RUUTE), which has also expanded now into Idaho, Montana, and Wyoming. With so much rural area in the Mountain West, programs like RUUTE are essential. RUUTE includes a K-12 pipeline that encourages students from rural and frontier areas to pursue higher education in health care disciplines. It also provides clinical experiences in rural and tribal areas of the state. We recently published a blog post about one of our RUUTE medical students. There's quite a bit more to it. 
    • We also have a Tribal, Rural, and Underserved Education (TRUE) program that prepares and encourages medical students to choose residencies and careers in primary care that serve tribal communities, rural communities, and/or medically underserved communities (MUCs) after they graduate.
    • Part of TRUE is another program called PROMIS2U, a pre-matriculation program which provides academic support to future physicians from underrepresented and historically marginalized backgrounds.


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    Aaron Lovell
    Associate Director, Strategic Communication
    University of Utah Health System
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  • 5.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 02-25-2022 02:16:00 PM
    Thank you so much for sharing @Aaron Lovell and @Carolyn Pointer - these are great initiatives - would love to see what else is happening from our community members!​​​

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    Penny Schnarrs
    Virtual Communities Program Manager
    Association of American Medical Colleges
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  • 6.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 02-28-2022 02:08:00 PM
    This topic is dear to my heart, as I grew up in a rural area, about 5 miles from a town of around 500 people in Eastern Washington. Sixteen of Washington's 39 counties "are severely underserved, with 10.4 or fewer doctors per 10,000 residents . . . mostly . . . in rural areas" (source).

    When I was growing up, Eastern Washington didn't have any medical schools, but now it has two: The Pacific Northwest University of Health Sciences began its DO program in 2008, and Washington State University Elson S. Floyd College of Medicine began its MD program in 2017. WSU uses a community-based medical education model, in part to address the underserved areas of rural Washington, and last year, PNWU initiated a master's program to focus on "improving healthcare access in rural and medically underserved communities."

    Washington's other medical school, at the University of Washington, has several rural health programs to help underserved communities not only in Washington but across WWAMI states (which also include Wyoming, Alaska, Montana, and Idaho).

    I hope these programs at PNWU, WSU, and UW will help expand health care access in rural areas. I'd be interested to hear the perspectives of community members acquainted with these programs about what they're doing and whether it's been effective.

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    Lee Crowther
    Library Specialist
    Association of American Medical Colleges
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  • 7.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 03-01-2022 04:25:00 PM

    Thank you for highlighting our Scholars in Rural Health Program. Addressing the rural healthcare workforce needs in the state of Kansas is one of our main missions. KUSOM also has other programs including a required 4th year rural preceptorship (in place for 71 years), 3rd year rural clerkship placements, 2nd year summer rural training elective, our Kansas Medical Student Loan program, and a four year campus in Salina, KS.

    Best,

    Giulia

    Giulia Bonaminio, PhD
    Senior Associate Dean for Medical Education
    University of Kansas School of Medicine
    gbonamin@kumc.edu



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    Giulia Bonaminio
    Senior Associate Dean for Medical Education
    University of Kansas School of Medicine
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  • 8.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 04-05-2022 12:28:00 PM
    Coming in late to the game, but I'd like to put forward Geisel's Rural Health Scholars program.

    "The Rural Health Scholars is an organization comprised of medical students striving to attain the leadership and skills necessary to successfully provide care to rural, underserved patient populations. This foundation will serve as a source of mutual support and encouragement for pursuing a career in rural medicine.

    In addition to support and structure, the Rural Health Scholars will provide its members the opportunity to shadow rural providers of various specialties, guest speakers and clinicians to talk about rural health care, chances to attend national and regional meetings of rural health centered professional societies, and volunteer opportunities in different venues. They will also provide help and collaboration with community, clinical, and research-based projects.

    In return, the individual Rural Health Scholar shall regularly attend meetings and functions, volunteer, and participate in all activities. It is the combination of support from this organization and member involvement that will ensure the successful development of its future physicians."

    Doesn't hurt to be the only Ivy-League medical school in a rural setting as well (there's hiking trails between hospital parking lots!)

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    Bridget C. Connolly
    Project Coordinator
    Dartmouth-Hitchcock Medical Center/Geisel School of Medicine
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  • 9.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 04-25-2022 05:35:00 PM
    Folks in this thread may be interested in a newly-published commentary by Rabinowitz and colleagues that summarizes lessons learned in the 48 years since Thomas Jefferson University initiated the rural-focused Physician Shortage Area Program (PSAP).

    One highlight is that PSAP graduates are "8.5–9.9 times more likely to enter rural family medicine than their peers"!

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    Lee Crowther
    Library Specialist
    Association of American Medical Colleges
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  • 10.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 04-25-2022 06:37:00 PM

    SIU launched a new Lincoln Scholars program as a rural track. The first class started in 2020, so we should see results soon.  There is a video about the program below, with comments from faculty and students.

    Lincoln Scholars Program

    Siumed remove preview
    Lincoln Scholars Program
    SIU School of Medicine launched the Lincoln Scholars Program in the summer of 2020, a new Doctor of Medicine track to amplify its mission to improve regional health in downstate Illinois. It is specifically designed to train the next generation of generalist, rural physicians.
    View this on Siumed >


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    Carolyn Pointer
    Assistant Professor
    Southern Illinois University School of Medicine
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  • 11.  RE: Ultimate guide to…programs that encourage rural medical practice

    Posted 09-07-2023 03:22:00 PM

    Here is a summary of programs in medical schools published in 2021: Longenecker, R.L., Andrilla, C.H.A., Jopson, A.D., Evans, D.V., Schmitz, D., Larson, E.H. and Patterson, D.G. (2021), Pipelines to Pathways: Medical School Commitment to Producing a Rural Workforce. The Journal of Rural Health. https://doi.org/10.1111/jrh.12542

    This list of rural programs is updated annually in December on The RTT Collaborative website:  https://rttcollaborative.net/rural-programs/



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    Randall Longenecker
    Senior Advisor
    *Other or Unlisted
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