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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Original Message:
Sent: 02-24-2022 08:11
From: Penny Schnarrs
Subject: Ultimate guide to…programs that encourage rural medical practice
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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