Rural Project Examples Addressing Physicians - Rural Health Information Hub

Thomas Jefferson University's Physician Shortage Area Program

Added March 2023

Need: More rural doctors were needed in Pennsylvania, where nearly half of the state's physicians practice in just three large metropolitan counties.
Intervention: Sidney Kimmel Medical College at Thomas Jefferson University established the Physician Shortage Area Program (PSAP) in 1974 to recruit and support students who are from rural backgrounds and who wish to practice in rural communities.
Results: Approximately 80% of PSAP alumni have remained in rural family medicine for at least 20 to 25 years after graduation.

Updated/reviewed October 2024

Need: General surgeons are needed in rural communities.
Intervention: Oregon Health & Science University (OHSU) is sending residents to complete a general surgery rotation in rural southern Oregon.
Results: 19 graduates of the rural residency program are currently practicing in a rural setting. The residents remain more likely than other OHSU residents to enter general surgery practice and to serve in a community of fewer than 50,000 people.

Added October 2023

Need: To recruit and train medical students who are committed to choosing rural practice.
Intervention: An add-on curriculum that includes seminars, field trips, and clinical rotations in rural and underserved areas.
Results: 436 students have graduated from the RMED program between 1997 and 2023, with 65% of program graduates practicing in towns of less than 50,000 people.

Updated/reviewed September 2023

Need: Lack of healthcare providers, specifically physicians, in rural Missouri.
Intervention: Rising second-year medical students at University of Missouri's School of Medicine are given the opportunity to participate in a clinical program in a rural community setting.
Results: Almost half of the participants from 1996-2010 chose to practice in rural locations upon graduation.

Updated/reviewed May 2024

Need: People in rural New Mexico often found it difficult to find and utilize needed resources from the University of New Mexico Health Sciences Center (UNMHSC).
Intervention: UNMHSC created Health Extension Regional Offices (HEROs), in which HERO agents live in the communities they serve, help identify health and social needs, and link them with UNMHSC and other university resources.
Results: In their regions, HERO agents' activities have been diverse, including recruiting physicians, mobilizing research funds to address local priorities, working on economic development, training laypeople in Mental Health First Aid, and helping local institutions access UNMHSC resources.

Updated/reviewed April 2024

Need: To fill vacant medical positions in Maine's rural medical facilities.
Intervention: The Tufts Maine Track LIC program offers clerkships in rural medical facilities, exposing medical school students to the positives and possibilities that rural practices have to offer.
Results: The program has seen an increase in students' interest in practicing in rural Maine. The majority of participants have pursued medical careers in one of the six core specialties studied during their clerkship.

Updated/reviewed January 2024

Need: To increase the number of primary care providers in northeast Kentucky.
Intervention: STEPS provides support such as physician shadowing, mock interviews, and MCAT practice courses/exams for regional students applying to medical school.
Results: More than 70% of participants have been accepted into medical school. The program has been replicated among most of Kentucky's regional AHECs.

Updated/reviewed March 2024

Need: There is a shortage of rural physicians in the Northwestern United States.
Intervention: University of Washington medical students are receiving training through the TRUST program in rural, underserved communities across a five-state radius.
Results: Long-lasting connections have been formed among regional and underserved communities, medical students, and rural health professionals, with the goal of producing more rural physicians.

Updated/reviewed July 2023

Need: An ongoing shortage of healthcare providers in rural areas of South Dakota
Intervention: A 4-week summer program placing health professions students in rural communities.
Results: Of graduating participants, 71% practice in South Dakota with 30% of those graduates practicing in rural communities with populations fewer than 10,000, or veteran facilities.

Updated/reviewed October 2022

Need: Primary care physicians in the rural areas of Wisconsin.
Intervention: A GME collaborative was created that provides leadership, technical assistance, and support for expanding rural graduate medical education in Wisconsin.
Results: The collaborative expanded rural graduate medical education opportunities which now include over 20 rural training programs. There are several residencies and fellowship opportunities in specialties ranging from family medicine to surgery, obstetrics/gynecology, psychiatry, and more.