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Rural Health
Resources by Topic: Graduate medical education

Clinical Training in the Rural Setting: Using Photovoice to Understand Student Experiences
Reports on a qualitative study of medical and physician assistant student training in 2 rural locations using photovoice, a participatory research methodology that combines photography and participant commentary.
Author(s): Emily M. Mader, Carrie Roseamelia, Sarah L. Lewis, et al.
Citation: Rural and Remote Health, 16(2), 3877
Date: 05/2016
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Training Future Physicians for Rural Medicine
Describes the four-year curriculum called the Target Rural Underserved Track (TRUST) developed by the University of Washington School of Medicine that allows students to train in rural and underserved areas of Washington, Wyoming, Alaska, Montana and Idaho (WWAMI region).
Date: 01/2016
Sponsoring organization: American Medical Association
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The WWAMI Targeted Rural Underserved Track (TRUST) Program: An Innovative Response to Rural Physician Workforce Shortages
Discusses a four-year medical education curriculum through the University of Washington School of Medicine called the Targeted Rural Underserved Track (TRUST) where students are required to participate in a four-year clinical longitudinal continuity experience. The curriculum links students to a rural community identified as their TRUST continuity community or TCC with the objective to engage students in learning how a healthcare team functions in a rural community and to address the physician workforce needs in rural Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI region).
Author(s): Thomas Greer, Amanda Kost, David V. Evans, et al.
Citation: Academic Medicine, 91(1), 65-69
Date: 01/2016
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Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net
Assesses whether primary care graduates of Teaching Health Center Graduate Medical Education (THCGME) programs are more likely than other physicians to begin practicing in rural or underserved settings.
Author(s): Andrew Bazemore, Peter Wingrove, Stephen Petterson, et al.
Date: 11/2015
Sponsoring organization: Robert Graham Center
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Determinants of an Urban Origin Student Choosing Rural Practice: A Scoping Review
An analysis of a comprehensive literature review using Medline and PubMed databases focused on key factors that influence medical students from urban areas in Australia, Canada and the USA to choose careers in rural medicine.
Author(s): Douglas Myhre, Sameer Bajaj, Wesley Jackson
Citation: Rural and Remote Health, 15(3), 3483
Date: 09/2015
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Where did North Dakota Physicians Complete their Residency and Where Have North Dakota Residency Graduates Gone?
Provides an analysis and comparison of practicing physicians in North Dakota. Includes information on where their residency was completed, North Dakota residency graduates, and where they are currently practicing.
Author(s): Gary Hart, Mandi Peterson
Date: 08/2015
Sponsoring organization: University of North Dakota Center for Rural Health
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Rural Health Care Disparities Created by Medicare Regulations
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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The Use of Telemedicine to Address Access and Physician Workforce Shortages
Policy statement discussing opportunities to use telemedicine technologies to address pediatric workforce shortages in rural and urban settings. Offers information on improving access to care, physician capacity, quality of care, and costs of care.
Author(s): James P. Marcin, Mary E. Rimsza, William B. Moskowitz
Citation: Pediatrics, 136(1), 202-209
Date: 07/2015
Sponsoring organization: American Academy of Pediatrics
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Teaching Hospitals: Preparing Tomorrow's Physicians Today
An overview of the value teaching hospitals bring in rural and urban areas, serving as training centers to prepare physicians in clinical settings, provide specialty training and specialty services, engage in research and innovation, and prepare healthcare professionals to adapt to changes in the healthcare environment. Discusses the federal (Medicare and Medicaid) financial support mechanisms teaching hospitals receive and the impact this support has on the increased cost of clinical training of new physicians.
Date: 06/2015
Sponsoring organization: American Hospital Association
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