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Rural Health
Resources by Topic: Graduate medical education

Performance of Third-Year Medical Students on a Rural Family Medicine Clerkship
Examines the academic performance of University of Kansas medical students who chose a rural location for required clerkships in family medicine, surgery, pediatrics, and obstetrics-gynecology from 1999-2011. Includes statistics with breakdowns by mean scores on Medical College Admission Test (MCAT), mean clerkship and shelf exam grades, and mean grade point averages for undergraduate and medical school classes.
Author(s): Hannah Maxfield, Michael Kennedy, John E. Delzell, Jr, Anthony M. Paolo
Citation: Family Medicine, 46(7), 536-538
Date: 07/2014
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Graduate Medical Education That Meets the Nation's Health Needs
Reviews the system supporting graduate medical education (GME) and discusses how it supports or creates barriers to the development of the physician workforce the nation needs. A section on geographic maldistribution on pages 43-44 discusses the rural physician workforce. The report also discusses GME issues related to rural health facilities, including Table 3-8 (p. 83), with data on rural hospital GME.
Additional links: Read Online
Author(s): Committee on the Governance and Financing of Graduate Medical Education
Date: 07/2014
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Graduate Medical Education for Rural Practice
A joint statement of the NRHA and the American Academy of Family Physicians. Describes how graduate medical education including rural training tracks (RTTs) have contributed to residency education that prepares physicians to practice in rural environments. Lists recommendations to further address the training of residents in rural medicine.
Date: 04/2014
Sponsoring organization: National Rural Health Association
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Rural Primary Care Physician Workforce Expansion: An Opportunity for Bipartisan Legislation
Recommends expansion of graduate medical education (GME) support in teaching health centers (THCs) as a way to address the shortage of rural primary care physicians. Proposes an expanded version of the community health center and academic medicine partnerships (CHAMP) model that would help in the development of rural THCs.
Author(s): Richard E. Rieselbach, Robert L. Phillips, Thomas J. Nasca, Byron J. Crouse
Citation: Journal of Graduate Medical Education, 5(4), 556-559
Date: 12/2013
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Advancing Geriatrics Fellowship Programs Through a Community-Based Residency Network
Describes a project, conducted through Michigan State University, which studied the formation of geriatric fellowship programs within an established family medicine residency network to recruit and retain graduates. Facilitates the accreditation of new programs in nonmetropolitan communities, recruits fellows into underserved areas, and helps retain graduates to practice and teach in neighboring areas.
Author(s): Kevin Foley, Marolee Neuberger, Mary Noel, et al.
Citation: Family Medicine, 45(10), 719-725
Date: 11/2013
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Association Between Dedicated Rural Training Year and the Likelihood of Becoming a General Surgeon in a Small Town
Presents the results of a one-year study to determine if fourth-year residents training in a rural hospital setting would be more likely to practice general surgery over specialized surgery after residency was completed, and if they are more likely to practice in rural areas. The records of 70 surgical residents were divided into two groups: one group completed the rural residency program and the other group did not. Comparisons of the demographic characteristics of the two groups are discussed.
Author(s): Karen Deveney, Mark Deatherage, David Oehling
Citation: JAMA Surgery, 148(9), 817-821
Date: 09/2013
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Medical School Rural Tracks in the US
Discusses the results of a survey of 35 U.S. medical schools about their active or planned rural medical school residency tracks (RT) to better understand what rural medical education looks like throughout the country. Examines the admissions process, curriculum, administration and funding structures, and program outcomes.
Author(s): Mark Deutchman
Date: 09/2013
Sponsoring organization: National Rural Health Association
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GME in the United States: A Review of State Initiatives
Reports results from a study examining what states are doing to address issues affecting the physician workforce, including shortages in rural areas. Report introduces maps and charts showing demographics and healthcare workforce data by state.
Author(s): Julie C. Spero, Erin P. Fraher, Thomas C. Ricketts, Paul H. Rockey
Date: 09/2013
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Twenty-First Report: Improving Value in Graduate Medical Education
Recommends changes in graduate medical education that will improve the value of physician training. Includes increasing funding for new residency programs, and funding training programs within regions with lower per capita supplies of physicians.
Author(s): David Reines, Kenneth Shine, Gamini S. Sooriyaarachchi, et al.
Date: 08/2013
Sponsoring organization: Council on Graduate Medical Education
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Fifteen-Year Outcomes of a Rural Residency: Aligning Policy With National Needs
Examines physicians who graduated from a rural Oregon family medicine residency program from 1994 to 2009. Describes satisfaction level with preparation for practice and the tendency to establish a practice in a federally defined shortage area. Contains statistics with breakdowns by average number of patients seen, procedures for which physician has hospital admitting privileges, and procedures performed in office practice.
Author(s): Robert Ross
Citation: Family Medicine, 45(2), 122-127
Date: 02/2013
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