Rural Health
Resources by Topic: Graduate medical education
Expanded Medical Training Could Help Hospitals in Rural, Underserved Areas
Describes actions taken by states to ensure adequate access to clinical training for medical graduates and address physician shortages in rural and underserved areas. Covers statewide collaboration and appropriations, Medicaid payments, and incentives for rural clinical training.
Author(s): Rachel Woolworth
Date: 07/2023
Sponsoring organization: National Conference of State Legislatures
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Describes actions taken by states to ensure adequate access to clinical training for medical graduates and address physician shortages in rural and underserved areas. Covers statewide collaboration and appropriations, Medicaid payments, and incentives for rural clinical training.
Author(s): Rachel Woolworth
Date: 07/2023
Sponsoring organization: National Conference of State Legislatures
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Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Rural Track Programs: A Guide to the Updated Medicare Requirements
An overview of the requirements to participate in the Centers for Medicare & Medicaid Services (CMS) Rural Track Program (RTP), which is a partnership between an urban hospital - the primary clinical site - and rural site(s) for medical residency training. Describes how the RTP program differs from the earlier rural training track (RTT) program.
Date: 05/2023
Sponsoring organization: Association of American Medical Colleges
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An overview of the requirements to participate in the Centers for Medicare & Medicaid Services (CMS) Rural Track Program (RTP), which is a partnership between an urban hospital - the primary clinical site - and rural site(s) for medical residency training. Describes how the RTP program differs from the earlier rural training track (RTT) program.
Date: 05/2023
Sponsoring organization: Association of American Medical Colleges
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Policy Recommendations for Improving Rural Cancer Services in the United States
Discusses cancer healthcare access for rural residents and factors in access challenges. Discusses rural physician recruitment, facility closures, reimbursement, data gathering, and graduate medical education. Offers policy recommendations for incentivizing and increasing the rural cancer care workforce as well as gathering cancer-related data.
Author(s): Adrienne B. Lent, Daniel Derksen, Elizabeth T. Jacobs, Leila Barraza, Elizabeth A. Calhoun
Citation: JCO Oncology Practice, 19(5), 288-294
Date: 05/2023
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Discusses cancer healthcare access for rural residents and factors in access challenges. Discusses rural physician recruitment, facility closures, reimbursement, data gathering, and graduate medical education. Offers policy recommendations for incentivizing and increasing the rural cancer care workforce as well as gathering cancer-related data.
Author(s): Adrienne B. Lent, Daniel Derksen, Elizabeth T. Jacobs, Leila Barraza, Elizabeth A. Calhoun
Citation: JCO Oncology Practice, 19(5), 288-294
Date: 05/2023
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Recruiting the Next Generation of Behavioral Health Professionals
Podcast episode regarding the recruitment, training, and retention of behavioral health specialists in rural areas. Discusses the University of Iowa Health Care rural psychiatry residency track and Public Psychiatry Fellowship program.
Date: 05/2023
Sponsoring organization: American Hospital Association
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Podcast episode regarding the recruitment, training, and retention of behavioral health specialists in rural areas. Discusses the University of Iowa Health Care rural psychiatry residency track and Public Psychiatry Fellowship program.
Date: 05/2023
Sponsoring organization: American Hospital Association
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A Match Made in Rural: Interpreting Match Rates and Exploring Best Practices
Documents patterns in match rates for rural versus urban residency programs, compares rural residency match rates with program characteristics for match years 2009-2013, examines the association of match rates with program outcomes for graduates in years 2013-2015, and explores recruitment strategies using residency coordinator interviews.
Author(s): Randall Longenecker, Natalia V. Oster, Lars Peterson, et al.
Citation: Family Medicine, 55(7), 426-432
Date: 04/2023
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Documents patterns in match rates for rural versus urban residency programs, compares rural residency match rates with program characteristics for match years 2009-2013, examines the association of match rates with program outcomes for graduates in years 2013-2015, and explores recruitment strategies using residency coordinator interviews.
Author(s): Randall Longenecker, Natalia V. Oster, Lars Peterson, et al.
Citation: Family Medicine, 55(7), 426-432
Date: 04/2023
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Integration of Case-Based Dialogue to Enhance Medical Students' Understanding of Using Health Communication to Address Social Determinants of Health
Examines the impact of case-based social determinants of health (SDOH) curriculum on third year medical student knowledge related to SDOH and willingness to care for patients with various cultural differences and needs. Analyzes pre- and post-test survey answers from 640 medical students about their SDOH perceptions and knowledge, including confidence levels in working with rural and medically underresourced patients.
Author(s): Jalysa King, Jennifer Taylor
Citation: Advances in Medical Education and Practice,14, 237-244
Date: 03/2023
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Examines the impact of case-based social determinants of health (SDOH) curriculum on third year medical student knowledge related to SDOH and willingness to care for patients with various cultural differences and needs. Analyzes pre- and post-test survey answers from 640 medical students about their SDOH perceptions and knowledge, including confidence levels in working with rural and medically underresourced patients.
Author(s): Jalysa King, Jennifer Taylor
Citation: Advances in Medical Education and Practice,14, 237-244
Date: 03/2023
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The Health of US Primary Care: A Baseline Scorecard Tracking Support for High-Quality Primary Care
Examines the support for implementing high-quality primary care in the United States across measures in five categories: financing, workforce, access, training, and research. Presents data on primary care financing trends from 2010 to 2020, the number of primary care physicians per capita in medically-underserved areas (MUAs) and non-MUAs by state, trends in financing primary care research, and more. Figure 7 shows the percentage of physician residents trained in an MUA or rural county by state in 2020. Appendix B includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 academic year and the 2020-2021 academic year.
Additional links: Appendix B, Full Report
Date: 02/2023
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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Examines the support for implementing high-quality primary care in the United States across measures in five categories: financing, workforce, access, training, and research. Presents data on primary care financing trends from 2010 to 2020, the number of primary care physicians per capita in medically-underserved areas (MUAs) and non-MUAs by state, trends in financing primary care research, and more. Figure 7 shows the percentage of physician residents trained in an MUA or rural county by state in 2020. Appendix B includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 academic year and the 2020-2021 academic year.
Additional links: Appendix B, Full Report
Date: 02/2023
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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Graduate Medical Education in New York: The Nation's Largest Supplier of Physicians
Examines the contribution of New York Graduate Medical Education (GME) programs to the nation's supply of physicians. Features a section on rural areas, including a state-level map showing the percentage of active physicians in nonmetropolitan areas who completed GME in New York as of 2022.
Date: 01/2023
Sponsoring organization: Center for Health Workforce Studies
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Examines the contribution of New York Graduate Medical Education (GME) programs to the nation's supply of physicians. Features a section on rural areas, including a state-level map showing the percentage of active physicians in nonmetropolitan areas who completed GME in New York as of 2022.
Date: 01/2023
Sponsoring organization: Center for Health Workforce Studies
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Academic Achievement and Competency in Rural and Urban Family Medicine Residents
Analyzes differences in the quality of preparation in rural versus urban family medicine (FM) residencies. Examines medical knowledge across 22 core competencies utilizing 2016-2018 American Board of Family Medicine (ABFM) data from 11,790 residency graduates. Provides data and discussion on differences between rural and urban programs.
Author(s): Lars Peterson, Zachary J. Morgan, C. Holly A. Andrilla, et al.
Citation: Family Medicine, 55
Date: 01/2023
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Analyzes differences in the quality of preparation in rural versus urban family medicine (FM) residencies. Examines medical knowledge across 22 core competencies utilizing 2016-2018 American Board of Family Medicine (ABFM) data from 11,790 residency graduates. Provides data and discussion on differences between rural and urban programs.
Author(s): Lars Peterson, Zachary J. Morgan, C. Holly A. Andrilla, et al.
Citation: Family Medicine, 55
Date: 01/2023
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