Rural Health
Resources by Topic: Graduate medical education
Recruiting, Revitalizing & Diversifying: Examining the Health Care Workforce Shortage
Recording of February 10, 2022 testimony before the U.S. Senate Subcommittee on Employment and Workplace Safety, offering recommendations for strategies to alleviate anticipated shortages in the healthcare workforce, including in rural areas. Features testimonies by representatives of the National Nurse Practitioner Residency and Fellowship Training Consortium, Xavier University of Louisiana, the National Institute for Medical Assistant Advancement, and the Heritage Foundation.
Additional links: C. Reynold Verret Testimony, Margaret Flinter Testimony, Norma Quinones Testimony, Rachel Greszler Testimony
Date: 02/2022
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Recording of February 10, 2022 testimony before the U.S. Senate Subcommittee on Employment and Workplace Safety, offering recommendations for strategies to alleviate anticipated shortages in the healthcare workforce, including in rural areas. Features testimonies by representatives of the National Nurse Practitioner Residency and Fellowship Training Consortium, Xavier University of Louisiana, the National Institute for Medical Assistant Advancement, and the Heritage Foundation.
Additional links: C. Reynold Verret Testimony, Margaret Flinter Testimony, Norma Quinones Testimony, Rachel Greszler Testimony
Date: 02/2022
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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The Effectiveness of Policies to Improve Primary Care Access for Underserved Populations: An Assessment of the Literature
Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Sponsoring organization: Milbank Memorial Fund
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Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Sponsoring organization: Milbank Memorial Fund
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Health Workforce: Biden-Harris Administration 2021 HRSA Highlights
Fact sheet describing the Health Resources & Services Administration's efforts to support the health workforce and promote health equity. Includes descriptions of funding opportunities and efforts to promote expansion of graduate medical education programs in rural and underserved areas.
Date: 01/2022
Sponsoring organization: Health Resources and Services Administration
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Fact sheet describing the Health Resources & Services Administration's efforts to support the health workforce and promote health equity. Includes descriptions of funding opportunities and efforts to promote expansion of graduate medical education programs in rural and underserved areas.
Date: 01/2022
Sponsoring organization: Health Resources and Services Administration
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Medical School Impact on the Primary Care Physician Shortage in Pennsylvania: Staff Study
Describes training required to become a physician in Pennsylvania and examines issues contributing to primary care physician shortages, including student debt burden, burnout, and low investment in primary care. Features information on primary care initiatives from Pennsylvania's medical schools, including health workforce pipeline programs, and statistics including average number of graduates matching into primary care specialties from each institution, estimates of how many graduates intend to specialize in primary care, and how many are retained by the state. Mentions rural throughout.
Author(s): Bryan W. DeWalt, Stephen J. Kramer, Wendy L. Baker
Date: 12/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Describes training required to become a physician in Pennsylvania and examines issues contributing to primary care physician shortages, including student debt burden, burnout, and low investment in primary care. Features information on primary care initiatives from Pennsylvania's medical schools, including health workforce pipeline programs, and statistics including average number of graduates matching into primary care specialties from each institution, estimates of how many graduates intend to specialize in primary care, and how many are retained by the state. Mentions rural throughout.
Author(s): Bryan W. DeWalt, Stephen J. Kramer, Wendy L. Baker
Date: 12/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Creating New Rural Residency Programs: Three Grantees Share Their Stories
Highlights three rural residency programs in Pennsylvania, Mississippi, and California. Discusses program accomplishments made possible through funding from the Federal Office of Rural Health Policy's Rural Residency Planning and Development Program.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Highlights three rural residency programs in Pennsylvania, Mississippi, and California. Discusses program accomplishments made possible through funding from the Federal Office of Rural Health Policy's Rural Residency Planning and Development Program.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Rural Residency Training as a Strategy to Address Rural Health Disparities: Barriers to Expansion and Possible Solutions
Identifies barriers rural communities face in developing and sustaining graduate medical education programs, and proposes potential solutions including regulatory fixes and legislative action. Includes definitions of key concepts and terminology in the Supplementary Data section.
Additional links: Supplementary Data
Author(s): Emily M. Hawes, Erin Fraher, Steven Crane, et al.
Citation: Journal of Graduate Medical Education, 13(4), 461-465
Date: 08/2021
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Identifies barriers rural communities face in developing and sustaining graduate medical education programs, and proposes potential solutions including regulatory fixes and legislative action. Includes definitions of key concepts and terminology in the Supplementary Data section.
Additional links: Supplementary Data
Author(s): Emily M. Hawes, Erin Fraher, Steven Crane, et al.
Citation: Journal of Graduate Medical Education, 13(4), 461-465
Date: 08/2021
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American Rescue Plan Act of 2021 (P.L. 117-2): Public Health, Medical Supply Chain, Health Services, and Related Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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Physician Workforce: Caps on Medicare-funded Graduate Medical Education at Teaching Hospitals
Provides an overview of Medicare physician graduate medical education (GME) funding to teaching hospitals. Describes the extent to which hospitals were over or under their Medicare GME caps in 2018, including their urban or rural status. Summarizes stakeholder views on extending the time frame for hospitals with new GME programs to establish their caps.
Additional links: Full Report
Date: 05/2021
Sponsoring organization: Government Accountability Office
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Provides an overview of Medicare physician graduate medical education (GME) funding to teaching hospitals. Describes the extent to which hospitals were over or under their Medicare GME caps in 2018, including their urban or rural status. Summarizes stakeholder views on extending the time frame for hospitals with new GME programs to establish their caps.
Additional links: Full Report
Date: 05/2021
Sponsoring organization: Government Accountability Office
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A Dire Shortage and Getting Worse: Solving the Crisis in the Health Care Workforce
Video of a May 20, 2021 U.S. Senate hearing with testimony from representatives of the Association of American Medical Colleges, the National Medical Association, Albany (Georgia) Area Primary Health Care, and the University of New England. Examines lack of access to high-quality care in rural and underserved areas, and the importance of training students likely to practice in rural areas.
Additional links: David J. Skorton Statement, James D. Herbert Statement, Leon McDougle Statement, Shelley Spires Statement
Author(s): David J. Skorton, Leon McDougle, Shelley Spires, James D. Herbert
Date: 05/2021
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Video of a May 20, 2021 U.S. Senate hearing with testimony from representatives of the Association of American Medical Colleges, the National Medical Association, Albany (Georgia) Area Primary Health Care, and the University of New England. Examines lack of access to high-quality care in rural and underserved areas, and the importance of training students likely to practice in rural areas.
Additional links: David J. Skorton Statement, James D. Herbert Statement, Leon McDougle Statement, Shelley Spires Statement
Author(s): David J. Skorton, Leon McDougle, Shelley Spires, James D. Herbert
Date: 05/2021
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Comparison of Maternity Care Training in Family Medicine Residencies 2013 and 2019: A CERA Program Directors Study
Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
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Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
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