Rural Health
Resources by Topic: Graduate medical education
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
Type: Document
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
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Family Physicians in Rural America: Training, Distribution, and Scope of Practice
Webinar presented November 9, 2021, exploring training of family physicians in rural areas, family physician workforce distribution, and rural/urban differences in scope of practice. Features statistics including availability of obstetrical clinicians as of 2019, with breakdowns by metropolitan, micropolitan, and noncore locations.
Additional links: Presentation Slides, Transcript
Author(s): Lars Peterson, Davis Patterson
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Webinar presented November 9, 2021, exploring training of family physicians in rural areas, family physician workforce distribution, and rural/urban differences in scope of practice. Features statistics including availability of obstetrical clinicians as of 2019, with breakdowns by metropolitan, micropolitan, and noncore locations.
Additional links: Presentation Slides, Transcript
Author(s): Lars Peterson, Davis Patterson
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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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
Type: Document
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
Type: Document
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
Type: Document
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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
Type: Document
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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
Type: Document
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
Type: Document
Sponsoring organization: Congressional Research Service
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Training Needs to Prepare the Healthcare Workforce for Rural Practice
Issue brief focused on improving the health of rural communities through strengthening the rural healthcare workforce. Discusses key principles to promote rural graduate medical education, Area Health Education Centers, and special considerations for rural training and practice.
Date: 06/2021
Type: Document
Sponsoring organization: Council on Graduate Medical Education
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Issue brief focused on improving the health of rural communities through strengthening the rural healthcare workforce. Discusses key principles to promote rural graduate medical education, Area Health Education Centers, and special considerations for rural training and practice.
Date: 06/2021
Type: Document
Sponsoring organization: Council on Graduate Medical Education
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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
Type: Document
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
Type: Document
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
Type: Video/Multimedia
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
Type: Video/Multimedia
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
Type: Document
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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
Type: Document
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April 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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