Education and Training of the Rural Healthcare Workforce – Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.
Other Project Examples
Marshall University Rural Psychiatry Residency Program
Added December 2024
- Need: To train the next generation of psychiatrists in a rural context, while providing psychiatric care to an underserved region of West Virginia.
- Intervention: A new rural psychiatry residency program at Marshall University, in which residents split their time between the rural town of Point Pleasant and the larger city of Huntington.
- Results: The program welcomed its first class of residents in July 2024.
Mountain Area Health Education Center (MAHEC) Rural Fellowship
Updated/reviewed August 2024
- Need: To increase recruitment and retention of health professionals in rural western North Carolina.
- Intervention: The Mountain Area Health Education Center (MAHEC) Rural Fellowship offers mentorship, education, research support, and community-building opportunities for local providers in their first year of practice.
- Results: Of the 30 fellows who have completed the program since 2017, 94% are still practicing in rural areas; 83% are still practicing in rural western North Carolina.
COSSA Advanced EMT Class
Added July 2024
- Need: To increase the number of Advanced Emergency Medical Technicians (Advanced EMTs) in rural Idaho and neighboring states.
- Intervention: An Advanced EMT class offered to students at five rural high schools, the first of its kind in the country.
- Results: Two students graduated from the class in its first year, with at least two more expected to enroll in the 2024-25 school year.
Montevideo Medical Academy
Added July 2024
- Need: To increase the future healthcare workforce in rural Minnesota.
- Intervention: Montevideo Medical Academy helps students explore healthcare career options and gain college credit.
- Results: So far, 25 students in the program have attained 170 college credits, 55 certifications, and 304 hours of clinical experience.
Regional Initiatives in Dental Education (RIDE)

Updated/reviewed June 2024
- Need: Address oral health disparities in Washington's rural communities.
- Intervention: The University of Washington School of Dentistry (UWSOD) developed the Regional Initiatives in Dental Education (RIDE) program to increase the number of dentists prepared for the various languages and custom-specific attitudes concerning oral health in addition to the clinical competence required to practice in rural areas.
- Results: Since its start in 2009 and as of 2024, nearly 100 dentists have completed the program with over 81% practicing in rural communities.
Pacific AIDS Education and Training Center-Nevada

Updated/reviewed February 2024
- Need: To improve and increase prevention and care services for HIV, STDs, hepatitis C, and other infectious diseases.
- Intervention: PAETC-NV provides clinical and didactic trainings, conferences, technical assistance, capacity building, webinars, and other services to providers and healthcare organizations statewide.
- Results: In 2023, PAETC-NV trained more than 1,600 healthcare providers across Nevada to increase clinical capacity in the care, screening, and prevention of HIV, other sexually transmitted diseases, and hepatitis C.
Hawai'i Island Family Medicine Residency
Updated/reviewed January 2024
- Need: Hawai'i is experiencing a severe shortage of family medicine physicians.
- Intervention: The Hawai'i Island Family Medicine Residency (HIFMR) program uses an interprofessional team-based approach so residents learn how to care for many types of patients in different healthcare settings.
- Results: Since 2017, HIFMR has graduated a class of 3 to 6 Board-certified family medicine physicians annually. Most graduates have remained in the state to practice medicine; those who have left have entered fellowship programs and plan to return to Hawai'i Island to practice.
Premera Rural Nursing Health Initiative at the University of Washington
Added January 2024
- Need: To create rural clinical placement and postgraduate fellowship opportunities for Doctor of Nursing Practice (DNP) students and recent Advanced Registered Nurse Practitioner (ARNP) graduates in Washington.
- Intervention: The Rural Nursing Health Initiative (RNHI), a program out of the University of Washington School of Nursing that created clinical placement opportunities for DNP students and a postgraduate fellowship program for ARNP graduates.
- Results: Rural clinical stipends have been awarded to 80 DNP students, and 12 ARNPs completed rural fellowships between 2021 and 2023.
Targeted Rural Health Education Project
Updated/reviewed January 2024
- Need: Dual platform to teach both plain language use and health literacy principles to health professions students and disseminate health information to rural populations.
- Intervention: Writing project using community-specific public health data in order to write a plain language health education article suitable for publication in a rural newspaper.
- Results: Since program start in 2017, over 60 students have successfully published their plain language health education articles in 17 rural newspapers in 3 states.
Old Dominion University's Student-Run Mobile Health Clinic

Added November 2023
- Need: To fill gaps in care for rural communities in southeastern Virginia while providing clinical placement opportunities for nursing students.
- Intervention: A free mobile health clinic staffed by Old Dominion University nursing students that visits rural schools and other community centers.
- Results: Hundreds of students have gained hands-on rural experience working in the clinic since its launch.
Last Updated: 12/3/2024