Rural Curricula Rationale for Rural Programming Strategies for Rural Medical Educators
Checklist for Rural Program Development Guidelines for Rural Medical Education
Objectives for National Organizations for More and Better Rural Physicians Foundations of Continuous Programs
Statewide Objectives and Examples
Examples of Pre-Professional Programs To Identify and Encourage a Rural Career Health Advisors
Admit More The Pitfall of the Brightest Students Admit Older Students
Rural Student Interest Groups Rural Preceptorships, short and long term
Minnesota's Rural Health School
Nebraska's SEARCH program
Wisconsin Rural Ambassadours http://www.medsch.wisc.edu/ahec/progachiev/ra.html
Rural Faculty Development: Facilitating Town Plus Gown The Minifellowship in Rural Family Medicine
Rural Health Info Clearinghouse, Mercer, Georgia.
Rural Workforce and Health Policy in the United States
Physician Shortage Area Program Jefferson/Rabinowitz - down to 7 a year from 14 average
Duluth – consistent 40 – 50% FP choice across student birth origins from most urban born to rural born
Rural Scholars Programs
Alabama
Dartmouth
U Mass at Worcester
Nebraska Rural Health Opportunities Program RHOP - slight increase to 10 - 12 a year admitted from rural high schools (since rural admissions are otherwise decreasing)
Florida State University Students Get Started – focus on rural, minority, geriatrics throughout
Virginia Commonwealth University School of Medicine's Dept of Family Medicine - see below also in rural plus minority
Osteopathic schools – admit rural born and older at highest levels, clinical and hands on early, family medicine focus
North Texas Osteo with special rural track
West Virginia Osteopathic – entire rural focus in location, training, and outcomes, backed by 36.9% of 1112 graduates in rural locations in 2005.
MedStep: students jointly accepted at WVU School of Medicine and Shepherd University. While undergraduates, students participate in clinical experiences and select educational experiences at the WVU Rural Family Medicine Residency Program.
ETSU
Brody/East Carolina
Tulane – new
LSU New Orleans – new for 10 students a year
RMED U of Ill Rockford – admissions, branch, rural clinical
Mercer - reaching out to rural regions,
networks http://www.mercer.edu/publications/Medicine/fall99/pg6.html
WWAMI overview
http://www.washington.edu/medical/som/wwami/
A study of the best models for training and retaining physicians for underserved areas from MGT to FSU http://med.fsu.edu/pdf/02_train_retain_phys.pdf also saved in private file
Western Australian Center for Remote and Rural Medicine
Most critical need as these are the areas in greatest shortage, also the least likely to gain admission. With the exception of natives, 90% of underrepresented minorities are born in areas of over 1 million, rural has a tough enough time at 1 in 360 admitted, 1 in 500 for rural males, 1 in 400 for blacks, even higher for black males, Hispanic, and Mexican American. Rural plus minority probability of admission basically falls to near zero while distribution of the lowest income most different students to rural and poverty primary care approaches 100% (for those who do manage admission and choose FP). Whites, urban born, Natives admitted at 1 out of 200. Asian Indian is 1 medical student admitted out of 20 who are age 18 – 24 according to the 2000 census. Asian Indian includes the highest income levels, the most educated parents with the greatest attainment of professional degree, the most urban origins, and likely the least previous contact with rural or family medicine. It is likely that whites of the same parameters have the same choice and those in elite allopathic schools have similar choices.
Rural Scholars Programs - Alabama
Duluth – Native Americans
North Dakota – Native Americans
Morehouse - only school to hold its own with rural born admissions or even
slight increase, all other osteo and allo schools have decreased with worst
decreases among those in states with 40 – 50% of their population rural,
slightly less decline for schools with a rural mission, but still decline, total
decline from 27% decades ago to 9.6% born in nonmetro locations in recent years
(Masterfile has 97% of allopathic birth origins, less in black, Puerto Rican,
osteopathic, Caribbean). See also
First Annual Community
Award for Morehouse
Virginia Commonwealth University School of Medicine's Dept of Family Medicine
sponsors the Inner City/Rural Preceptorship Program. We have 10 students from
each year, 40 all together involved in electives, learning activities, and
preceptorships all four years of medical school. Of the graduates from this
program 1/2 have chosen family medicine, 3/4 primary care. We are now beginning
to work on securing seats in each class for these students, for the last several
years we recruit from the incoming class. We have requested to be considered as
a certificate program which would be granted at the time of graduation to all
who completed the program goals. We are also building a pipeline with community
colleges, rural colleges, and HBC's. michelle whitehurst-cook predoc director
Michelle Whitehurst-Cook [email protected]
Addressing the Needs for Rural
Minorities
Challenges to Primary Care:
Serving the Underserved
Impact of Academic Distancing
Going
Global - Student Efforts in International Health
Minority Data: Entry, Faculty,Title VII
Older student admissions – (have 50 – 100% greater
choice FP and rural)
U of New Mexico - 1 year prep course with guaranteed
admission
Required rural clinical
Nebraska 2 months rural FP in M-3, 3 wks M-1but more escaping this
Mercer rural FP is first clinical rotation
Upper Peninsula
Rural Preceptorships
Wisconsin
Nebraska Rural Family Practice Preceptorship
Texas
Georgia
South Dakota
North Dakota
Branch Campus/Integrated Decentralized
Upper Peninsula
Terre Haute
Trover/ U Louisville
Rockford Rural Health Needs Challenge Doctors
U Washington
NC AHEC efforts
Arkansas AHEC efforts
West Virginia partnerships
North Dakota
Binghampton
Tuscaloosa
West Virginia U Eastern Campus
Elective rural early
RUOP Long Term Effect of FP Curric Pathway U Washington - down in numbers
Longitudinal Elective rural track
RPAP
Rural Physician Associate Program http://www.rpap.umn.edu/ – 9 months in M-3 down
from 60 to 30 a year
Syracuse RMED
http://www.upstate.edu/fmed/rmed/
– 12 months in
M-4, down from 14 to 3 a year
RMED at U of IL Rockford Rural Health Needs Challenge Doctors
West Virginia community based longitudinal MS III and traditional block MS IV curriculum for 10 - 20 students located in the WV eastern panhandle regional campus. Community based longitudinal MS III and traditional block MS IV curriculum for 10 - 20 students located in the WV eastern panhandle regional campus
ETSU
Rural Campus
ETSU Mountain City and Rogersville
Trover Madisonville U of Louisville
Upper Peninsula Michigan
Med College of Georgia – Faculty without walls
North Carolina
Edward Via
West Virginia Osteopathic
Worchester U Mass
U of New England Osteopathic
Dartmouth
North Dakota
South Dakota
West Virginia U Eastern Campus
Interdisciplinary Efforts such as Shiprock NM and U of New Mexico
WWAMI Rural Locations WWAMI overview http://www.washington.edu/medical/som/wwami/
Numerous FP Residency sites in rural areas used for student training
The Family Medicine Residency in Spokane offers student rotations both in Spokane and also our RTT sites in Colville and Goldendale WA. Students can spend a few days up to a few weeks in any or all of these sites. These experiences are coordinated by our Residency Coordinator, Deanna McRae in Spokane. Of course all FMS residents spend 1 of their 2 rural months in either Colville or Goldendale and the RTT residents spend 2 years in either Colville or Goldendale
"Maudlin, Robert K." [email protected]
Statewide Focus
Preprofessional – health careers
Accelerated Rural Track in Nebraska – Begin in medical school, focus on rural prep, final year is rural/procedural fellowship year, 7 years of total training Meeting the Needs of Underserved Rural and Inner City Areas with Accelerated Graduate Training
Rural Scholars: special intensive MS IV curriculum + stipend for students committed to WV FM residency program and practice. Program operating on all 3 WVU clinical campuses. Since inception 3 awardees 2004, 6 awardees year 2005.
Graduate Consortia
Graduate rural tracks
The Family Medicine Residency in Spokane offers student rotations both in
Spokane and also our RTT sites in Colville and Goldendale WA. Students can spend
a few days up to a few weeks in any or all of these sites. These experiences are
coordinated by our Residency Coordinator, Deanna McRae in Spokane. Of course all
FMS residents spend 1 of their 2 rural months in either Colville or Goldendale
and the RTT residents spend 2 years in either Colville or Goldendale
"Maudlin, Robert K." <[email protected]>
Rural focus
Rural location
Rural Training Track
Accelerated Rural Track
The CORE Program - using graduate
rotations to meet rural needs, and train
Integrated Rural Training Track in Ohio ("2-2-2" where residents are based in the rural location, and go to the urban center for specific immersion experiences for 7 months over 3 years)
WVU Rural Family Medicine Residency Program: in 10th year of accreditation.
WVU Rural Geriatric Medicine Fellowship: Part of WVU Rural FMRP and accredited
in 2004 with 1st fellow starting Oct 2005. First Geriatrics fellowship program
in the state.
WVU Rural Family Medicine Fellowship Program: created in 2004 to provide a
longitudinal distance learning + on campus rural residency program delivered
curriculum to new practitioners whose first practice site is at a rural FQHC or
private clinic in the eastern panhandle of WV.