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FORWARD NM Pathways to Health Careers

Summary 
  • Need: New Mexico's southwestern counties of Hidalgo, Catron, Luna, and Grant have experienced chronic shortages of primary care providers. New Mexico has the oldest physician population in the country.
  • Intervention: A comprehensive workforce pipeline program, including programming for middle and high school students, undergraduate and graduate students, primary care program students, and medical and dental residents.
  • Results: The program reaches over 2,000 school-aged students throughout the service areas and hosts 70+ rural rotation experiences annually. It has also gained partnership with the HMS-Family Medicine Residency Program since 2013 and designation as an Area Health Education Center (AHEC) since 2012.
Description

New Mexico's Hidalgo, Luna, Catron and Grant counties, located in the southwest corner of the state, have experienced ongoing and severe shortages of primary care providers. The average age of the state's physician workforce is 53 and one-third of the state's physicians over 60 years of age. The number of practitioners retiring soon far exceeds the number of new graduates ready to take their places. To help improve and ensure access to primary care in this rural area, FORWARD NM has undertaken a range of activities under the "Grow-Your-Own" model of care through its Pathways to Health Careers pipeline.

This project has been supported through a 2010-2013 Federal Office of Rural Health Policy Rural Health Workforce Development grant through the New Mexico Department of Health grants, sub-contracted with the University of New Mexico Area Health Education Center (AHEC) program and local foundations. Partnerships with local organizations for sponsorships and in-kind donations for specific projects such as Summer Academies also aids the program.

2016 Graphic showing the stages of the Pathways to Health Careers process

The following organizations partner with FORWARD NM:

FORWARD New Mexico students learning CPR
High schoolers learn CPR at Health Careers Academy, Western New Mexico University
Services offered

Services provided by the FORWARD NM program cover the entire healthcare workforce pipeline:

  • Encouraging rural middle and high school students to consider health careers through clubs, camps, internships, career fairs, volunteering, and mentoring
  • Encouraging students in undergraduate programs to participate in health career clubs, shadowing experiences, and mentoring younger students.
  • Tracking rural students through college and into health careers programs, such as the University of New Mexico Combined BA/MD program
  • Providing rural training experiences during medical, dental, and behavioral school and residency programs, including the newly accredited Hidalgo Medical Services Family Medicine Residency Program
  • Helping recruit and retain rural providers

FORWARD NM also works to support state and federal policies aimed at obtaining an adequate rural primary care access and workforce.

Forward NM Dream Makers Club
Students participate in the FORWARD NM Dream Makers health career school club
Results

FORWARD NM has accomplished the following:

  • Worked with middle and high school students throughout the four counties, reaching more than 1,200 students in FY15
  • Hosted more than 350 rural rotation experiences since its start in 2012 for medical, dental, and behavioral health students and residents of more than 20 disciplines in healthcare more than 12 different colleges and universities.
  • When a part of Hidalgo Medical Services, assisted HMS in becoming the first teaching health center in New Mexico after the Family Medicine Residency Program was accredited in May, 2013
  • In 2012, FORWARD NM received accreditation as an AHEC Center (Area Health Education Center)
FORWARD New Mexico SIM training
Students participate during a tour of the Nursing School Simulation Lab, Western New Mexico University

The article One Month Rural, published in The Differential, was written by University of Arizona Second Year Medical Student Michelle Blumenschine. The article explains her experience during a clinical rural rotation at Hidalgo Medical Services, coordinated by FORWARD NM, in 2015. Two years later, Ms. Fionna Feller, a medical student who rotated in Silver City wrote the article, A Reflection on Rural Medicine. She also describes her experience and how the rotation helped her shape her vision of rural practice.

Barriers

Due to changes in the financial environment in New Mexico, important financing sources have been lost in 2016, forcing adjustments in programs. However, the essence of the program remains without compromising the level of service or quality.

Additionally, state budget shortfalls during FY2016 severely reduced or eliminated financial support for organizations across the state, including FORWARD NM. The program is in constant search of financial support to sustain its activities.

Replication
FORWARD NM Workshop
Student practice suturing during the Expanding Your Horizons workshop

FORWARD NM Pathways to Health Careers and its components are replicable and adaptable to similar environments and communities. FORWARD NM developed a Toolkit that can assist in adapting parts or the entire model as applicable and necessary in other environments and communities.

Contact Information
Miriam Kellerman, Program Director
Southwest Center for Health Innovation
Forward NM
575.534.0101
mkellerman@swchi.org
Topics
Federally Qualified Health Centers
Graduate medical education
Health workforce pipeline
Recruitment and retention of health professionals
U.S.-Mexico Border Region
States served
New Mexico
Date added
May 30, 2013
Date updated or reviewed
May 17, 2017

Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.