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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, the Southwest Center for Health Innovation began FORWARD NM to lead 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 and help recruit and retain rural providers:

Dream Makers Health Career Clubs – Educates students on different healthcare professions through field trips, hands-on participation, and interaction with professionals.

Team Academy for Health Sciences (TAHS) –  A 3-week summer academy for high schoolers. It provides ACT science testing preparation, healthcare career exploration, classes that qualify for college credit, and tours of regional health center.

MCAT+ Preparation Academy –  A 6-week summer camp for college upperclassmen and graduates. The program trains pre-med and pre-dental students in MCAT and DAT test taking skills and how to become competitive in their medical and dental school application process.

College Application & Scholarship Support – Program staff meet with students interested in a healthcare career to formulate a plan to fulfill their goals. Areas include application completion, scholarships and loans, writing support, and mock interviews.

Rural Clinical Internships and Rotations Rotations in rural clinics and hospitals for medical school students, shadowing for undergraduates, practicums for college credits, and short-term internships give students hands-on experience in the rural medical field.

Advocacy - Program staff work to support state and federal policies aimed at obtaining an adequate rural primary care access and workforce. The program introduces students interested in medicine to the University of New Mexico Combined BA/MD program for a medical-focused higher education path. Provides rural training experiences during medical, dental, and behavioral school and residency programs, including the newly accredited Hidalgo Medical Services Family Medicine Residency Program.

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

Results

FORWARD NM has accomplished the following:

FORWARD NM Workshop
Students practice suturing during the Expanding Your Horizons workshop
  • 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.
  • The Hidalgo Medical Services became 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)

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.

Barriers

Due to changes in the financial environment in New Mexico, important financing sources were 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 New Mexico SIM training
Students participate during a tour of the Nursing School Simulation Lab, Western New Mexico University

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

Holley Hudgins, Workforce Development Programs Director
Southwest Center for Health Innovation
Forward NM
575.534.0101
hhudgins@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
June 8, 2018


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.