Targeted Rural Underserved Track (TRUST) Program
- Need: There is a shortage of rural physicians in the Northwestern United States.
- Intervention: University of Washington medical students are receiving training through the TRUST program in rural, underserved communities across a five-state radius.
- Results: Long-lasting connections have been formed among regional and underserved communities, medical students, and rural health professionals, producing more rural physicians as a result.
The Targeted Rural Underserved Track (TRUST) program is designed to train and prepare University of Washington medical students for future careers working in rural, underserved communities throughout Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI). This longitudinal program places selected students in a rural medical setting prior to beginning schooling and allows them to return regularly to learn and work within the same community.
Sponsors of this program include:
- Washington Academy of Family Physicians and its Foundation
- Montana Area Health Education Centers
- Montana TRUST
Health Resources and
Services Administration (HRSA) through two Title VII
- Targeted Rural and Underserved Training Pipeline (2008-2011)
- Preparing for Practice Innovation (PPI) (2011-2016)
- WWAMI Area Health Education Centers
- Idaho Medical Association
- University of Washington Department of Family Medicine
- University of Washington School of Medicine
This unique curriculum connects underserved WWAMI communities to the University of Washington School of Medicine (UWSOM) and affiliated residency programs. A separate admissions process allows selected students to gain experience and build relationships with specific, underserved communities frequently over the course of the student’s medical school career.
TRUST is connected with existing courses and programs at the University of Washington, such as:
- Underserved Pathway
- Rural/Underserved Opportunities Program (RUOP)
- WWAMI Rural Integrated Training Experience (WRITE)
The TRUST Continuum shows students' involvement in TRUST throughout their medical school careers.
The TRUST program has succeeded in incorporating the instruction of rural health professionals into medical students’ educations while longitudinally serving regional and underserved communities. As of 2017:
- 73% of graduates matched into primary care residency
- 64 resident doctors have come from this program
The following articles offer a glimpse into how the TRUST program is impacting specific medical centers:
- Greer, T., Kost, A., Evans, D.V., Norris, T., Erickson, J., McCarthy, J., Allen, S. (2016). The WWAMI Targeted Rural Underserved Track (TRUST) Program: An Innovative Response to Rural Physician Workforce Shortages. Academic Medicine: Journal of the Association of American Medical Colleges, 91(1), 65-69.
- How one school is training students for rural medicine, AMA Wire, 2016
- UW students learn rural medicine in Grand Coulee, The Star, 2014
- TRUST trains doctors for rural, underserved areas, Billings Gazette, 2010
More stories about this program are featured in the UW Medicine Magazine and TRUST Newsletters.
Since the TRUST program is somewhat decentralized, it requires significant resources from each WWAMI site. In addition, as the program grows, it takes more time to provide ongoing coordination as well as balance the celebration of differences against maintaining consistency.
Health workforce education and training
Alaska, Idaho, Montana, Washington, Wyoming
December 8, 2014
December 28, 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.