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Rural Project Examples: Health workforce education and training

Effective Examples

OHSU Rural Surgery Training
Updated/reviewed March 2018
  • Need: General surgeons are needed in rural communities.
  • Intervention: Oregon Health & Science University (OHSU) is sending residents to complete a one-year general surgery rotation in rural southern Oregon.
  • Results: Almost half of the graduates of the Grants Pass rural residency program are now practicing in a rural setting, and these residents are more likely to enter general surgery practice and serve in a community of fewer than 50,000 people.
funded by the Federal Office of Rural Health Policy Livingston County Help For Seniors
Updated/reviewed January 2018
  • Need: Meeting the health needs of geriatric patients in rural Livingston County, New York.
  • Intervention: The Help for Seniors program was developed and using its “vodcasts,’ local EMTs were trained in geriatric screening methods and health needs treatment.
  • Results: In addition to developing a successful model for educating EMS personnel, the program screened over 1200 individuals and identified various risks among the geriatric population.
Wyoming Trauma Telehealth Treatment Clinic
Added January 2018
  • Need: To provide psychotherapy to survivors of domestic violence and sexual assault.
  • Intervention: University of Wyoming psychology doctoral students provide psychotherapy via videoconferencing to crisis center clients in two rural locations.
  • Results: Clients, student therapists, and crisis center staff were satisfied with the quality of services, and clients reported reduced symptoms of depression and PTSD.
MU AHEC Summer Community Program
Updated/reviewed August 2017
  • Need: Lack of healthcare providers, specifically physicians, in rural Missouri.
  • Intervention: Rising second-year medical students at University of Missouri's School of Medicine are given the opportunity to participate in a clinical program in a rural community setting.
  • Results: Almost half of the participants from 1996-2010 chose to practice in rural locations upon graduation.
funded by the Health Resources Services Administration Appalachian Preceptorship Program
Updated/reviewed October 2016
  • Need: To prepare future physicians for practicing in rural southern Appalachia.
  • Intervention: The Appalachian Preceptorship Program offers medical students clinical preceptorships to give them experience practicing in rural, underserved communities of southern Appalachia.
  • Results: Students who participate in this preceptorship are more than 3 times as likely to practice medicine in a rural location.

Promising Examples

funded by the Federal Office of Rural Health Policy TUSM-MMC Program Longitudinal Integrated Clerkship
Updated/reviewed February 2018
  • Need: To fill vacant medical positions in Maine's rural medical facilities.
  • Intervention: The Tufts Maine Track LIC program offers clerkships in rural medical facilities, exposing medical school students to the positives and possibilities that rural practices have to offer.
  • Results: The program has seen an increase in students' interest to practice in rural Maine. The majority have pursued medical careers in one of the 6 core specialties studied during their clerkship.
funded by the Health Resources Services Administration Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2017
  • Need: To make it easier for rural nurses to continue their education by decreasing the need to travel.
  • Intervention: An innovative, online health assessment course uses telehealth to allow rural RN-BSN students to demonstrate skills acquisition.
  • Results: Rural participants had similar learning outcomes to those participating in the onsite version of the course, with fewer travel costs, less time away from work, and higher overall satisfaction.

Other Project Examples

funded by the Federal Office of Rural Health Policy Floyd County Dental Clinic
Updated/reviewed March 2018
  • Need: Lack of dental healthcare access for rural northwest Georgians with lower incomes/no insurance.
  • Intervention: A dental clinic accepting Medicaid, PeachCare (Georgia's low income child health insurance program), and private pay started through collaboration of a local medical center, dental college, and county health department.
  • Results: From 2015 through current June 2017 totals, the Floyd Dental Clinic provided quality oral healthcare to nearly 6000 low-income patients.
Updated/reviewed February 2018
  • Need: An increased interest among young people to pursue a medical career in rural North Carolina
  • Intervention: Two medical students started a program that gives high school seniors medical academic training, mentor relationships, and hands-on experience in rural North Carolina facilities.
  • Results: Project PROMISE has graduated 10 high school students, 5 of whom are pursuing an undergraduate degree with an interest in studying medicine.
Right Side Up Falls Prevention
Updated/reviewed January 2018
  • Need: Falling is one of the leading causes of morbidity and mortality in adults over the age of 65.
  • Intervention: The Right Side Up program was implemented in rural Otter Tail County to address the prevention and management of falls and risk for falls through in-home assessments given by interdisciplinary healthcare professionals and students.
  • Results: Short-term outcomes revealed 100% of participants found the visit and recommendations for falls prevention to be helpful, and 78% implemented these recommendations.