Skip to main content
Rural Health Information Hub

Rural Project Examples: Health workforce pipeline

Evidence-Based Examples

Thomas Jefferson University's Physician Shortage Area Program

Added March 2023

  • Need: More rural doctors were needed in Pennsylvania, where nearly half of the state's physicians practice in just three large metropolitan counties.
  • Intervention: Sidney Kimmel Medical College at Thomas Jefferson University established the Physician Shortage Area Program (PSAP) in 1974 to recruit and support students who are from rural backgrounds and who wish to practice in rural communities.
  • Results: Approximately 80% of PSAP alumni have remained in rural family medicine for at least 20 to 25 years after graduation.

Effective Examples

Rural Medical Education Program at University of Illinois College of Medicine Rockford

Added October 2023

  • Need: To recruit and train medical students who are committed to choosing rural practice.
  • Intervention: An add-on curriculum that includes seminars, field trips, and clinical rotations in rural and underserved areas.
  • Results: 436 students have graduated from the RMED program between 1997 and 2023, with 65% of program graduates practicing in towns of less than 50,000 people.

Promising Examples

Successfully Training and Educating Pre-medical Students (STEPS)

Updated/reviewed January 2024

  • Need: To increase the number of primary care providers in northeast Kentucky.
  • Intervention: STEPS provides support such as physician shadowing, mock interviews, and MCAT practice courses/exams for regional students applying to medical school.
  • Results: More than 70% of participants have been accepted into medical school. The program has been replicated among most of Kentucky's regional AHECs.

Other Project Examples

Mountain Area Health Education Center (MAHEC) Rural Fellowship

Updated/reviewed August 2024

  • Need: To increase recruitment and retention of health professionals in rural western North Carolina.
  • Intervention: The Mountain Area Health Education Center (MAHEC) Rural Fellowship offers mentorship, education, research support, and community-building opportunities for local providers in their first year of practice.
  • Results: Of the 30 fellows who have completed the program since 2017, 94% are still practicing in rural areas; 83% are still practicing in rural western North Carolina.

COSSA Advanced EMT Class

Added July 2024

  • Need: To increase the number of Advanced Emergency Medical Technicians (Advanced EMTs) in rural Idaho and neighboring states.
  • Intervention: An Advanced EMT class offered to students at five rural high schools, the first of its kind in the country.
  • Results: Two students graduated from the class in its first year, with at least two more expected to enroll in the 2024-25 school year.

Montevideo Medical Academy

Added July 2024

  • Need: To increase the future healthcare workforce in rural Minnesota.
  • Intervention: Montevideo Medical Academy helps students explore healthcare career options and gain college credit.
  • Results: So far, 25 students in the program have attained 170 college credits, 55 certifications, and 304 hours of clinical experience.

Old Dominion University's Student-Run Mobile Health Clinic

funded by the Health Resources Services Administration

Added November 2023

  • Need: To fill gaps in care for rural communities in southeastern Virginia while providing clinical placement opportunities for nursing students.
  • Intervention: A free mobile health clinic staffed by Old Dominion University nursing students that visits rural schools and other community centers.
  • Results: Hundreds of students have gained hands-on rural experience working in the clinic since its launch.

Project PROMISE

Updated/reviewed April 2023

  • 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 36 high school students, 16 of whom are pursuing an undergraduate degree with an interest in studying medicine. Two students were recently accepted into medical school.

FORWARD NM Pathways to Health Careers

funded by the Federal Office of Rural Health Policy

Updated/reviewed November 2022

  • 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 1,000 school-aged students throughout the service areas and provides support for students and medical residents in a variety of healthcare-related programs for rural rotation experiences. FORWARD NM received its designation as an Area Health Education Center (AHEC) in 2012.

Frontier Area Rural Mental Health Camp and Mentorship Program (FARM CAMP)

Updated/reviewed September 2022

  • Need: To reduce the shortage of behavioral health professionals in rural Nebraska.
  • Intervention: A week-long camp teaches high school students in rural and tribal communities about different career options in behavioral health and provides mentorship after the camp ends.
  • Results: In 2022, 10 high school students participated in the camp, and a former camper returned to present on their work in a psychology lab at the University of Nebraska-Lincoln.