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Rural Health
Resources by Topic: Graduate medical education

Teaching Health Centers: A Promising Approach for Building Primary Care Workforce for the 21st Century
Provides information about Teaching Health Centers (THC), including the number of physicians choosing primary care following residency, location of practice, number of patients served by THCs, and characteristics of patients. Also discusses the impact that loss of federal funding may have on this graduate medical education training program.
Author(s): Leighton Ku, Fitzhugh Mullan, Cristine Serrano, Zoe Barber, Peter Shin
Date: 03/2015
Sponsoring organization: George Washington University Milken Institute School of Public Health Department of Health Policy and Management
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Family Medicine Graduate Proximity to Their Site of Training: Policy Options for Improving the Distribution of Primary Care Access
Assesses the geographic relationship between graduate practice location and family medicine graduate medical education training sites. Results show an uneven geographic distribution between urban and rural primary care physicians. Report also states that family physicians are more likely to work in rural areas.
Author(s): Ernest Blake Fagan, Claire Gibbons, Sean C. Finnegan, et al.
Citation: Family Medicine, 47(2), 124-130
Date: 02/2015
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Twenty-Second Report: The Role of Graduate Medical Education in the New Health Care Paradigm
Presents seven recommendations from the Council on Graduate Medical Education (COGME) regarding the expansion of Graduate Medical Education training. Suggests expanding GME clinical training into ambulatory and community settings, and ensuring accountability including providing rural and underserved practice locations. Discusses the need for increased funding for GME, and providing future physicians with the training and skills needed for emerging care delivery systems.
Date: 11/2014
Sponsoring organization: Council on Graduate Medical Education
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Performance of Third-Year Medical Students on a Rural Family Medicine Clerkship
Examines the academic performance of University of Kansas medical students who chose a rural location for required clerkships in family medicine, surgery, pediatrics, and obstetrics-gynecology from 1999-2011. Includes statistics with breakdowns by mean scores on Medical College Admission Test (MCAT), mean clerkship and shelf exam grades, and mean grade point averages for undergraduate and medical school classes.
Author(s): Hannah Maxfield, Michael Kennedy, John E. Delzell, Jr, Anthony M. Paolo
Citation: Family Medicine, 46(7), 536-538
Date: 07/2014
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Graduate Medical Education That Meets the Nation's Health Needs
Reviews the system supporting graduate medical education (GME) and discusses how it supports or creates barriers to the development of the physician workforce the nation needs. A section on geographic maldistribution on pages 43-44 discusses the rural physician workforce. The report also discusses GME issues related to rural health facilities, including Table 3-8 (p. 83), with data on rural hospital GME.
Additional links: Read Online
Author(s): Committee on the Governance and Financing of Graduate Medical Education
Date: 07/2014
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Graduate Medical Education for Rural Practice
A joint statement of the NRHA and the American Academy of Family Physicians. Describes how graduate medical education including rural training tracks (RTTs) have contributed to residency education that prepares physicians to practice in rural environments. Lists recommendations to further address the training of residents in rural medicine.
Date: 04/2014
Sponsoring organization: National Rural Health Association
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Rural Primary Care Physician Workforce Expansion: An Opportunity for Bipartisan Legislation
Recommends expansion of graduate medical education (GME) support in teaching health centers (THCs) as a way to address the shortage of rural primary care physicians. Proposes an expanded version of the community health center and academic medicine partnerships (CHAMP) model that would help in the development of rural THCs.
Author(s): Richard E. Rieselbach, Robert L. Phillips, Thomas J. Nasca, Byron J. Crouse
Citation: Journal of Graduate Medical Education, 5(4), 556-559
Date: 12/2013
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Advancing Geriatrics Fellowship Programs Through a Community-Based Residency Network
Describes a project, conducted through Michigan State University, which studied the formation of geriatric fellowship programs within an established family medicine residency network to recruit and retain graduates. Facilitates the accreditation of new programs in nonmetropolitan communities, recruits fellows into underserved areas, and helps retain graduates to practice and teach in neighboring areas.
Author(s): Kevin Foley, Marolee Neuberger, Mary Noel, et al.
Citation: Family Medicine, 45(10), 719-725
Date: 11/2013
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Association Between Dedicated Rural Training Year and the Likelihood of Becoming a General Surgeon in a Small Town
Presents the results of a one-year study to determine if fourth-year residents training in a rural hospital setting would be more likely to practice general surgery over specialized surgery after residency was completed, and if they are more likely to practice in rural areas. The records of 70 surgical residents were divided into two groups: one group completed the rural residency program and the other group did not. Comparisons of the demographic characteristics of the two groups are discussed.
Author(s): Karen Deveney, Mark Deatherage, David Oehling
Citation: JAMA Surgery, 148(9), 817-821
Date: 09/2013
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Medical School Rural Tracks in the US
Discusses the results of a survey of 35 U.S. medical schools about their active or planned rural medical school residency tracks (RT) to better understand what rural medical education looks like throughout the country. Examines the admissions process, curriculum, administration and funding structures, and program outcomes.
Author(s): Mark Deutchman
Date: 09/2013
Sponsoring organization: National Rural Health Association
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