Rural Health
Resources by Topic: Graduate medical education
Rural Health Care Disparities Created by Medicare Regulations
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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Graduate Medical Education Financing: Sustaining Medical Education in Rural Places
A policy brief reporting on the financial situation of rural training track (RTT) residency programs, including their sources of funding, expenses, and the relationship between urban RTT sponsors and rural program sites.
Author(s): Davis G. Patterson, David Schmitz, Randall Longenecker, David Squire, Susan M. Skillman
Date: 05/2015
Sponsoring organization: WWAMI Rural Health Research Center
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A policy brief reporting on the financial situation of rural training track (RTT) residency programs, including their sources of funding, expenses, and the relationship between urban RTT sponsors and rural program sites.
Author(s): Davis G. Patterson, David Schmitz, Randall Longenecker, David Squire, Susan M. Skillman
Date: 05/2015
Sponsoring organization: WWAMI Rural Health Research Center
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Personality Profiles of Rural Longitudinal Integrated Clerkship Students Who Choose Family Medicine
Examines whether rural clerkship students who intended to and eventually practiced family medicine had personality traits different from rural clerkship students who intended to practice in all other specialties. Includes statistics with breakdowns by sex, medical specialty, year of clerkship, age group, marital status, and personality trait.
Author(s): Diann S. Eley, Kathleen D. Brooks, Therese Zink, C. Robert Cloninger
Citation: Family Medicine, 47(3), 194-203
Date: 03/2015
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Examines whether rural clerkship students who intended to and eventually practiced family medicine had personality traits different from rural clerkship students who intended to practice in all other specialties. Includes statistics with breakdowns by sex, medical specialty, year of clerkship, age group, marital status, and personality trait.
Author(s): Diann S. Eley, Kathleen D. Brooks, Therese Zink, C. Robert Cloninger
Citation: Family Medicine, 47(3), 194-203
Date: 03/2015
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Estimating the Residency Expansion Required to Avoid Projected Primary Care Physician Shortages by 2035
Discusses the projected shortage of primary care physicians by 2035. Briefly mentions expanding graduate medical education training through the use of teaching health centers and rural training tracks to increase those who choose primary care.
Author(s): Stephen M. Petterson, Winston R. Liaw, Carol Tran, Andrew W. Bazemore
Citation: Annals of Family Medicine, 13(2), 107-114
Date: 03/2015
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Discusses the projected shortage of primary care physicians by 2035. Briefly mentions expanding graduate medical education training through the use of teaching health centers and rural training tracks to increase those who choose primary care.
Author(s): Stephen M. Petterson, Winston R. Liaw, Carol Tran, Andrew W. Bazemore
Citation: Annals of Family Medicine, 13(2), 107-114
Date: 03/2015
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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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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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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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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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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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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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