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Rural Health
Resources by Topic: Health workforce education and training

Rural Residency Training as a Strategy to Address Rural Health Disparities: Barriers to Expansion and Possible Solutions
Identifies barriers rural communities face in developing and sustaining graduate medical education programs, and proposes potential solutions including regulatory fixes and legislative action. Includes definitions of key concepts and terminology in the Supplementary Data section.
Additional links: Supplementary Data
Author(s): Emily M. Hawes, Erin Fraher, Steven Crane, et al.
Citation: Journal of Graduate Medical Education, 13(4), 461-465
Date: 08/2021
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Implementation of Tribal HPOG 2.0: Integration of Tribal Culture into Healthcare Training Programs
Describes how the Tribal Health Profession Opportunity Grants (HPOG) 2.0 grantees and their partners have incorporated tribal culture and heritage into healthcare training programs. Discusses culturally focused curricula, events and program services, and space for tribal HPOG students.
Date: 07/2021
Sponsoring organization: Administration for Children and Families
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American Rescue Plan Act of 2021 (P.L. 117-2): Public Health, Medical Supply Chain, Health Services, and Related Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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A Design and Dissemination Studio: Engaging Stakeholders in Research on Rural Health Professions Education and Training
Video explaining a community-engaged approach to the design and implementation of research in rural health professions education, adapted from a process originally designed to engage community members in cancer research. Describes studio objectives and structure of the process.
Author(s): Randall Longenecker
Date: 06/2021
Sponsoring organization: Rural PREP
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Physician Workforce: Caps on Medicare-funded Graduate Medical Education at Teaching Hospitals
Provides an overview of Medicare physician graduate medical education (GME) funding to teaching hospitals. Describes the extent to which hospitals were over or under their Medicare GME caps in 2018, including their urban or rural status. Summarizes stakeholder views on extending the time frame for hospitals with new GME programs to establish their caps.
Additional links: Full Report
Date: 05/2021
Sponsoring organization: Government Accountability Office
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A Dire Shortage and Getting Worse: Solving the Crisis in the Health Care Workforce
Video of a May 20, 2021 U.S. Senate hearing with testimony from representatives of the Association of American Medical Colleges, the National Medical Association, Albany (Georgia) Area Primary Health Care, and the University of New England. Examines lack of access to high-quality care in rural and underserved areas, and the importance of training students likely to practice in rural areas.
Additional links: David J. Skorton Statement, James D. Herbert Statement, Leon McDougle Statement, Shelley Spires Statement
Author(s): David J. Skorton, Leon McDougle, Shelley Spires, James D. Herbert
Date: 05/2021
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Comparison of Maternity Care Training in Family Medicine Residencies 2013 and 2019: A CERA Program Directors Study
Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
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April 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Health Workforce Strategies for California: A Review of the Evidence
Examines literature and evidence on healthcare workforce strategies, discussing workforce issues in urban and rural areas in California. Describes the impacts of pipeline, scholarship, loan repayment, professional training, and residency programs, including rural-specific considerations.
Author(s): Diane Rittenhouse, Alexandra Ament, Janet Genevro, Kara Contreary
Date: 04/2021
Sponsoring organizations: California Health Care Foundation, Mathematica
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Coronavirus Aid, Recovery, and Economic Security (CARES) Act & Related Legislation and Administrative Action Impacting Rural Health
Provides an overview of legislation passed by Congress regarding COVID-19. Identifies provisions relevant to rural healthcare providers, including the Paycheck Protection Program, funding for public health and rural workforce programs, telehealth flexibilities, and more.
Date: 04/2021
Sponsoring organization: National Rural Health Association
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