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Rural Health
Resources by Topic: Health workforce education and training

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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Higher Education and Workforce Development in Tribal Communities and the Role of Tribal HPOG
Discusses barriers to education and employment for American Indians and Alaska Natives (AI/ANs). Provides data on AI/AN representation in healthcare professions and describes health career educational opportunities and programs. Describes training and employment outcomes of the Tribal Health Profession Opportunity Grants (HPOG) program.
Author(s): Michael Meit, Katherine Meyer, Tess Gilbert, et al.
Date: 07/2015
Sponsoring organization: Administration for Children and Families
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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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A Scoping Review of the Association Between Rural Medical Education and Rural Practice Location
Describes the connection between medical education provided in rural areas and physicians' decisions to practice in rural locations following graduation. Examines data from U.S.-based and international studies, and includes results from rural and urban campuses of the same universities.
Author(s): Jane Farmer, Amanda Kenny, Carol McKinstry, Richard D. Huysmans
Citation: Human Resources for Health, 13
Date: 05/2015
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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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Service Learning: A Vehicle for Building Health Equity and Eliminating Health Disparities
Details 5 different seven-day long service learning courses for emerging health professionals focused on urban, rural, border, and indigenous health. Includes information on the course themes, partners, impacts on the students, and communities.
Author(s): Samantha Sabo, Jill de Zapien, Nicolette Teufel-Shone, et al.
Citation: American Journal of Public Health, 105(Suppl 1), S38-S43
Date: 03/2015
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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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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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Rural Economic Development
Policy brief identifying the critical elements for addressing quality of life challenges faced by rural communities. Covers four areas: community development, a diversified economic development plan, educational opportunities, and healthcare workforce development.
Author(s): Alison F. Davis
Date: 02/2015
Sponsoring organization: National Rural Health Association
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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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