Education and Training of the Rural Healthcare Workforce – Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.
Other Project Examples
Structured Training for Rural Enhancement of Community Health in Obstetrics (STRETCH-OB)
Updated/reviewed June 2025
- Need: To improve maternal and birth outcomes in rural and underserved areas by increasing the number of family medicine physicians in these areas who have high-quality, evidence-based obstetrical care skills.
- Intervention: The STRETCH-OB program trains a select number of family medicine residents at the University of Illinois College of Medicine Rockford each year to provide high-quality maternity care, including surgical obstetrical care.
- Results: Four STRETCH-OB residents have graduated as of June 2025 and all have cesarean section privileges in their practice.
Pacific AIDS Education and Training Center-Nevada
Updated/reviewed April 2025
- Need: To improve and increase prevention and care services for HIV, STDs, hepatitis C, and other infectious diseases.
- Intervention: PAETC-NV provides clinical and didactic trainings, conferences, technical assistance, capacity building, webinars, and other services to providers and healthcare organizations statewide.
- Results: In 2024, PAETC-NV trained more than 1,800 healthcare providers across Nevada to increase clinical capacity in the care, screening, and prevention of HIV, other sexually transmitted diseases, and hepatitis C.
Simulation in Motion-South Dakota (SIM-SD) EMS Educational Outreach Program
Updated/reviewed April 2025
- Need: To provide increased educational opportunities for emergency care personnel in rural and frontier South Dakota.
- Intervention: A technologically advanced training was created to enhance the delivery of emergency patient care.
- Results: Hundreds of emergency medical services (EMS) staff and volunteers received training that in turn helped them in the field of emergency patient care.
Targeted Rural Underserved Track (TRUST) Program
Updated/reviewed April 2025
- Need: There is a shortage of rural physicians in the Northwestern United States.
- Intervention: University of Washington medical students are receiving training through the TRUST program in rural communities across a five-state radius.
- Results: Long-lasting connections have been formed among regional communities, medical students, and rural health professionals, with the goal of producing more rural physicians.
University of Minnesota Psychiatric-Mental Health Nurse Practitioner Rural Rotation
Updated/reviewed April 2025
- Need: To address shortages of nurse practitioners and mental health professionals in rural Minnesota.
- Intervention: The University of Minnesota (UMN) School of Nursing implemented a 40-hour rural rotation for students in the psychiatric-mental health nurse practitioner program.
- Results: 29 students completed rural rotations in communities across the state; several students voiced a new openness to practicing in a rural area after participating in the program.
Rural Nevada EMS Conference
Updated/reviewed January 2025
- Need: To provide rural Nevada EMS personnel an opportunity to receive quality training and current EMS information from national EMS educators.
- Intervention: The Rural Nevada EMS Conference offers continuing education units and engaging sessions for EMS personnel.
- Results: In 2024, 185 individuals attended the conference in-person.
Marshall University Rural Psychiatry Residency Program
Added December 2024
- Need: To train the next generation of psychiatrists in a rural context, while providing psychiatric care to an underserved region of West Virginia.
- Intervention: A new rural psychiatry residency program at Marshall University, in which residents split their time between the rural town of Point Pleasant and the larger city of Huntington.
- Results: The program welcomed its first class of residents in July 2024.
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.
Last Reviewed: 12/9/2024

