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An accelerated rural training program.

James H Stageman¹, Robert C Bowman, Jeffrey D Harrison

¹Department of Family Medicine, University of Nebraska Medical Center, Omaha 68198-3075, USA.

The Journal of the American Board of Family Practice

|April 1, 2003

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This study highlights an accelerated rural training program that successfully places over 50% of graduates in small communities. The program addresses primary care needs by training family practice residents for rural practice.

Area of Science:

Medical Education
Rural Health Training
Family Medicine

Background:

Need for enhanced training for residents pursuing rural practice.
Reluctance of students and policymakers to commit to extended primary care training.

Purpose of the Study:

To evaluate an accelerated family practice training program designed for rural practice.

Main Methods:

Development of a 4-year accelerated program at the University of Nebraska Medical Center starting in 1993.
Inclusion of a 1-year rural procedures fellowship.
Requirement for graduates to commit to practicing in rural Nebraska.

Main Results:

The program has successfully recruited 10 classes.

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Over 50% of program graduates have been placed in communities with populations under 8,000.

Demonstrated effectiveness in training physicians for rural practice.

Conclusions:

The program's unique requirements necessitate careful planning for student recruitment and integration.
Addressing licensure, fellowship training needs, and faculty recruitment is crucial for program success.
The model shows promise for increasing the number of physicians in underserved rural areas.