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Related Experiment Videos

Rural training tracks in four family practice residencies.

T C Rosenthal1, R K Maudlin, M Sitorius

  • 1Office of Rural Health, State University of New York, School of Medicine, Buffalo 14215.

Academic Medicine : Journal of the Association of American Medical Colleges
|October 1, 1992
PubMed
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Rural training tracks (RTTs) in family medicine residencies are a strategy to boost rural physician numbers. These programs train residents in rural settings, showing potential to alleviate physician shortages.

Area of Science:

  • Medical Education
  • Rural Health
  • Family Medicine

Background:

  • The late 1980s saw the introduction of rural training tracks (RTTs) as a novel approach.
  • Addressing the persistent shortage of physicians in rural areas is a significant public health challenge.

Purpose of the Study:

  • To describe the structure and implementation of four established rural training tracks (RTTs) in family practice residencies.
  • To evaluate the potential of RTTs in increasing the number of physicians choosing rural careers.

Main Methods:

  • Four family practice residencies in Washington, Nebraska, New York, and Kentucky with established RTTs were analyzed.
  • The curriculum involved one year in an urban tertiary care center followed by two years in a rural community with local primary and specialty faculty.

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  • Inpatient training included obstetrics, emergency care, and critical care at community hospitals.

    • Main Results:

    • RTTs provide structured, high-quality training experiences in rural settings.
    • Financial support for RTTs is derived from state initiatives, hospital reimbursements, recruitment funds, and patient care revenue.
    • The described RTT model successfully integrates urban and rural training components.

    Conclusions:

    • The rural training track (RTT) model demonstrates significant potential to mitigate the shortage of rural physicians.
    • These programs offer a viable pathway for training family physicians committed to rural practice.
    • Continued development and support of RTTs are crucial for enhancing rural healthcare access.