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The Minnesota Rural Physician Associate Program for medical students.

J E Verby1

  • 1Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis.

Journal of Medical Education
|June 1, 1988
PubMed
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The Rural Physician Associate Program (RPAP) successfully increased rural physician distribution in Minnesota. After 16 years, all counties have adequate general physicians, with 57% of former students practicing rurally.

Area of Science:

  • Medical Education
  • Rural Health Policy
  • Physician Distribution

Background:

  • Minnesota legislature mandated physician redistribution to rural areas in 1970.
  • The Rural Physician Associate Program (RPAP) was established to address physician shortages in underserved communities.
  • Failure to comply risked state funding for the University of Minnesota Medical School.

Purpose of the Study:

  • To evaluate the effectiveness of the Rural Physician Associate Program (RPAP) in redistributing physicians to rural Minnesota.
  • To assess the program's impact on physician ratios in underserved areas.
  • To analyze the long-term practice locations of RPAP graduates.

Main Methods:

  • A longitudinal clinical education program for third-year medical students lasting 9-12 months.

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  • Students trained under experienced rural general physician preceptors.
  • Program evaluation based on preceptor, staff, and faculty assessments, with six months of academic credit awarded.

    • Main Results:

    • After 16 years, all 87 Minnesota counties achieved an acceptable general physician ratio.
    • 57% of former RPAP students were practicing in rural communities as of 1986.
    • A majority of these rural practitioners were located in Minnesota, in towns under 10,000 population.

    Conclusions:

    • The RPAP has been effective in increasing the number of physicians practicing in rural Minnesota.
    • The program model successfully incentivizes and trains physicians for rural practice.
    • RPAP contributes significantly to addressing rural health disparities by improving physician access.