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Community health center partnerships successfully expanded rural residency training, increasing physician placement in underserved areas. This model offers a sustainable solution to rural physician shortages.

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Area of Science:

  • Medical Education
  • Rural Health Workforce Development
  • Primary Care Training

Background:

  • Physician shortages disproportionately impact rural communities, widening health outcome gaps.
  • Rural residencies are crucial for addressing these shortages but face funding limitations.
  • Community Health Center/Academic Medicine Partnerships (CHAMPs) offer a collaborative model for expanding residency programs.

Purpose of the Study:

  • To evaluate the 10-year outcomes of a rural primary care residency training pathway developed through a CHAMP collaboration.
  • To assess the impact of this pathway on physician placement in rural and medically underserved areas.

Main Methods:

  • Retrospective study of 25 graduates from two rural residency expansion sites over 10 years.
  • Analysis of internal registries and public data on demographic and postgraduation practice characteristics.
  • Assessment of placement rates in rural, Health Professional Shortage Areas (HPSAs), and Medically Underserved Areas/Populations (MUA/Ps).

Main Results:

  • Immediately postgraduation, 84% of graduates practiced in primary care HPSAs, 80% in MUA/Ps, and 60% in rural locations.
  • For graduates over 3 years out, 69% remained in primary care HPSAs, 69% in MUA/Ps, and 50% in rural locations.
  • The CHAMP collaboration facilitated successful rural and MUA/P placement.

Conclusions:

  • The CHAMP-supported rural pathway effectively increased physician placement in rural and MUA/Ps.
  • This model demonstrates the potential of academic-community partnerships to expand rural residency training.
  • The findings contribute to national research on sustainable rural workforce development strategies.