This notice announces the opportunity to apply for funding under the Health Resources and Services Administration (HRSA) Rural Residency Planning and Development (RRPD) Program. The purpose of this program is to improve and expand access to health care in rural areas by developing new, sustainable rural residency programs or rural track programs (RTPs) that are accredited by the Accreditation Council for Graduate Medical Education (ACMGE), to address the physician workforce shortages and challenges faced by rural communities. This program provides start-up funding to RRPD award recipients to create new rural residency programs that will ultimately be sustainable long-term through viable and stable funding mechanisms, such as, Medicare, Medicaid, and other public or private funding sources.
For the purposes of this notice of funding opportunity, rural residencies are accredited allopathic and osteopathic physician residency programs that primarily train residents in rural training sites for greater than 50 percent of their total time in residency, and focus on producing physicians who will practice in rural communities. This includes ACGME RTP designation Types 1 and 2.
There are two pathways for this program: General Primary Care and High Need Specialty Pathway and Maternal Health and Obstetrics Pathway.
General Primary Care and High Need Specialty Pathway: This pathway supports the development of new rural residency training programs in family medicine, internal medicine, preventive medicine1, psychiatry, and general surgery.
Maternal Health and Obstetrics Pathway: This pathway supports the development of new rural residency programs with a focus on obstetrical training to broaden residents’ training and scope of practice to provide high quality, evidence-based maternity care and obstetrical services in rural areas: (1) obstetrics- gynecology rural residency program or RTP, or (2) family medicine rural residency program or RTP with enhanced obstetrical training. Enhanced obstetrical residency training must provide family medicine residents with extensive clinical experience in comprehensive maternity care, including dedicated training on labor and delivery and operative obstetrics. These programs must have the faculty clinical expertise to prepare family medicine residents for the independent practice of obstetrics in rural communities.
Eligible entities are domestic public, nonprofit, or private organizations, including faith-based and community-based organizations, tribes and tribal organizations. Specifically, these organizations may include, but are not limited to:
1) rural hospitals;
2) rural community-based ambulatory patient care centers, including Rural Health Clinics;
3) health centers operated by a tribe or tribal organization, or an urban Indian organization;
4) graduate medical education consortiums, including institutions of higher education, such as, schools of allopathic medicine or osteopathic medicine or Historically Black Colleges and Universities (HBCUs); and
5) faith-based and community-based organizations.
Sheena Johnson, MPH