The Geriatric Scholar Program (GSP) is a Department of Veterans Affairs' (VA) workforce development program to infuse geriatrics competencies in primary care. This multimodal educational program is targeted to primary care providers and ancillary staff who work in VA's rural clinics. GSP consists of didactic education and training in geriatrics…

Purpose: We describe and evaluate a project designed to pilot test an evidence-based clinical intervention for assessing and treating depression in older adults in rural primary care clinics. Project ADAPT--Assuring Depression Assessment and Proactive Treatment--utilized existing primary care resources to overcome barriers to sustainability…

Context: Founded in 1971 with state funding to increase the number of primary care physicians in rural Minnesota, the Rural Physician Associate Program (RPAP) has graduated 1,175 students. Third-year medical students are assigned to primary care physicians in rural communities for 9 months where they experience the realities of rural practice with…

Indonesia's efforts to improve its qualitative and quantitative participation in community health activities are discussed. Student and faculty problems in the community health program at Udayana University Medical School in Bali are cited. Knowledge gained from Indonesian programs should be examined by American medical educators for use in…

The primary care pediatric residency program at the Dartmouth-Hitchcock Medical Center has developed a training program in rural primary care. Residents experience the many facets of rural practice and are introduced to community-oriented approaches to child health care. (Author/MLW)

Rural areas have difficulty attracting physicians, and they also send fewer students to medical schools than do urban areas. A program at the University of Washington's medical school known as WAMI--for Washington, Alaska, Montana, and Idaho--is trying to combat that problem. (MLW)

Colorado's area health education program, the SEARCH program, designed to alleviate the maldistribution of health manpower, is described. It recruits new professionals to underserved areas through student/resident rotations and retains those professionals already there by providing accessible continuing education. (Author/MLW)

A study of Dalhousie University (Nova Scotia) medical school primary care residency graduates (n=200) and other specialty graduates (n=371) suggests that the institution's policy of requiring first-year residencies in small community health services may cause more graduates, both primary care and specialists, to choose rural practice locations.…

In an effort to make the geographic distribution of physicians closer to the distribution of the population as a whole, in 1971 the states of Washington, Alaska, Montana, and Idaho (WAMI) established the WAMI Program. The results of the first seven years of the program are described. (Author/MLW)

The West Virginia School of Osteopathic Medicine's success in educating and retaining primary care physicians for practice in rural Appalachia is ascribed to its focused mission; a multistate student exchange program; careful recruitment, admission, and placement; early clinical training in rural sites; and status as a state-supported institution.…

Residents in family practice sponsored by the State University of New York at Buffalo School of Medicine and Deaconess Hospital select a rotation to fulfill a community-university service requirement. The program was designed to involve residents in giving health care in Buffalo and western New York, where there is a physician shortage. (JMD)

A collaborative summer program by the University of Washington medical school, a professional association, and regional and state agencies provides students with an early introduction to community medicine in rural and urban underserved areas. Students (n=74) have been extremely satisfied. Suggestions are made for identifying potential program…

Medical, nursing, pharmacy, and dental education in West Virginia's state universities has undergone substantial changes since 1991, becoming more responsive to community needs. A primary-care, community-based academic system now involves students, faculty, health professionals, and lay community members in identifying and serving needs in…