A fellowship in rural family medicine: program development and outcomes.

BACKGROUND AND OBJECTIVES

Many strategies have been used by academic institutions to address the shortage of rural family physicians. Fellowship training in rural family medicine represents one approach.

METHODS

Tacoma Family Medicine developed a fellowship program of this type. Five years of operations are described, including applicants, educational outcomes, rural outcomes, and adverse outcomes.

RESULTS

An adequate applicant pool does exist, composed of both applicants from residency and from practice. A curriculum of advanced obstetrics, electives, and a rural experience has been successful. Unforeseen problems included a strained relationship with family practice residents in the program and competition for community preceptors.

CONCLUSIONS

Family practice residencies with a mission of rural training are encouraged to consider the strategy of a rural fellowship.