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R K Maudlin

Publications and source records attributed to R K Maudlin.

10 recordsLinked to original sources

Changes and challenges in rural graduate medical education: the Family Medicine Spokane Rural Training Track experience in Colville, Wash.

Rural community-based graduate medical education programs in family practice are considered wise investments in America's future because they generate highly trained physicians who typically settle and practice in rural communities. In recent years, however, federal funding cutbacks and revised accreditation requirements have threatened the viability of these programs. In Colville, Wash., Mount Carmel Hospital has responded by agreeing to continue its collaboration with the Northeast Washington Medical Group to fully fund the cost of the Family Medicine Spokane Rural Training Track family practice residency program.

Family Practice↗

Extended educational sessions at three family medicine residency programs.

There are few descriptions of graduate medical education curricula in the literature, and the descriptions that have been written have focused more on content than on format. Traditionally, educational presentations in residency programs are offered in one-hour time slots, a format that may be too limited for interactive sessions or hands-on activities. Further, whether these one-hour sessions are offered in the morning, at noon, or in the afternoon, they all present hindrances to residents' attendance. The authors propose that reserving extended blocks of time for educational sessions for residents is one way for programs to ensure both that residents attend the sessions and that they are able to learn what they need to learn during their training to meet the special requirements of the appropriate residency review committee. The authors present the experiences of three family medicine residency programs in developing and implementing extended educational sessions. Each program has multiple training sites, including rural sites. The three programs release residents from their clinical responsibilities to enable them to participate in the half-day to day-long sessions, which cover behavioral issues, procedures training, and other topics. The success of these three programs suggests that extended educational sessions are a viable alternative to the traditional one-hour format.

Curriculum↗

Rural training tracks in four family practice residencies.

The use of rural training tracks (RTTs) in family practice residencies is a new strategy (beginning in the late 1980s) to increase the number of residents selecting rural careers. The authors describe the four residencies (in Washington, Nebraska, New York, and Kentucky) that have established RTTs. The first residency year is completed in an urban tertiary care center, and the second and third years are completed in a distant rural community wherein the primary faculty are the members of a rural family practice group. Inpatient experience for the residents is provided by community hospitals that offer obstetrics, emergency room care, and first-line critical care. The residents' training is supplemented by specialty faculty practicing in the rural communities. The curricula are highly structured and are evaluated to ensure training experiences of high quality. The RTTs' financial support comes from state initiatives, hospital reimbursement, recruitment budgets, and outpatient care revenues. The authors conclude that the RTT concept has the potential to lessen the shortage of rural physicians.

Family Practice↗