US Department of Health and Human Services - Health Resources and Services Administration (HRSA) - Federal Office of Rural Health Policy (FORHP)
06/30/20 11:59 PM ET
Grants to USA nonprofit hospitals, healthcare centers, community organizations, and graduate medical education consortia to establish medical training programs in rural regions. Required registrations may take several weeks to complete. The purpose of this grant program is to support the development of new rural residency programs in family medicine, internal medicine, public health and general preventive medicine (hereafter referred to as “preventive medicine”), psychiatry, general surgery, and obstetrics and gynecology, to address the physician workforce shortages and challenges faced by rural communities.
Rural residency programs are accredited medical residency training 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. One common model is the 1+2 Rural Training Track (RTT), where the first year of training occurs within a larger program, typically in an urban hospital or academic medical center, and the final two years in a rural health facility.
The goal for the RRPD program is for each recipient to establish a new rural residency program that is accredited by the Accreditation Council on Graduate Medical Education (ACGME) and has a strong sustainability plan for a stable future financial outlook by the end of the period of performance. All RRPD program recipients should be capable of effectively training physicians to practice in and meet the clinical needs of rural populations. As a result, the proportion of graduates from these programs entering careers in practices primarily serving rural populations is expected to markedly exceed that seen in other programs across the nation.
1. Residency Program Development: Develop a newly accredited, rural residency program in family medicine, internal medicine, preventive medicine, psychiatry, general surgery, or obstetrics and gynecology that is ready to begin training its first class of residents no later than the academic year (AY) immediately following the end of the RRPD period of performance.
2. Program Sustainability: Have a clearly defined, factual, and validated
sustainability plan that includes ongoing funding stream(s) to sustain long-term
resident training once the program is established through the following options:
A. Qualifying under current regulatory authority for Medicare graduate
medical education (GME) payments in rural hospitals starting a new
residency training program.1 Specifically, the applicants:
i. Either have a viable direct GME Per Resident Amount or are
eligible to establish one after training residents for the first time, and
1 CMS’s criteria for determining if a program is new are in the August 27, 2009 Federal Register, page 43908:
ii. Eligible for a viable indirect GME and direct GME resident cap
B. Creating an RTT program in accordance with Medicare regulations2,3
C. State or other public and/or private support
D. Combination of multiple funding streams (e.g., a hospital may have a mix
of Medicare and other public funding)
3. Graduate Tracking Plan: Provide a structured plan to track and publicly report
on residents’ career outcomes after graduation for a period of at least 5 years
after the first graduating class to determine retention in rural communities.
For additional details about these objectives, see pages 1-2 of the NOFO document in Supporting Documents below.
GrantWatch ID#: 189449
Up to 11 grants
Up to $750,000 for the 3 year period of performance and awarded in Year 1
Period of Performance: September 1, 2020 through August 31, 2023 (3 years)
Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.
You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:
Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-5382
You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Sheena Johnson, MPH
Health Insurance Specialist, Federal Office of Rural Health Policy
Attention: Rural Residency Planning and Development Program
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10W65D
Rockville, MD 20857
Telephone: (301) 945-9639
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