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Rob E p s te i n , M DSi te Di r ec tor
L au r a Di am on d , M DCor e Fa c u l ty
J on a th a n M ot ts , M DRe s i d e n t
K e l s e y Sh ol u n d , M DRe s i d e n t
Swed i s h Ch er r y H i l l Fa m i l y M e d i c i n e Re s i d e n c y—Ru r a l Tr a i n i n g Tr ac k
N or th Ol ym p i c H e a l th c a r e N e twor kPor t A n ge l e s , WA
12 A p r i l 2018
RECRUITING THE FIRST RESIDENTS TO A NEW RURAL TRAINING TRACK
SWEDISH FAMILY MEDICINERURAL TRAINING TRACK
Our mission is to train physicians to provide evidence-based primary care as rural generalists
who advocate for the health and well-being of their communities. Residents will gain
experiential learning in community assessment and advocacy, procedures, obstetrical care, and
medication assisted treatment for addiction.
¡ Explore recruitment strategies and the importance of institutional affiliations
¡ Review applicant feedback regarding program “selling points”
¡ Breakdown interview day structure and demonstrate how it can make your site stand out on the interview trail
¡ Identify challenges in faculty engagement during the interview process and curriculum development
OBJECTIVES
RUOP students
Clerkship students
WRITE students
TEACHING AFFILIATION WITH UW SCHOOL OF MEDICINE
2003 2008
FMPA Interest
RTTC Meeting in Boise, ID
Swedish Cherry Hill Residency
DISCUSSIONS ABOUT A RURAL TRAINING TRACK
2012 2013
RTTC/AAFP Feasibility
AssessmentACGME PIF Application
FQHC Designation
ACGME Site Visit & Final Agreements
APPLICATION PROCESS & INSTITUTIONAL AGREEMENTS
2014 2015 2016
¡ NCFMR recruitment¡ 250 applications¡ 20 interviews¡ 2016-2017 NRMP Match¡ First class of residents began
6/2017
¡ 600 applications¡ 22 interviews¡ 2017-2017 NRMP Match¡ Second class of residents begin
6/2018
THE MATCH
¡ Real life practice setting ¡ Advocacy and leadership opportunities ¡ Community integration ¡ RTT 1+2 program model ¡ FQHC and PCMH recognition¡ Previous teaching history
PROGRAM “SELLING POINTS”
¡ Hybrid longitudinal curriculum¡ Transparency with training opportunities¡ Engaged and relatable community faculty¡ Scope of practice
REAL LIFE PRACTICE SETTING
¡ Pre-existing curricular emphasis at core program, Swedish Cherry Hill
¡ Abundance of opportunities for involvement as early residents in a new program
¡ Flexibility to create new electives and community projects
ADVOCACY & LEADERSHIP
¡ Focus on community during the interview§ Needs of community§ Community needs assessment
¡ Community medicine block 1 of R2 year and longitudinally with core site
COMMUNITY INTEGRATION
¡ Core rotations in the first year at Swedish Medical Center¡ Affiliation with referral center¡ Hybrid of unopposed residency¡ Benefits of hospital size
RTT 1+2 PROGRAM MODEL
¡ Loan repayment¡ Building a workforce¡ Exposure to different care delivery models¡ Underserved patient population ¡ Other affiliated sites
§ County jail§ High school clinic§ Mental health§ Dental services
FQHC TRAINING SITE
INTERVIEW DAY STRUCTURE
Applicant Dinner
Hospital/clinic tour and interview
Community tour
Transition to core site
¡ Good representation from community physicians affiliated with the program
¡ Family friendly setting¡ Quality food and beverage ¡ “Do you have any more questions?”
APPLICANT DINNER
¡ Provide accommodations the night before the interview¡ Driving tour with program director¡ Introduce other community resources and healthcare
affiliates¡ Make it unique and not just a hospital or clinic tour¡ Highlight outdoor opportunities and local attractions
for self-guided tour
COMMUNITY TOUR
¡ Survey sent to applicants ranked by the RTT who did not match to the RTT
¡ 2016-2017 Match - 2/18 responses ¡ 2017-2018 Match - 11/22 responses
POST MATCH SURVEY
¡ Multiple entities ¡ Faculty engagement and time¡ Scope of training (termination, NICU, etc.) ¡ Curriculum development and support¡ Culture of education ¡ Relocation
§ Expense§ Housing accommodations§ Partner employment opportunities
RECRUITMENT CHALLENGES
Swedish
Olympic Medical
Center
North Olympic Healthcare Network
¡ Explore recruitment strategies and the importance of institutional affiliations
¡ Review applicant feedback regarding program “selling points”
¡ Breakdown interview day structure and demonstrate how it can make your site stand out on the interview trail
¡ Identify challenges in faculty engagement during the interview process and curriculum development
OBJECTIVES
QUESTIONS?
