Doctor shortages are distressing rural America, where few residency programs exist.
Members of Congress have introduced several bills to address the health provider shortage, but they have not yet advanced.
Congress also created the Rural Residency Planning and Development Program, which Hawes helps lead. The initiative funded its first cohort in 2019. Since then, the program's parent agency, the Health Resources and Services Administration, has given more than $43 million to 58 organizations in 32 states to launch rural medical residency programs.
Officials at Northeastern Nevada Regional Hospital decided, when they launched their residency program six years ago, not to use CMS funds to pay salaries and instead to pay those costs out-of-pocket. That amounted to about $500,000 a year, said Dr. Daniel Spogen, a professor in the Family and Community Medicine Department at the University of Nevada-Reno School of Medicine and director of the medical residency training program in Elko.
Closing any rural medical residency program ends a key opportunity to locate physicians in the areas where they're most needed, said Hawes. Martinez and her husband, who is also finishing his medical training, had planned to stay in Elko. While that's not off the table, she said, they're keeping their options open now.
Rural medical training programs don't have to end in struggle, Hawes said. Part of her job with the Rural Residency Planning and Development Program is to ensure faculty, residents, and hospital leaders have the resources, support, and knowledge they need to sustain their programs. In addition, 65% of residents have remained in rural medical practice, Rodefeld said, which is higher than the national average for physicians who did their residencies in rural areas.
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