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?