title: Changes and challenges in rural graduate medical education: the Family Medicine Spokane Rural Training Track experience in Colville, Wash.
abstract: 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.
authors.affiliation: Family Medicine Spokane, 104 W. 5th Ave., Suite 200 West, Spokane, WA 99201, USA.
authors.forename: R K
authors.initials: RK
authors.lastname: Maudlin
authors.forename: G R
authors.initials: GR
authors.lastname: Newkirk
authors.forename: M D
authors.initials: MD
authors.lastname: Snook
authors.forename: G
authors.initials: G
authors.lastname: Cooper
mesh_terms: D005194:Family Practice / Q000193:education*; D006123:Group Practice / Q000191:economics / Q000458:organization & administration*; D006743:Hospital Bed Capacity, under 100; D006780:Hospitals, Rural / Q000458:organization & administration*; D006801:Humans; D007396:Internship and Residency / Q000191:economics / Q000458:organization & administration*; D008507:Medically Underserved Area; D017145:Models, Educational; D019982:Organizational Case Studies; D019035:Rural Health Services; D014146:Training Support; D014861:Washington; D000078329:Workforce