For Program Directors to Update Info on Programs

I hope that you will continue to help the Group in its efforts to provide better information to students who are interested in preparing for rural practice. Program directors and rural faculty have benefitted from this information as well. This short survey will help us update our database about your program. The definition of rural for this survey continues to be towns < 25,000 population not adjacent to metro. The directory mentioned is the directory of family medicine residency programs that results from the annual survey of program directors. Please cross out any errors. Insert the most recent information that you have in the Current Data column.

Database Current Data

Does your program have a rural mission (part means part of mission) «d» ___________

Is your program in a rural location (only location or one of several) in the directory? «e» ___________

Please list the number of OB months in your 36 month curriculum. «f» ___________

The number of Family Practice Residents who graduated in the last three years: «g» ___________

The number of Family Practice Residents choosing rural in last three years «h» ___________

The number of MD and DO faculty at your program: «i» ___________

The number of MD and DO faculty with rural practice experience «j» ___________

The number of months of required rural block rotations (in town <25,000) «k» ___________

Excluding rural block rotation months, how many days are your residents required to

see patients at a rural clinic during the 36 months of training? «l» ___________

Does your program have a rural training track? «m» ___________

Does your program have a rural fellowship «n» ___________

Does your program have an OB fellowship «o» ___________

Please list any new (last 2 yrs) rural faculty at your program _______________________________________

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Are you interested in any of the following Rural Group services? (circle one or more) See newsletter for further details or send in Member Response form when you return this survey.)

Rural program information/curricula Consultation on rural program development

Database of rural faculty Database of rural programs in residencies

Rural speaker for faculty students institution (specify)