Garth Brand MD Rob Stenger MD MPH Program
Garth Brand, MD Rob Stenger, MD, MPH Program Director
§ 1980 s MFMR Satellite Residency created § 1995 MFMR matriculates 1 st class § 2013 FMRWN matriculates 1 st class § 2013 BC IMR matriculates 1 st class § 2020 BC Psychiatry Residency
Develop, empower, and educate the next generation of fullspectrum Family Physicians to provide excellent care for Montana with an emphasis on vulnerable populations
Types of rural opportunities
$2. 5 Million HRSA Grant 2020 -2525 Expanding Rural Access and Training
St. Patrick Hospital Community Medical Center Partnership Health Center UM Kalispell Regional Medical Center Flathead Community Health Center
Graduate Initial Practice Locations Total Graduates 48 100% Practice in MT 35 73% Rural Practice (<50 k) 34 70% Frontier Practice (<10 k) 27 56% Underserved (FQHC) 6 13% Total Rural/Underserved 37 77% Missoula (12)* Ronan (6)* Kalispell (4)* Lewistown (3)* Browning (2)* Polson (2)* Helena (2) Libby* Corvallis* Red Lodge** Whitefish** * Core Rotation Site ** Elective Site
§ Recruitment § Decrease cost § Trial period prior to singing contract § Job satisfaction § Improve physician efficiency in clinic / hospital § Teaching is hard but also very fun § Improved Training § Residents rave about their rural experiences and are seeking more!
1. General, broad rural experience 2. Tailored experience based on resident needs 3. Required rotations (e. g. peds, surgery, ER)
§ Potential CMS resident Cap for virgin PPS hospitals § Funding (less so with CMS rule change for CAH’s) § Housing (ACGME requires residents have access to housing) § Regulations (ACGME, CMS etc) § Medicaid expansion § Balance between CAH and GME § Continuity requirements for patient care
§ Rotator Bill § Adjustment to GME caps § Gardner Bill § Alternative PRA rural equivalent § ACGME and ABFM and relooking at requirements and their impact on rural and underserved patients § Partnering with sponsoring institutions § Flexibility with scheduling and/or telehealth to allow for continuity
§ Pipeline § Fill healthcare needs for primary care throughout Montana, with a focus on rural Montana. § Increase Access to rural training for our residents § Win -Win § Meet your needs for our future work force § Please let us know what you need
§ Members from residencies, teaching hospitals, rural hospitals, MHA, MMA, MTPCA, VA, Tribal Communities, Office of Rural Health, AHEC, OCHE, WWAMI § Promote collaboration among the partner organizations § Educate leaders, government and the public about importance of GME § Support existing residency programs and the development of new programs § Advocate for GME funding (State and Federal) § Provide a stable pipeline of physicians for MT
Contact info Garth Brand Garth. bra@riverstonehealth. org 406 -651 -6525 Rob Stenger Robert. stenger@umontana. edu 406 -274 -4900
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