Tuesday, January 14, 2025
1/14/2025
Header Eligible Entity/Facility Type: Graduate Medical Education Consortium Project Director Name: Ryan Spencer, MD, MS Contact Information: Email rjspencer2@wisc.edu; Work 608-262-2122 Residency Program Director Name: Bridget Kelly, MD Contact Information: Email bridgetkelly@wisc.edu; Work 608-262-2122 Program Pathway: Maternal Health and Obstetrics Pathway Residency Residency Specialty: Obstetrics & Gynecology Residency Format: New RTP (New Program Accreditation) Sponsoring Institution Name: University of Wisconsin Hospitals and Clinics Sponsoring Institution Location: Madison, WI 53792 Sponsoring Institution Program Code: 560176 Rural Target Area: Wood County, WI and State of Wisconsin Funding Amount Requested: $750,000.00 Program Sustainability Option: Medicare FTE Resident Cap Expansion for RTPs Project Total Number of Residents: 8 (2 per year x 4 years) Expected ACGME Accreditation and Matriculation Dates: September 2027; July 2028 Funding Priority Points Requested: Geographic Distribution (State of Wisconsin) and Maternal Health (Obstetrics and Gynecology RTP) List of Recent HRSA Awards received with the last 5 years: n/a Abstract Recently, it was shown that 45.3% of the 1,984 rural US counties never had obstetric services and another 9% lost them in the last decade. In Wisconsin, the number of rural counties with obstetrics services declined from 40% in 1996 to 20% in 2016. We will confront this crisis by creating a new OBGYN RTP in partnership with the University of Wisconsin Hospitals and Clinics (UW Health) and the Marshfield Clinic Health System (MCHS) located in rural Wood County, WI. UW Health and MCHS both have established GME training programs and share deep roots that prime this RTP for success. The two institutions have an agreement for rural elective rotations for residents from UW Health and is a primary site for medical students from UW. UW Health has been a leader in rural GME for decades and has a Family Medicine RTP as well as other residencies with rural tracks. Residents in this RTP will spend the first two years of residency in Madison, WI alongside the 28 other OBGYN residents in the core UW Health OBGYN program. For the final two years of their training, the RTP residents will rotate at the Marshfield Clinic Health System (MCHS) in rural Wood County, Wisconsin. They will continue to build skills in obstetrics, gynecologic surgery, and ambulatory medicine as they care for rural underserved patients and become comfortable providing this care in a rural community. Our proposed goals and objectives for the project include establishing an OBGYN RTP with two new training spots per year, receiving a complement increase from the ACGME, engaging in professional development of RTP administrators and MCHS faculty educators, recruiting highly qualified medical students, and increasing the number of practicing OBGYNs in rural Wisconsin. We will accomplish these by working closely with the GME offices at UW Health and MCHS to finalize the consortium agreement, achieve ACGME approvals, create a professional development plan for MCHS leaders and faculty, recruit and match for the initial year of the RTP, onboard and integrate the RTP residents, and graduate them and track their practice locations. UW Health is requesting funding priority 1 for geographic distribution. Our proposed new RTP in will train residents for greater than 50% of total training time in Wood County in Wisconsin. The remaining time in training (less than 50% of total training time) will take place with the core UW Health OBGYN residency in Madison, Dane County, Wisconsin at UnityPoint Health – Meriter Hospital, University of Wisconsin Hospital, and SSM Health St. Mary’s Hospital Madison. UW Health is requesting funding priority 2 for maternal health. The proposed new rural residency program will train residents for the independent practice of obstetrics in rural communities through an obstetrics-gynecology RTP.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).