Teaching Health Center (THC) Graduate Medical Education (GME) Payment Program - i. Project Abstract Name: Regional Center for Border Health–Teaching Health Center/Family Medicine Residency (RCBH-THC\FMR) Residency Discipline: Family Medicine Type of application: New Eligible Entity type: Rural health clinic (San Luis Walk-In Clinic, Inc.), a RCBH subsidiary. RCBH-THC\FMR has a ACGME Sponsor Institution agreement with Spokane Teaching Health Center. First resident training year: July 1, 2025 Organization website: www.rcfbh.org Overview: The Spokane Teaching Health Center is Sponsor Institution for the RCBH-THC\FMR. An ACGME application to accredit the RCBH- family medicine residency program was submitted (May 2024), site visit completed (July 2024), and ACGME Review Committee findings are pending (November 2024). The recruitment of two residents is expected to occur in November 2024-through-February 2025, that will, during subsequent recruitment cycles, establish a full complement of six residents (2+2+2). Throughout the three-year FMR program, residents will spend approximately three months in the Phoenix area, completing core inpatient rotations at two medical centers: Banner Children’s at Desert and Carl T Hayden (VA). Residents will also complete inpatient service rotations at Yuma Regional Medical Center. Curriculum has been developed that is responsive to ACGME accreditation requirements and educational milestones, spanning a 3-year calendar. Most of the planned rotations, with possible exception for elective rotations, will occur in Yuma County, Arizona. Nine signed Program Letters of Agreement (PLAs) that specify site-specific learning objectives and training supervision responsibilities have been secured from clinical training providers. Primary care training will occur at two San Luis Walk-In Clinic, Inc. (SLWIC) sites; both are federally designated rural health clinics located in south Yuma County, in the cities of San Luis and Somerton). San Luis and Somerton are rural, agricultural communities located adjacent to the U.S.-Mexico border and the Cocopah Indian Tribe. Yuma County has a high percentage of low-income residents who are often unable to access healthcare due to professional workforce shortages, geographic isolation, economic, language, and/or socio-cultural barriers that have created significant health disparities. Yuma County has the highest percentage of Hispanic/Latinos (66%) in Arizona. Located along the Colorado River basin, more than40,000 farmworkers, including seasonal and migrant workers, are employed during the harvesting season. Total resident FTE positions requested: HRSA funding is requested for training eight residents, two per year, with the first (baseline) year beginning July 2025. Resident FTE positions requested to be funded for AY 2025-26: Two 2 (2+2+2 complement) Rotation Sites: RCBH-THC\FMR training will occur through coordination with three medical centers in Yuma and Phoenix, primary care sites in San Luis and Somerton, and other clinical training sites in Yuma. Priority Points: Requested for training location in professional shortage areas (HPSA), Medically Underserved Areas (MUA and AzMUA), and rural designation.
