Teaching Health Center Planning and Development Program - Building upon their mission to train physicians for autonomous practice in rural communities, the objective of this Consortium proposal is to establish an ACGME separately accredited psychiatry (PSY) rural track residency designated program (RTP), with an anticipated July 1, 2026 date for resident matriculation. The RTP-PSY program will blend training experiences at Cabell Huntington Hospital (an urban 330-bed medical center academic medical center and its preferred provider sites within the Marshall Health ambulatory patient clinics) with those of 49-bed Pleasant Valley Hospital. Pleasant Valley is in the southwestern part of West Virginia in rural Mason County. Trainees will spend at least 50% of their four-years of training at the PVH site. A complement of three residents per training level (a complement total of twelve) will be requested to comply with the ACGME’s minimum FTE per training level requirement. The overarching goal and outcome of this RTP-PSY proposal is to place our graduates who have demonstrated the knowledge, skills, and behaviors necessary to enter autonomous practice as practitioners throughout Central Appalachia to offset both the present day and anticipated future psychiatrist shortages. It is located in one of the State's 111 HPSA designated service areas and has a MUA designation as well. To accomplish this, the RTT-PSY program will build its program based upon the documented premise that residents often practice where they train with four subobjectives: 1) Identify and establish an infrastructure in Point Pleasant to meet Pleasant Valley Hospital’s mental health service needs, to provide residents with rural clinical and educational experiences, and meet accreditation needs; 2) To obtain February 2025 Initial Accreditation for a newly accredited Rural Psychiatry Training Track to allow July 1, 2026 matriculation 3) To create a sustainability plan that includes ongoing funding for the RTT-PSY before the period of grant performance ends; and, 4) To devise a tracking plan and have it in place to follow career outcomes of residency program graduates for a period of at least five (5) years. To achieve these four sub-objectives, the Consortium, its members, and its training site partners will work together using their resources, skills, abilities, experiences, and dedication to rural health.