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ARTICLE |

Training in a Small Town for Rural Practice

George T. Harrell, MD
JAMA. 1973;225(9):1103-1105. doi:10.1001/jama.1973.03220370041010.
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ABSTRACT

The delivery of health care in small towns and rural areas is a major unsolved problem. The building of small hospitals has proved economically and professionally unsound. The construction of two-man office-clinics has not uniformly recruited nor retained physicians. Experience at Hershey suggests a minimum critical mass of four family physicians when the clinic is hospital based. There is a need for ambulatory health care in communities without a hospital. A model demonstration facility is being built for four physicians with allied healthpersonnel support to give ambulatory and emergency care and health education to a town 35 miles from the medical center. A full-time faculty member will be in residence. Medical, nursing, medex students, and house officers will be housed and trained. Laboratory, roentgenographic, dental, and pharmaceutical services are included. Patients requiring hospitalization are referred.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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