Educational Affairs - Office of Clinical Education

Successful completion of all concentration requirements will result in a designation of "Scholar in Rural Health Care" on the student's transcript and in the commencement program. A certificate of completion will be issued at the time of graduation along with the student's UTMB diploma. Participation will also be reflected in the student's MSPE ("Dean's letter").

To become an RHSC scholar, you will complete 5-6 months of clerkship, elective and selective experiences in a rural setting, culminating with the completion of a scholarly project. Throughout the 4 years of medical school, RHSC students must attend a predetermined number of offerings (lectures, workshops and/or seminars) that are designed to provide specific training related to the practice of rural medicine.

RHSC opportunities exist during the following curricular times:

• Summer block between Years 1 and 2
• Year 3 (Family Medicine clerkship, Pediatrics clerkship - ambulatory component, Internal Medicine clerkship - ambulatory component, elective month, December holiday month, and/or cluster clerkships - 2 to 4 months in a community completing multiple clerkship requirements),
• Year 4 allows for several experiences through electives, selectives, and required credits in an "Acting Internship" and the Basic Science and Humanities Selective (BSHS). Basic Science and Humanities Selective credit may be obtained during activities related to finalizing the scholarly project.

Yes. Prior approval by the Rural Health Care Scholarly Concentration Committee would be required, as would any requirements imposed by UTMB Enrollment Services and the other medical school in question. Many medical schools offer electives, primarily to Year 4 students, which would provide an excellent compliment to your RHSC focus.

Housing may be available in very few rural locations.  No housing is guaranteed in any location.

There is not a limit to the number of students that can participate in the RHSC. Year 2 and year 3 students are asked to commit to participation by the end of Period 1 so that adequate planning can be done to ensure all of the "specialty track" requirements can be met.

Year 1 students are asked to commit to the program by the end of Year 1, prior to the beginning of the summer block during which preclinical preceptorships are available for enrollment. For all students, it is best to communicate with a Co-Director as early as possible regarding your needs in terms of preceptors, site locations, Period(s) during which you wish to rotate at a chosen site, and housing status.

Registration for UTMB electives approved for RHSC credit is done via e-connect. RHSC students are required to contact these elective Course Directors 30 days in advance in order to make plans to focus on an aspect of rural medicine as part of the course. (see "UTMB Electives Approved for RHSC Credit" link on the RHSC homepage for a list of approved electives).

No. Students intending to apply for a residency in any field of medicine are welcome to participate in the RHSC.

Electives and other activities are open to interested students who do not intend to complete the entire track. If one commits to the RHSC and decides not to complete all related requirements, all courses taken to that point remain on the student's transcript, although recognition as a "Rural Health Care Scholar" would not occur upon graduation.

Course evaluations and focus groups with students having completed rotations in rural settings in the past have been overwhelmingly positive. Specific advantages cited by students included:

• "I was impressed that rural doctors have so much interaction with community members and events that occur there. Since there is so much continuity of care from birth to old-age, across generations of families, the doctor is treated with a great deal of respect and has an important role."
• "Going on home visits."
• "It is very important to develop trust among these patients who may be indigent, not likely to seek medical care early, and/or are immigrants."
• "Doctors deal with a wide range of problems, experience long-term relationships with patients and families (continuity of care), and could participate as a strong member of the community by advocating and contributing to civic groups and events."
• "This was an adventure that made me discover an interest in rural medicine I did not know about before."

• Yes. Students may participate in two special program tracks under the following conditions:
• An overall curricular plan is provided by the student and prior approval is obtained from Directors of both program tracks.
• Requirements for both tracks are met in full.
• No more than two courses can apply to both tracks concurrently.
• A scholarly project must be completed for both tracks or one very large project including aspects of both programs can be done after prior approval by both scholarly concentration directors.