West Virginia Family Medicine Rural Scholars Program

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					Signature of applicant _____________________________ date _________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            For more information
                                                                                                                    Rural Commitment
                                                                                                                    Letter to support West Virginia/
                                                                                                                                                                         Dean’s Letter
                                                                                                                                                                                                           Other Clinical Clerkship Faculty
                                                                                                                                                                                                                                              Family Medicine Clerkship Faculty _______________________________
                                                                                                                                                                                                                                                                                                                  Reference letters required
                                                                                                                                                                                                                                                                                                                                               _________________________________________________________________________________________________________________________
                                                                                                                                                                                                                                                                                                                                               _________________________________________________________________________________________________________________________
                                                                                                                                                                                                                                                                                                                                               Current Medical Student Financial Aid/Scholarships:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Address_________________________________________________________________________________ State of Legal Residence______________
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Name __________________________________________ Medical School:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               APPLICATION West Virginia Family Medicine Rural Scholars Program
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Selection
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  All candidates must be West Virginia University,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    contact the                    West Virginia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Residency Program Director
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Marshall University, or WVSOM medical students
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  and must apply by Jan. 15 of their third year. A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  selection committee composed of the participating          WVU Rural Family Medicine Program
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Family Medicine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  program director and chief resident, each medical
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  school's dean of students (or suitable representative),
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Harpers Ferry Family Medicine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      31 Taylor Street             Rural Scholars
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  and two at-large committee members appointed by
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Program
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Harpers Ferry, WV 25425
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  the program director to represent the clinical faculty
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Phone: (304) 535-6343 x234
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  and other funding partners of the scholarship
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Fax: (304) 535-6618
                                                                                                                                                                         _______________________________




                                                                                                                                                                                                                                                                                                                  Name
                                                                                                                                                                                                           _______________________________
                                                                                                                                       _______________________________




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  program, reviews applications, interviews candidates
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  and makes recommendations.                                        www.wvuhffm.com
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  The residency program director must assure that each
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  selected candidate complies with all ACGME and                WVU HSC Charleston Division
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  institutional resident selection requirements and each       Department of Family Medicine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  candidate’s medical school dean of student services          1201 Washington St. E., Suite 108
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  (or equivalent) must assure that the Year 1 Rural
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Scholars curriculum fulfills all MSIV institutional and
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Charleston, WV 25301
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  LCME or AOA requirements.                                         Phone: (304) 347-4620
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Awards are announced by Feb. 1 of the same year to
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Fax: (304) 347-4621
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  allow for integrated scheduling requirements. Any              www.camc.wvu.edu/family/
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  changes in deadlines will be communicated by the
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             WVU ❑
                                             term retention of these practitioners.
                                             Loan repayment and other financial incentives do not guarantee long-
                                                                                                                            provisions if awarded a position as Rural Scholar.
                                                                                                                            Medicine Rural Scholars Program and agree to abide by all
                                                                                                                            I have read the terms and description of the West Virginia Family
                                                                                                                                                                                                               Attestation:
                                                                                                                                                                                                                                                      for the Rural Scholars Program.
                                                                                                                                                                                                                                                      Attach a one page personal statement that describes your candidacy




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  resident program directors.                                       West Virginia University
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Department of Family Medicine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Financial Resources                                                    PO Box 9152
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  First Year Rural Scholars stipend/scholarship:                Morgantown, WV 26506-9152
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             MU ❑




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $10,000/recipient                                                 Phone: (304) 598-6920
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Additional funds from residency program for Rural                  Fax: (304) 598-6921
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Scholar's advanced training courses.                      http://www.hsc.wvu.edu/som/fammed/
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             WVSOM ❑




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Scholarship Default
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Recipients who fail to complete the residency
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  program which awards their scholarship shall be in
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  default and must refund the entire $10,000 award
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  within 12 months of leaving the residency program.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  A one-time request for consideration of any variation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  in this default payment may be made to the selection
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  committee. The committee must have at least five
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  members present and a simple majority vote on any
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  decision will be final without appeal. The program
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  director shall chair the meeting.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      DEPARTMENT OF FAMILY MEDICINE
                                                    West Virginia Family Medicine Rural Scholars Program
Do You Meet the Challenge?                          Rural Scholars:                                            Benefits to West Virginia:                                   Selection Criteria:
The Rural Scholars Program is looking for           Benefits to Rural Scholars include:                        Despite a growing presence of rural community                All candidates must be West Virginia University,
superior medical students who can meet the          •   A Rural Scholars stipend of $10,000 during the         preceptors and an increased emphasis on rural                Marshall University, or WVSOM medical students
challenge of practicing primary care in a rural         fourth year of medical school which significantly      primary care in medical school curricula nationally          to be eligible.
setting. Your preparation will go beyond the            reduces medical school debts as practitioners          and in the state, some regions of West Virginia have
routine training found in most medical school           begin their professional careers.                      limited access to healthcare.                              Rural Scholar Selection Criteria        Priority Points
or residency curricula and the demands and          •   A matching system that links graduates with a          Our mission is to establish long-term relationships
rewards will be just as unique. Successful                                                                                                                                1. Legal resident of West Virginia      0-10 points
                                                        specific WVU Family Medicine Residency                 between our physicians and communities while
practitioners will develop a unique set of skills       Program with a Rural Scholar Track.                    providing a level of care previously unobtainable in       2. Student’s Comprehensive Class        0-30 points
and expertise that will significantly impact the    •   The stipend and matching system eliminates the         the region.                                                   ranking; Class Ranking in Clinical
delivery of healthcare in an underserved                expense and uncertainty of the residency match                                                                       Clerkships; and Class ranking
region.                                                                                                        The continued success of the Rural Scholars
                                                        and interview process.                                 program:                                                      among student’s clinical campus
The Rural Scholars program is designed to           •   The educational base and residency enables                                                                           cohort.
reward medical students with proven ability             students to develop clinical and leadership            •   Enhances our ability to attract and retain excellent
and a strong desire to practice Family                  experiences uniquely targeted to foster success in a       MS IV students from West Virginia Medical              3. Capability of student handling a     0-30 points
Medicine in rural areas of WV.                          rural/underserved practice.                                Schools.                                                  “sub-internship” load of 8-10
                                                                                                               •    Increases retention of medical students for in-          months during the fourth year of
Candidates will benefit from financial                                                                             state residency programs.                                 medical school that would follow
incentives and an accelerated integration of                                                                   •   Provides a mechanism to sponsor innovation in             the content of a Family Medicine
medical school and residency that features                                                                         residency curricula and increase physician                PGY1 curriculum.
advanced training and less loan repayment                                                                          placement and retention in underserved areas of
debt. The requirements of the program can be                                                                                                                              4. Demonstrated commitment of the 0-30 points
                                                                                                                   the state                                                 candidate’s decision to practice in
fulfilled within three years, the standard                                                                     •   Provides meaningful financial rewards to medical
training period for postgraduates.                                                                                                                                           rural/underserved areas of West
                                                                                                                   students who possess the desired traits for success       Virginia.
Students' fourth year of medical school will be                                                                    in rural family medicine, and who are willing to
maximized by an accelerated rural scholars                                                                         commit themselves to in-state residency training       TOTAL                                   0-100 points
curriculum with unique community                                                                                   to achieve this goal.
experiences and sub-internships. The Rural
Scholar will then be linked to a position in the                                                                                                                            Rural Scholars Curriculum:
spronsoring Family Medicine Program. The
                                                                                                                                                                            Designed to provide significant amount of time in
rigorous fourth-year experience enables Rural
                                                                                                                                                                            rural location or selected rotation which will
Scholar residents to participate in advanced
                                                                                                                                                                            maximize continuity of care for patients. The
procedural and leadership training usually
                                                                                                                                                                            curriculum varies depending upon location.
found only at a fellowship level. Candidates
will also experience coordinated rural rotations
integrated with the medical school and
residency curriculum. Graduates may
eventually practice in one of these locations.