Rural Residency Planning and Development Program
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The Rural Residency Planning and Development program aims to strengthen rural health care by establishing new, accredited residency programs in family medicine, internal medicine, psychiatry, general surgery, and obstetrics and gynecology, with a focus on training physicians to practice in rural communities. These programs must be physically located in areas designated as rural by HRSA’s Federal Office of Rural Health Policy, with residents spending more than half of their training time in these rural clinical settings. The initiative provides start-up funding to help launch these programs, but long-term financial sustainability depends on securing stable funding from sources such as Medicare, Medicaid, or other public and private entities. The program is administered by the Health Resources and Services Administration under the Department of Health and Human Services, and this funding opportunity was posted on August 7, 2026, with inquiries directed to Jason Steele at ruralresidency@hrsa.gov or 301-443-2203.
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The Rural Residency Planning and Development (RRPD) program improves and expands rural health care access. It does this by developing new, accredited, sustainable rural residency programs, including rural track programs (RTPs). Newly created rural physician residency programs increase training and ultimately practice in rural areas to address physician shortages. The RRPD program provides start-up funding to create new rural residency programs in qualifying medical specialties. Long-term sustainability funding must come from viable and stable sources, such as Medicare, Medicaid, and other public or private sources. Qualifying medical specialties are:
- Family medicine.
- Internal medicine.
- Psychiatry.
- General surgery.
- Obstetrics and gynecology.
For this notice of funding opportunity (NOFO), rural residency programs:
- Are accredited physician residency programs.
- Train residents in clinical training sites that are physically located in a rural area as defined by HRSA's Federal Office of Rural Health Policy (FORHP) for greater than 50 percent of their total time in residency.
- Focus on preparing physicians to practice in rural communities.
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