Opportunity Information: Apply for HRSA 21 102

The Rural Residency Planning and Development Technical Assistance Program (RRPD-TA) is a Health Resources and Services Administration (HRSA) cooperative agreement designed to strengthen the pipeline from rural residency training to long-term rural medical practice. Rather than directly funding new residency programs, this opportunity funds a single technical assistance provider that will help HRSA Rural Residency Planning and Development (RRPD) award recipients plan, launch, and sustain new rural physician residency programs. The larger aim is to expand the rural physician workforce by increasing the number of accredited residency positions that train physicians primarily in rural clinical settings and encourage graduates to stay and practice in rural communities.

HRSA defines "rural residencies" here as allopathic and osteopathic residency programs in HRSA-designated specialties that train residents mainly in rural environments and are oriented toward producing physicians who will work in rural areas. These programs can be fully rurally located, or they can operate as rural training tracks (RTTs), meaning they are integrated with a separately accredited rural component within a larger, typically urban, residency program. The technical assistance awardee is expected to provide practical tools, structured guidance, and problem-solving support to help organizations navigate the real barriers to starting new rural residencies, including accreditation requirements, staffing, curriculum design, partnerships, and long-term financing.

A key feature of this notice is that the priority audience for technical assistance is existing and future RRPD program award recipients, since those are the organizations actively funded by HRSA to build rural residencies. However, HRSA notes that some limited technical assistance resources may be made publicly available to other groups interested in developing rural residency programs, meaning the TA center may also share broadly useful resources beyond the immediate RRPD grantee community when feasible. The work builds on earlier HRSA investments, including a three-year RRPD-TA center funded in FY 2018, followed by direct RRPD awards to 27 organizations in FY 2019 (up to $750,000 each for three years) and 11 more awards in FY 2020 focused on specialties such as family medicine, internal medicine, psychiatry, obstetrics and gynecology, general surgery, and preventive medicine. Those RRPD awardees can use their program funds for items like recruiting program directors, faculty and staff development, accreditation activities, resident recruitment, and building graduate tracking systems, and the RRPD-TA award is meant to increase the odds that those investments result in accredited, durable programs.

The technical assistance objectives spelled out in the opportunity focus on end-to-end support for residency creation and sustainability. This includes helping programs develop curricula suited to rural practice, recruit and develop rural-ready faculty, build clinical and community training partnerships, and strengthen program administration. A major emphasis is also on supporting RRPD recipients through Accreditation Council for Graduate Medical Education (ACGME) accreditation, since accreditation is a central milestone for launching and maintaining a residency program. In addition, the TA provider is expected to assist programs in identifying and securing sustainable financing, particularly Medicare graduate medical education (GME) funding where applicable, as well as other possible funding pathways such as Medicaid support, state funding, or private sources. Because rural GME financing and accreditation are heavily influenced by policy and regulatory shifts, the TA center is also expected to track, analyze, and translate relevant policy, regulatory, and programmatic developments so rural stakeholders can respond to changes and address knowledge gaps that may threaten program viability.

Finally, HRSA expects the RRPD-TA awardee to help assess and communicate the broader impact of both the technical assistance work and the RRPD program investments on rural communities, including outcomes tied to the rural physician workforce. The notice also highlights promotion of rural residency training to medical students as an explicit objective, reflecting the reality that building the rural workforce requires not only creating programs, but also attracting applicants and reinforcing rural training as a desirable and supported career pathway.

From the source data, this opportunity is HRSA 21-102, categorized as a discretionary award using a cooperative agreement mechanism (meaning HRSA is likely to have substantial involvement in guiding and coordinating the work). It falls under the health funding activity category and CFDA 93.155. HRSA anticipated making one award under this notice. The posting date was April 9, 2021, with an original closing date of May 21, 2021. Eligible applicants are listed broadly as "Others" with additional eligibility details referenced in the full notice.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Residency Planning and Development Technical Assistance Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155.
  • This funding opportunity was created on Apr 09, 2021.
  • Applicants must submit their applications by May 21, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 21 102

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