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Rural Residency Planning and Development (RRPD) Program


Additional Links

Notice of Funding Opportunity (


Application Deadline: Jul 2, 2020

Sponsoring Organization

Federal Office of Rural Health Policy (FORHP)


Provides funding to establish rural residency programs in family medicine, internal medicine, public health, preventive medicine, psychiatry, general surgery, obstetrics, and gynecology. Rural residency programs are accredited medical residency training programs, such as the Rural Training Track (RTT) model, that primarily train in rural locations for greater than 50 percent of their training and focus on producing physicians to practice in rural communities. Seeks to combat health professional shortages by increasing the number of physicians who are trained and willing to serve rural communities.

Funds may be used to accomplish the following objectives:

  • Develop a sustainable and Accreditation Council for Graduate Medical Education (ACGME)-accredited rural residency program in family medicine, internal medicine, public health, preventive medicine, psychiatry, general surgery, obstetrics and gynecology
  • Create a plan to achieve sustainable and ongoing program funding to support residency training after the program is established
  • Develop a plan to monitor the career outcomes after graduation to determine retention in rural communities for a period of at least 5 years after the first graduating class
  • Offer interprofessional training to address the needs of their rural health community, such as training with behavioral health professionals, nutrition specialists, and pharmacists
  • Involve trainees significantly in the care of special populations, such as tribal communities, veterans, people living with HIV, under/uninsured patients, patients with substance use disorder, or other groups served by HRSA programs
  • Develop plans to address known challenges facing rural residency programs or RTTs, including insufficient specialty or subspecialty preceptors, ensuring residents will encounter a high enough volume of patients, or other known concerns specific to a community

Amount of Funding

Award ceiling: $750,000
Project period: 3 years
Estimated number of awards: 11
Estimated total program funding: $8,250,000

Who Can Apply

Eligible applicants are domestic public or private non-profit entities, including:

  • Rural hospitals
  • Rural community-based ambulatory patient care centers, including Federally Qualified Health Centers (FQHCs), community mental health centers, or Rural Health Clinics (RHCs)
  • Health centers operated by the Indian Health service (IHS), an Indian tribe or tribal organization, or an urban Indian organization
  • Graduate medical consortiums, including schools of allopathic medicine or osteopathic medicine
  • Entities such as faith-based and community-based organizations, capable of carrying out the grant activities

Applicants must propose to develop a newly accredited residency program in family medicine, internal medicine, preventive medicine, psychiatry, general surgery, or obstetrics and gynecology. Funding requests to expand an existing residency program are not eligible as well as entities that have achieved ACGME accreditation for a residency program by the application closing date.

Applicants must reside in rural locations, or areas located in non-metropolitan counties. Consortiums, schools of allopathic medicine or osteopathic medicine, or other public or private non-profit entities must have a primary training partner located in a rural location where resident training will primarily or exclusively take place.

Applicants can use the Rural Health Grants Eligibility Analyzer and Am I Rural? tools to determine whether a geographical area is considered rural as determined by the Federal Office of Rural Health Policy (FORHP) for this funding opportunity. It is important to note that the FORHP's definition of rural may differ from that of the Centers for Medicare & Medicaid Services (CMS). This is a particularly important distinction to understand if developing a financial sustainability plan for a rural residency program based on Medicare GME support.

RRPD-TA (HRSA-18-117) and fiscal year (FY) 2019 RRPD (HRSA-19-088) recipients are not eligible to receive funding under this notice.

Geographic Coverage


What This Program Funds

New Program • Training Providers

Application Process

Application requirements, instructions, and other relevant information can be found in the funding announcement.

Applicants are required to notify their State Office of Rural Health (SORH) of their intent to apply to this program.

Applicant frequently asked questions
Applicant webinar recording
Playback number: 866-360-3307
Passcode: 51520


For programmatic or technical questions:
Sheena Johnson, MPH

For grants management or budget questions:
Nancy Gaines

For residency program development and GME-specific questions:

Rural Awards

Past awards communities have received can be found on the program website.

Rural communities who have received funding include:

Topics This Program Addresses

Healthcare Facilities • Healthcare Workforce • Mental Health