Opportunity Information: Apply for HRSA 19 088

The Rural Residency Planning and Development Program (RRPD), listed as HRSA 19 088, is a discretionary grant opportunity from the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). Its central goal is to help communities and training institutions create new rural physician residency programs, or build Rural Training Tracks (RTTs), specifically in family medicine, internal medicine, and psychiatry. The program is designed to address persistent physician shortages in rural areas by strengthening the pipeline of doctors who are trained in rural settings and are therefore more likely to stay and practice in rural communities after residency.

The grant focuses on developing residency training models that are truly rural in both structure and experience. Under the program definition, rural residency programs include both allopathic (MD) and osteopathic (DO) residencies that primarily train in rural communities and place residents in rural locations for more than 50 percent of their total training time. Beyond meeting that rural training threshold, the residencies are expected to have a strong emphasis on producing physicians who will ultimately work in rural practice settings, not simply rotate through rural sites as a minor part of their education.

A common approach supported by this opportunity is the Rural Training Track model. In an RTT, residents typically complete the first year of training in a larger, often urban, sponsoring program such as an academic medical center, then spend the remaining two years training in a rural hospital or rural clinical setting. This structure is meant to combine the resources and accreditation infrastructure of a larger institution with the immersive, community-based clinical experience that rural sites can provide. The design also reflects how many rural communities can support advanced training years when coupled with a larger sponsor for the initial year and overall program support.

A key expectation of the RRPD program is long-term sustainability. The grant is intended to help recipients plan, develop, and launch new rural residency programs or RTTs, but it is not meant to serve as the permanent funding source. Applicants are expected to build programs that will continue after the RRPD period ends by securing separate public or private funding streams, such as other grants, state support, health system investment, or other financing mechanisms that can keep residency positions operating over time.

From the source details provided, the opportunity is categorized as a grant under the health funding activity area and is associated with CFDA number 93.155. The opportunity was created on November 29, 2018, with an original closing date of March 4, 2019. HRSA anticipated making 28 awards. The listed award ceiling is shown as 0 in the source data, which usually indicates that the ceiling was not specified in that particular summary field or was addressed elsewhere in the full announcement. Eligibility is summarized broadly as "Others," with additional clarification typically provided in the full eligibility section of the funding notice.

Overall, RRPD is a workforce development initiative aimed at increasing the number of physicians trained and retained in rural America by investing in the creation of rural-focused residency pathways in core primary care and behavioral health-related specialties, with an emphasis on programs that can stand on their own financially once initial development support ends.

  • 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 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 Nov 29, 2018.
  • Applicants must submit their applications by Mar 04, 2019. (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 28 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 19 088

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Rural Residency Planning and Development Program (RRPD) - FAQs

1) What is the Rural Residency Planning and Development Program (RRPD)?

The Rural Residency Planning and Development Program (RRPD), listed as HRSA 19 088, is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA). It is focused on helping communities and training institutions plan, develop, and launch rural physician residency programs.

2) What problem is RRPD trying to solve?

RRPD is designed to address persistent physician shortages in rural areas by strengthening the pipeline of physicians trained in rural settings. The underlying idea is that doctors trained in rural communities are more likely to stay and practice in rural areas after completing residency.

3) What is the central goal of this grant opportunity?

The central goal is to help create new rural physician residency programs or to build Rural Training Tracks (RTTs), with a strong emphasis on training models that are rural in both structure and experience.

4) Which medical specialties are specifically supported under RRPD?

This opportunity specifically calls out family medicine, internal medicine, and psychiatry as the target residency specialties.

5) Does RRPD support both MD and DO residency programs?

Yes. The program definition includes both allopathic (MD) and osteopathic (DO) residency programs, as long as they meet the rural training expectations described in the opportunity.

6) What qualifies as a "rural residency program" under RRPD?

Based on the program definition provided, a rural residency program is one that primarily trains in rural communities and places residents in rural locations for more than 50 percent of their total training time.

7) What does "more than 50 percent of training time in rural locations" mean in this context?

It means that, across the full residency training period, residents are expected to spend a majority (over half) of their total training time physically training in rural settings, not just completing occasional rural rotations.

8) Is RRPD meant to fund programs where rural training is only a small portion of residency?

No. The opportunity emphasizes residency training models that are truly rural in structure and experience, and it expects a strong emphasis on producing physicians who ultimately work in rural practice settings rather than simply rotating through rural sites as a minor component of training.

9) What is a Rural Training Track (RTT)?

A Rural Training Track (RTT) is a training model commonly supported by this opportunity where residents typically complete the first year of training in a larger sponsoring program (often in a more urban setting, such as an academic medical center) and then complete the remaining two years training in a rural hospital or rural clinical setting.

10) Why does the RTT model often start in a larger sponsoring program?

The RTT structure is described as combining the resources and accreditation infrastructure of a larger institution with immersive, community-based clinical experiences in rural sites. It also reflects the reality that many rural communities can support advanced training years when paired with a larger sponsor for the initial year and overall support.

11) What kinds of activities is RRPD intended to support?

RRPD is intended to support planning, development, and launch activities for new rural residency programs or RTTs. The emphasis is on building new rural-focused residency pathways rather than serving as long-term operational funding.

12) Is RRPD intended to be a permanent funding source for residency positions?

No. A key expectation is long-term sustainability beyond the grant period. The grant is meant to help recipients plan, develop, and launch programs, but not to be the permanent source of funding.

13) What does HRSA expect regarding sustainability after the RRPD funding period?

Applicants are expected to build programs that continue after the RRPD period ends by securing other public or private funding streams (for example: other grants, state support, health system investment, or other financing mechanisms) to keep residency positions operating over time.

14) What is the funding activity area for this opportunity?

The opportunity is categorized under the health funding activity area.

15) What is the CFDA number associated with RRPD?

The opportunity is associated with CFDA number 93.155.

16) How is the opportunity categorized (grant, contract, etc.)?

It is categorized as a grant.

17) When was this grant opportunity created?

The source details state it was created on November 29, 2018.

18) What was the original closing date listed for this opportunity?

The original closing date listed in the source details is March 4, 2019.

19) How many awards did HRSA anticipate making?

HRSA anticipated making 28 awards.

20) What is the award ceiling for RRPD?

The listed award ceiling is shown as 0 in the source data. In many grant summaries, that typically indicates the ceiling was not specified in that particular summary field or was addressed elsewhere in the full announcement.

21) Who is eligible to apply?

The eligibility field in the source summary is listed broadly as "Others." Additional eligibility details would typically be provided in the full eligibility section of the official funding notice.

22) What kinds of organizations does RRPD aim to help?

Based on the description, RRPD aims to help communities and training institutions that are developing rural physician residency programs or RTTs in the eligible specialties.

23) How does RRPD define success in workforce terms?

RRPD is framed as a workforce development initiative that increases the number of physicians trained in rural settings and improves the likelihood of retention in rural practice after residency.

24) What is the primary geographic focus of RRPD-funded training?

The primary geographic focus is rural America, with training designed to occur predominantly in rural communities.

25) Does RRPD emphasize behavioral health as well as primary care?

Yes. In addition to primary care (family medicine and internal medicine), the opportunity includes psychiatry, reflecting a behavioral health-related specialty focus alongside primary care.

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