Opportunity Information: Apply for HRSA 18 117
The Rural Residency Planning and Development Program Technical Assistance opportunity (HRSA 18-117) is a Health Resources and Services Administration (HRSA) cooperative agreement designed to create a dedicated technical assistance center focused on helping organizations plan and launch new rural physician residency training programs. The overarching goal is to increase the number of residency positions based in rural communities and, over time, grow the rural physician workforce by training doctors in the places where they are most needed. This funding is structured as a cooperative agreement, meaning HRSA expects an active partnership with the awardee rather than a hands-off grant relationship.
The primary purpose of the award is to stand up a rural residency planning and development technical assistance (TA) center in advance of HRSA's anticipated Rural Residency Planning and Development (RRPD) grant program, which was planned to begin in fiscal year 2019. The TA center is expected to identify and engage potential RRPD applicants early, share practical tools and resources, and guide them through preparatory work so they are positioned to apply competitively and, if funded, move quickly from concept to implementation. In other words, the TA center functions as the planning backbone for the larger RRPD program, building readiness across the field before and during the rollout of new rural training programs.
A secondary purpose, dependent on available resources, is to provide similar technical assistance to organizations that would have been eligible for the RRPD program but either chose not to apply or applied and were not selected for an RRPD award. This expands the potential reach beyond just funded RRPD grantees, helping more rural-serving institutions develop viable residency concepts and partnerships even if they are not immediately funded through RRPD.
HRSA defines "rural residencies" for this effort as allopathic and osteopathic residency programs that primarily train in rural communities, place residents in rural locations for more than 50 percent of their training time, and are explicitly oriented toward producing physicians likely to practice in rural areas. One commonly cited structure is a model where the first year of residency occurs in a larger, often urban, academic medical center, while the final two years take place in a rural facility. This approach reflects the reality that rural sites may not have the full infrastructure for every component of training, while still ensuring that most of the hands-on clinical experience occurs in rural settings.
The opportunity also recognizes a key barrier in rural graduate medical education: many small rural hospitals do not already have accredited residency programs, particularly in core specialties that are critical to rural access. For that reason, the TA center is expected to support RRPD awardees in designing plans that lead to the creation of new accredited programs, including navigating accreditation requirements and building the institutional supports needed for success. The RRPD program that this TA center supports places particular emphasis on family medicine, internal medicine, and psychiatry, reflecting high-need specialties in rural and underserved areas and the role these disciplines play in addressing health professional shortage areas.
In practical terms, the TA center would help grantees and potential applicants with the building blocks of sustainable rural training programs: developing rural training tracks or entirely new residencies, recruiting program leadership such as residency program directors and faculty, assembling the necessary urban and rural "faculty champions" to secure buy-in and ensure teaching capacity, planning for accreditation, recruiting residents, launching training cohorts, and building graduate tracking systems to monitor outcomes such as where physicians practice after completion. Sustainability is a central theme: HRSA is looking for rural residency models that can remain financially and structurally viable after initial grant support ends, so the investment results in long-term workforce impact rather than short-lived pilot programs.
Administratively, the opportunity was issued by the U.S. Department of Health and Human Services (HHS), HRSA, under CFDA 93.155. It is a discretionary funding opportunity using a cooperative agreement mechanism, with one expected award. The notice was created July 23, 2018, with an original closing date of August 22, 2018. The listing indicates an award ceiling of 0, which typically signals that applicants must refer to the full notice for detailed budget guidance or that the ceiling was not specified in the summary field. Eligibility is listed broadly as "Others," with the expectation that applicants consult the notice's eligibility section for clarification.
Overall, this opportunity is best understood as a capacity-building investment meant to accelerate the creation of new rural residency training pipelines. By funding a single, centralized technical assistance hub, HRSA aims to standardize and spread effective planning practices, reduce barriers to accreditation and launch, strengthen partnerships between urban academic centers and rural clinical sites, and ultimately increase the number of physicians who train and stay in rural communities.Apply for HRSA 18 117
- 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 Technical Assistance" 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 Jul 23, 2018.
- Applicants must submit their applications by Aug 22, 2018. (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).
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