Introduction/Background

The University of Alabama at Birmingham Heersink School of Medicine (HSOM) has long been recognized for its innovative approaches to bridging gaps in healthcare. One critical area is the development of pathway programs designed to address the shortage of primary care physicians in rural communities in Alabama. The HSOM’s rural medical pathway programs identify, recruit, and support students from underserved rural areas, guiding them toward careers in medicine. Through a variety of partnerships, these programs provide mentorship, hands-on experiences, and academic preparation, ensuring that future physicians are not only trained but deeply connected to the communities they will serve.
 

Importance of the Topic or Problem

Rural communities across the US face a critical shortage of healthcare providers, resulting in limited access to care and poorer health outcomes. The lack of rural representation in medical training exacerbates these disparities. UAB’s rural medical pathway programs are designed to disrupt this cycle by preparing students from rural areas to return as practicing physicians. This approach not only addresses workforce shortages but also enhances trust and continuity of care in rural populations. As the nation grapples with physician shortages, particularly in underserved areas, innovative models like these rural pathways are vital.
 

Rationale for the Panel

This panel will showcase UAB’s commitment to creating sustainable and scalable rural medical pathway programs. Three such programs will be featured: Rural Medical Scholars Program, Rural Medicine Program, and Comprehensive Urban Underserved and Rural Experience (CU2RE) Program. Panelists—including program directors and students—will discuss key elements of program design, including vital partnerships, recruitment, mentorship, academic preparation, and community engagement. The session will highlight the real-world impact of these pathways and explore how other institutions can adopt or adapt similar models to meet local needs. By bringing together a diverse group of stakeholders, this panel will foster collaboration and knowledge-sharing, offering practical insights for pathway and bridge program leaders seeking to build or expand their own rural-focused initiatives.
 

Challenges/Concerns/Gaps in the Field being Addressed

Despite significant progress, challenges persist in rural medicine pathways. Key concerns include limited funding, geographic barriers, and difficulties in sustaining mentorship and support systems. Furthermore, systemic inequities and social determinants of health continue to affect rural students’ educational and professional trajectories. UAB’s experience highlights both successes and ongoing gaps, including the need for broader institutional commitment, innovative use of technology to connect students and mentors, and comprehensive strategies to support students from application through graduation and into practice. This panel aims to address these issues by identifying best practices and actionable solutions for reducing barriers and enhancing the effectiveness of rural medical pathway programs.