Terre Haute Rural Curriculum Track
Early and accelerated clinical and procedural skill development
(for more details see here)
Longitudinal experiences with rural patients and rural communities (for more details see here)
Integrating of rural applications throughout
the four year curriculum (for more details see here)
To promote appreciation, understanding and respect for the rural practitioner and the rural patient
To equip medical students with skills and experiences unique to rural medicine
To provide longitudinal exposure and experiences with health care delivery in a rural setting
To prepare graduates who are both well-prepared for interactions with rural doctors and a competitive advantage for future GME training in the practice of rural medicine
To increase the number of IUSM graduates who elect to enter medical practice in a rural setting

Learning Objectives by Competency:
I. Effective Communication
In the care of rural patients:
The student will effectively communicate with patients and families.
The students will communicate effectively with health care providers and health care systems.
The student will utilize common communication tools and technologies.
The student will communicate effectively with the community via public forums.
II. Basic Clinical Skills
In the care of rural patients:
The student will appropriately incorporate patient information available to him/her through the intimate nature of the community.
The student will recognize classic physical signs of conditions that are more prevalent in the rural setting. (See Table 1.)
The student will demonstrate proficiency in independent performance of core clinical procedures. (See Table 2.)
III. Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention
In the care of rural patients:
The student will be able to identify and discuss epidemiological patterns of specific medical conditions in rural Indiana. (See Table 3.)
The student will be able to apply epidemiologic knowledge of common rural health conditions to specific patients. (See Table 3.)
The student will be able to apply epidemiological methods to improve public health.
IV. Lifelong Learning
In the care of rural patients:
The student will demonstrate self-directed motivation and establish habits that promote lifelong learning.
Students will analyze gaps in their knowledge, skills and attitudes and develop strategies to address them.
The student will demonstrate proficiency in the independent acquisition of information.
The student will demonstrate adaptability with changing methods of information acquisition.
V. Self-Care, Self-Awareness & Personal Growth
In the care of rural patients:
The student will maintain an awareness of his/her personal well-being and develop habits of self-care and strategies for continued personal growth in the context of a small intimate community.
The student will identify and reflect on the benefits and challenges of life in a rural community.
The student will identify and discuss issues that a rural physician must deal with issues that relate to time management of professional and personal responsibilities.
VI. The Social & Community Context of Health
VI.1. Rural Environment and Culture
The student will be able to:
Understand and define professional and colloquial vocabulary that defines, describes, and applies to rural communities and healthcare. (See Table 4.)
Compare and contrast cultural and environmental issues relevant to the health and health care of Hoosiers living in rural versus non-rural areas.
Describe how availability, affordability, accessibility, and acceptability of health care impacts the care sought and received by members of rural communities.
VI.2. Health Policy and Economics
The student will be able to:
Describe the role of the rural physician in medical oversight of local healthcare institutions and public health services (e.g. nursing homes, ambulance service, local health departments, etc.)
Understand the critical aspects of successful financing of a rural health practice..
Identify local, state, and national policies that impact services and support of rural health. (See Table 5.)
VI.3. Community Responsiveness and Health Advocacy
The student will be able to:
Be familiar with the variety of programs and activities of community-social service advocacy agencies in the rural community (See Table 6.)
Demonstrate the ability to work with a community partner to identify and develop strategies to address a specific rural health issue. (*done in context with Competency VIII)
Implement and evaluate the key strategy to improve the health of the rural community in the context of the community development model.(*done in context with Competency VIII)
VII. Moral Reasoning and Ethical Judgment
The student will be able to:
Identify and discuss ethical issues and dilemmas likely to occur in the practice of rural medicine.
Identify and discuss resources and strategies that may assist in dealing with ethical issues and dilemmas common to the practice of rural medicine.
To recognize and manage the ethical challenges that may arise between his/her moral values and his/her role as the sole provider in a small community.
VIII. Problem-Solving
The student will be able to:
Demonstrate ingenuity in addressing limitations in resources, systems or technology in his/her personal, professional, and community roles.
Assimilate, evaluate, and prioritize information and relationships necessary to develop and implement the key strategy to improve the health of a rural community. (*done in context with Competency VI)
Identify improvement mechanisms for the key strategy based upon the evaluation completed by the student, in the context of the community development model. (*done in context with Competency VI)
IX. Professionalism and Role Recognition
In the care of rural patients:
The student will demonstrate understanding, appreciation, and respect for patients, families, and all members of the health care team
The student will demonstrate awareness of his/her own formal and informal influence as the physician of a rural community.
The student will understand his/her professional responsibility to be an advocate for the public health of the rural community and members of the community who are unable to adequately advocate for themselves.
*As a longitudinal project, students will observe the role of community agencies in the rural community (C6), work with a community agency to develop a key strategy to improve the health of the rural community (C6), assimilate, evaluate, and prioritize information related to that key health strategy (C8), implement and evaluate that strategy (C6), and based on that evaluation, identify mechanisms for improvement (C8).