rural medicine


Taking The ‘Maine Track’ Home To Be A Country Doctor

Fourth-year medical student Chad Szylvian and wife Meghan -- soon on their way to Maine. (Courtesy)

Fourth-year medical student Chad Szylvian and wife Meghan — soon on their way to Maine. (Courtesy)

Friday was “Match Day” for medical students across the country. Some surely hoped to be placed at the biggest-name hospitals in the biggest cities possible. Tufts Medical School student Chad Szylvian’s hopes pointed in a different direction — and if there were more medical students like him, rural areas of America might not be facing as critical a shortage of doctors as they do now. Here, in a “Match Day” essay, he discusses his choice.

By Chad Szylvian
Guest contributor

I had only pictured “Match Day” a couple of times before it finally arrived. It seemed like a strange idea that fourth-year medical students would gather together in a room to all simultaneously open little envelopes that told us which hospital had selected us for residency. I knew that I would feel anxious. I knew that I would feel excited. I hoped I would feel relief. But I hadn’t been sure that the little envelope would tell me it was time to go home.

Today, the envelope told me just that.

I grew up in Maine, which does not have a medical school offering an MD program. As an undergraduate applying to medical schools, I knew that I would have to pursue my medical training away from home. Then, in my junior year at Boston College, my mother sent me a clipping from our newspaper back home. It described a new program with Tufts University School of Medicine and Maine Medical Center. They were calling it the “Maine Track.” The idea was simple: allow students to complete academic training at Tufts, while gaining clinical experiences at rural hospitals in Maine.

I quickly learned that my choice of family medicine as a specialty would always require an explanation.

My exposure to rural medicine through this program began in my first week of medical school, and continued throughout. I completed rural immersions, community-based apprenticeships in primary care, clerkships, and electives – all in my home state. I spent a month shadowing a talented, innovative primary care physician in the western mountains. I spent a week at a community clinic on the coast. I spent an afternoon on a primary care home visit to an elderly couple’s rural home.

I knew, from very early on, that there would never be another kind of medicine for me. If my experience is any indicator, this kind of early and continuous exposure to rural medicine is critical for diverting students out of the competitive clamor for specialization and into careers in rural primary care. Continue reading