Rural Health Leadership Fellowship

The Massachusetts General Hospital Fellowship Program in Rural Health Leadership provides world class training to early-career physicians who seek to partner with resource-poor communities to improve health.

The fellowship is part of an effort by Massachusetts General Hospital's Department of Medicine and Division of General Internal Medicine to partner with rural communities to meet their goals for health care and health systems improvement.

The Fellowship Program in Rural Health Leadership involves:

*If fellows already have an MPH, equivalent funding will be offered for research or for the pursuit of another advanced degree


Through service, dedication and excellence, the program will:

  • Develop early-career physicians into leaders who will partner to transform health systems in resource-poor communities
  • Provide exemplary training in physician-led health systems transformation
  • Serve its partner communities with respect, dedication, and sustainability
  • Serve as a model for meaningful partnerships for health systems transformation

Key Program Staff

Program Director: Katrina Armstrong, MD, MSCE, Physician-in-Chief, Department of Medicine, Massachusetts General Hospital
Jackson Professor of Medicine, Harvard Medical School

Associate Program Director: Matthew Tobey, MD, MPH, Division of General Internal Medicine, Massachusetts General Hospital


Rural Health Leadership Program Structure

Rural Health Leadership Timeline

Curriculum Structure

Primary Rural Clinical Site: 12-18 weeks per year in two-week blocks

Secondary Academic Clinical Site: One half-day per week when not at the rural site

The remainder of time will be divided between MPH coursework, the once-weekly curriculum, and flexible time for projects, education, or research depending on fellow interests.

Extensive opportunities for research, project implementation, education, further rural experience, and other opportunities are available depending on fellow career goals.

Program Partners

The program is sincerely grateful to all of its partners, who include:

The fellowship is based in the Mass General Division of General Internal Medicine within the Department of Medicine.

Clinical Experience

Primary Clinical Site

Badlands in Rosebud, South Dakota
Badlands in Rosebud, South Dakota

The Rural Health Leadership Fellowship is deeply grateful to our primary partner, the Rosebud Sioux Tribe, whose values and goals guided the development of this fellowship program.

Todd County, the site of the Indian Health Service’s Rosebud Service Unit, is one of the counties with the lowest median income in the United States with unemployment hovering between 80 and 90%. Age-adjusted mortality rates are among the worst in the nation.  Todd County's remote location compounds its challenges.

Fellows will serve clinically in Rosebud for no more than two of every six weeks, with on-time split 75/25 between outpatient and inpatient care. All travel and accommodations will be provided by the program. Program staff will provide support including 24/7 availability for clinical questions.

Join us, or support us, as we help communities transform their health.

How to Apply

The Rural Health Leadership Fellowship is excited to announce that we will recruit at least one fellow for the fellowship cycle beginning July 1, 2017.

The application cycle will open on Thursday, September 1, 2016 and applications will be accepted through Monday, October 31, 2016. Formal application materials include:

  • A completed application form
  • Your CV
  • Three letters of recommendation, including a letter from a current program director or, if the applicant is no longer in training, a clinical letter from a supervisor

Please arrange for all application materials including letters of recommendation to be e-mailed to the Rural Health Leadership Fellowship.

All potential applicants are encouraged to contact Associate Fellowship Director, Matthew Tobey, MD, MPH to discuss how the fellowship can best promote your career goals.

The fellowship lasts two years plus an additional summer to complete MPH courses, and will begin July 1, 2017.


Contact Us

Rural Health Leadership Fellowship

Please direct questions and comments to the Associate Program Director, Matthew Tobey, MD, MPH. Please see the How To Apply tab for information about applying to the program.

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