Rural and Public Mental Health Track

The Rural and Public Mental Health (RPMH) Track prepares residents to serve in the most underserved areas of our country and to develop expertise in the technology and the health care policy relevant to this work. Throughout the US, and within the state of Texas, rural communities have both profound shortages of psychiatrists and logistical barriers to accessing care. At UTSW, we developed the RPMH Track with the goal of training psychiatrists to serve rural communities and effectively work in the public mental health system. This track provides opportunities in public mental health systems, integrated care paradigms, telepsychiatry and related technologies, and public mental health policy. We hope that our graduates will provide both direct care to rural communities and statewide leadership in rural mental health.

Track Structure

RPMH Track residents will be based in Dallas during their first three postgraduate years (PGY) of training, completing core general program rotations within the UTSW affiliated institutions, including public mental health experiences through Parkland Hospital and Metrocare and psychotherapy training.

  • PGY-1
    In addition to completing program requirements in medicine and neurology, PGY-1 residents rotate on acute inpatient psychiatry units at both Parkland and Terrell State Hospital and work in the outpatient psychiatry setting at Metrocare.
  • PGY-2
    RPMH Track residents complete two rural outpatient psychiatry rotations at the Bonham VA outpatient clinic during the PGY-2 year, in addition to core psychiatry rotations and electives in Dallas.
  • PGY-3
    The third year is rooted in longitudinal outpatient experiences. Track residents will have rural outpatient electives that are within driving distance of their home base in Dallas. Residents will train within the Parkland Outpatient Clinic, a core experience for all residents, as well as choose from opportunities to provide direct patient care and telepsychiatry to rural communities within a public mental health care system and an insurance-based private practice.
  • PGY-4
    RPMH Track residents will spend time in PGY-4 practicing in a rural setting. These experiences will include inpatient, outpatient, telepsychiatry, and integrated care services. Residents will be housed in rural locations, further integrating them into these communities. RPMH residents will also have the opportunity to work with state public mental health leadership in research and quality improvement projects.

Track Curriculum

In addition to participating in general program didactic curriculum across postgraduate years 1-4, track residents will also receive specialized curriculum focused on public mental health systems, rural communities and psychiatric practice, telepsychiatry, and integrated care.

Frequently Asked Questions

Q. When do residents join the track?
A. Residents apply through ERAS specifically to match into the RPMH Track.

Q. Can residents join the track and still fast track into child psychiatry?
A. Yes, we strongly encourage applicants who wish to practice Child and Adolescent Psychiatry in rural settings to apply for the RPMH Track. As with general program residents who wish to fast track into a CAP fellowship, we will prioritize completion of general program requirements within the first three postgraduate years.

Resident Perspectives

Dr. Trisha Modi 
Trisha Modi, M.D., M.B.A.

"Serving populations disproportionately impacted by mental illness is most important to me. The RPMH track is empowering me with the knowledge to not only address the medical concerns of my patients but also tackle and strategize against the significant economic barriers to mental health care. I have witnessed these disparities firsthand; my family lives in a rural town with only one general practitioner within a 60-mile radius and no access to psychiatric care. Their experience led me to pursue an M.B.A. in healthcare management and pursue the RPMH Track. Through this track and all of its rotations, I will learn various approaches to understanding and combating the problems associated with the 'business side of medicine.' I believe the RPMH track will best prepare me to follow my passions and serve resource-poor communities."

Dr. Justin O’Brien
Justin O’Brien, M.D.

"The RPMH Track was my top choice because of the focus on the last mile of care. I grew up in a small Texas town, and I empathize when patients have to drive hours to get specialty care. Residents are able to work in many different clinics and sites that provide care to patients in communities outside of the large cities. I believe the RPMH track also provides an educational experience for residents that will prepare them to work in clinical settings no matter where in the country."

Dr. Sun Choi
Sun Choi, M.D.

"Caring for the underserved has always been a priority for me, which is what drew me to the RPMH track. Much focus is placed on mental health care delivery in urban areas where the needs are great, but often at the expense of furthering disparities in rural areas and with the most vulnerable, who often depend on state mental health care services. This track provides rich opportunities to interface with public mental health systems at state and county levels and deliver quality care in innovative and creative ways to address these disparities. I believe this training will prove invaluable in shaping me into a compassionate physician with knowledge of the latest telepsychiatry, mental health policy, and business advancements to best meet my patient's needs throughout my career, whether they are in an urban or rural context."

Dr. Wickramage
Pavithra Wickramage, D.O., M.P.H., M.S.

"I chose to pursue the RPMH track because of the opportunity to train at diverse clinical sites and to gain experience working with patients that are severely underserved. So far, I have had the chance to work with patients that are facing unique circumstances that I would not have otherwise seen in Dallas. I was fortunate enough to have completed my medical school rotations with my school’s rural medicine program, and I am grateful that I can continue that training, now with a psychiatric focus, here at UTSW. It is rare to see a psychiatry residency have an established path to prepare future psychiatrists to work in rural and/or community mental health. I feel as though the RPMH track has allowed me to foster my interest in public health and serving those most in need."

Dr. Gameli Anthonio
Gameli Anthonio, M.D.

"During my time as a medical student, I was able to appreciate the role that health care disparities (especially those in mental health) play in poor health outcomes in the US. Addressing disparities and the social determinants of health has long been an animating force for me. My work on projects addressing the COVID-19 pandemic, improving transportation access, and delivering global health care has taken me as far as Washington DC and given me a keen awareness of the multitude of ways that social factors can impact people's health. As a psychiatrist, I hope to bring this mindset to my practice to maximize the health of our community. I found the RPMH track to be great opportunity to learn how to do that, through its mentorship and networking opportunities and its diverse training settings embedded within underresourced populations."

Dr. Sruvee Sathi
Sadhana Sruveera (Sruvee) Sathi, M.D.

"My interest in the rural and public mental health track stems from my experiences in undergrad working in rural health clinics and gap years as a health policy fellow in Washington DC. I witnessed the challenges of health care in underresourced settings, without an adequate clinician workforce, funding, or technology. I advocated for legislation like the National Health Service Corps that can ameliorate shortages and learned about leveraging technology to provide more access to care. I chose the RPMH track to gain experience providing mental health care and then take these learnings to advocate for my patients, whether it’s through direct clinical care, on community health boards, or at a national level. I look forward to my training that will ultimately prepare me to serve communities in diverse settings while also learning about public mental health policy, advocacy, and telepsychiatry."